Last additions - Acute Central Serous Retinopathy - Broad Leak 45-year-old man was seen in the office on 11/2/2010. He has noticed decreased vision in the right eye starting about two days ago. It was like a shadow in his vision. He is in excellent health. He takes no systemic medications, definitely no steroids, and he has no headaches, tinnitus or problems lately. He does have a little bit of pressure around his sinuses.
VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. IOP: OD 15. There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is a serous macular detachment.
OS: Vertical C/D ratio is 0.5. The macula and periphery look normal.
OCT SCAN: The OCT scan of the right eye shows a serous macular detachment.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows a pigment epithelial detachment just inferior to the fovea with leakage later into the serous macular detachment. There is also a small pigment epithelial detachment inferonasal to the serous detachment. The left eye is angiographically normal..
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY WITH SEROUS MACULAR DETACHMENT – RIGHT EYE
DISCUSSION: I explained to the patient the right eye does have central serous retinopathy and 95% of the time the vision improves and the subretinal fluid absorbs without treatment. Generally though, people do notice things a little smaller in the eye after the subretinal fluid does absorb. There is about a 25% recurrence rate and if the fluid does not absorb over the next three to six months, then it is reasonable to consider therapy. At this moment, probably photodynamic therapy is the most reasonable alternative.
I asked him to return for check in four months, sooner should he notice a problem.
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye718 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye567 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye560 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye530 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye553 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye524 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye552 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye486 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye541 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye499 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye550 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye565 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye586 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye619 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye578 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye781 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye577 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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Acute Central Serous Retinopathy (Chorioretinopathy) Right Eye677 views45-year-old man decreased vision in the right eye starting about two days ago. VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. Jul 09, 2011
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45-year-old man was seen in the office on 11/2/2010. He has noticed decreased vision in the right eye starting about two days ago. It was like a shadow in his vision. He is in excellent health. He takes no systemic medications, definitely no steroids, and he has no headaches, tinnitus or problems lately. He does have a little bit of pressure around his sinuses.
VISUAL ACUITY: Vision OD is 20/60, OS is 20/20. IOP: OD 15. There is 1+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.5. There is a serous macular detachment.
OS: Vertical C/D ratio is 0.5. The macula and periphery look normal.
OCT SCAN: The OCT scan of the right eye shows a serous macular detachment.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: FA shows a pigment epithelial detachment just inferior to the fovea with leakage later into the serous macular detachment. There is also a small pigment epithelial detachment inferonasal to the serous detachment. The left eye is angiographically normal..
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY WITH SEROUS MACULAR DETACHMENT – RIGHT EYE
DISCUSSION: I explained to the patient the right eye does have central serous retinopathy and 95% of the time the vision improves and the subretinal fluid absorbs without treatment. Generally though, people do notice things a little smaller in the eye after the subretinal fluid does absorb. There is about a 25% recurrence rate and if the fluid does not absorb over the next three to six months, then it is reasonable to consider therapy. At this moment, probably photodynamic therapy is the most reasonable alternative.
I asked him to return for check in four months, sooner should he notice a problem.
