neueste Dateien - Acute Bilateral Central Serous Retinopathy - Bullous Serous Retinal Detachment 49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula.
OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula.
OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy.
His blood pressure was 140/85.
IMPRESSION:
1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES
DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.
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Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OU734 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU638 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU609 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU466 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU572 x angesehenNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 436 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 469 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 663 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 490 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 496 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 538 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 521 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 509 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 516 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 499 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 469 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 492 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 502 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 472 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 509 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 522 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 569 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 624 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 573 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 629 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 572 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 701 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 762 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 645 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 774 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 873 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 857 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 688 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 693 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 717 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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Idiopathic Central Serous Retinopathy - Bilateral - Acute 869 x angesehen49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/40031. März 2011
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49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control.
VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula.
OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula.
OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy.
His blood pressure was 140/85.
IMPRESSION:
1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES
DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.