Central Serous Retinopathy - PED and Serous RD
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49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14.
SLIT LAMP EXAM: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan.
FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary.
Vision returned to 20/20 within 5 months and no recurrences over 2 years.
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Central Serous Retinopathy - Acute934 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute818 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute628 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute677 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute747 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute652 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute667 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute570 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute716 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute668 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
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Central Serous Retinopathy - Acute797 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute1316 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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Central Serous Retinopathy - Acute1004 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
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49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14.
SLIT LAMP EXAM: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan.
FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary.
Vision returned to 20/20 within 5 months and no recurrences over 2 years.
