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Most viewed - 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.
Idiopathic Central Serous Retinopathy - Bilateral - Acute 820 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 819 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 808 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 745 views49-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 20/400
Idiopathic Central Serous Retinopathy - Bilateral - Acute 697 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OU690 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.	Idiopathic Central Serous Retinopathy - Bilateral - Acute 683 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 670 views49-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 20/400
Idiopathic Central Serous Retinopathy - Bilateral - Acute 656 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 649 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 611 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU591 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
Idiopathic Central Serous Retinopathy - Bilateral - Acute 584 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 578 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 578 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU558 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
Idiopathic Central Serous Retinopathy - Bilateral - Acute 538 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 518 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 517 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU515 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.
Idiopathic Central Serous Retinopathy - Bilateral - Acute 497 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 478 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 471 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 464 views49-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 20/400
Idiopathic Central Serous Retinopathy - Bilateral - Acute 461 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 461 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 453 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 450 views49-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 20/400
Idiopathic Central Serous Retinopathy - Bilateral - Acute 445 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 436 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 434 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 432 views49-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 20/400
Idiopathic Central Serous Retinopathy - Bilateral - Acute 430 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OU430 viewsNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.	Idiopathic Central Serous Retinopathy - Bilateral - Acute 416 views49-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 20/400	Idiopathic Central Serous Retinopathy - Bilateral - Acute 404 views49-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 20/400
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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.