66-year-old woman has central serous retinopathy in the right eye. She has had some retinal fluid there for some time. Her vision unfortunately is declining. VISUAL ACUITY: OD 20/125, OS 20/25. IOP: 14 OD, 13 OS. There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a serous macular detachment centrally. OS: Vertical C/D ratio is 0.2. The macula has some irregularities inferiorly. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows persistent subretinal fluid and some increase in choroidal thickness. There is a pigment epithelial detachment just superior to the fovea. The left eye shows a normal macular contour. COLOR PHOTOS: The color photos do show a serous macular detachment in the right eye. The left eye has a pigment spot inferior to the fovea. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a leaky spot superior to the fovea. In the left eye there is a leaky spot inferior to the fovea. INDOCYANINE GREEN ANGIOGRAPHY: The indocyanine green angiogram in the right eye shows a leaky spot just superior to the fovea limited to the same area shown on the fluorescein angiogram. The left eye has a leaky spot inferior to the fovea. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – BOTH EYES 2. SEROUS MACULAR DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient with photodynamic laser there is an excellent chance of drying the macula in the right eye and improving her vision. |
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66-year-old woman has central serous retinopathy in the right eye. She has had some retinal fluid there for some time. Her vision unfortunately is declining. VISUAL ACUITY: OD 20/125, OS 20/25. IOP: 14 OD, 13 OS. There is 2+ nuclear sclerosis in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.2. There is a serous macular detachment centrally. OS: Vertical C/D ratio is 0.2. The macula has some irregularities inferiorly. SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows persistent subretinal fluid and some increase in choroidal thickness. There is a pigment epithelial detachment just superior to the fovea. The left eye shows a normal macular contour. COLOR PHOTOS: The color photos do show a serous macular detachment in the right eye. The left eye has a pigment spot inferior to the fovea. FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a leaky spot superior to the fovea. In the left eye there is a leaky spot inferior to the fovea. INDOCYANINE GREEN ANGIOGRAPHY: The indocyanine green angiogram in the right eye shows a leaky spot just superior to the fovea limited to the same area shown on the fluorescein angiogram. The left eye has a leaky spot inferior to the fovea. IMPRESSION: 1. CENTRAL SEROUS RETINOPATHY – BOTH EYES 2. SEROUS MACULAR DETACHMENT – RIGHT EYE DISCUSSION: I explained to the patient with photodynamic laser there is an excellent chance of drying the macula in the right eye and improving her vision.
