Title of article :
Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy
Author/Authors :
Do, Jiun L. USC Roski Eye Institute - Department of Ophthalmology - Keck School of Medicine of the University of Southern California , Olmos de Koo, Lisa C. USC Roski Eye Institute - Department of Ophthalmology - Keck School of Medicine of the University of Southern California , Ameri, Hossein USC Roski Eye Institute - Department of Ophthalmology - Keck School of Medicine of the University of Southern California
Abstract :
Purpose: To describe an atypical case of chronic central serous chorioretinopathy (CSCR).
Methods: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion.
Results: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiography, and fundus autofluorescence (FAF) were
suggestive of atypical, chronic CSCR. Treatment with oral anti-mineralocorticoids resulted in moderate improvement, and photodynamic
therapy (PDT) had minimal effect.
Conclusion: Chronic CSCR may lack cardinal features of CSCR. Once retinal degenerative changes ensue, current treatments may not be
effective in improving anatomical and visual outcomes in patients with chronic CSCR.
Keywords :
Central serous chorioretinopathy , Cystoid macular edema , Eplerenone , Photodynamic therapy
Journal title :
Journal of Current Ophthalmology
Journal title :
Journal of Current Ophthalmology
