Derniers ajouts - Central Serous Retinopathy - PED and Serous RD 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 - Acutevu 1058 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 1375 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 871 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 713 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 764 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 617 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 705 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 701 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 796 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 722 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 663 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 887 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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Central Serous Retinopathy - Acutevu 1010 fois49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/2016 Novembre 2010
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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.
