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Normal Patient A. Color fundus photograph of right eye with unremarkable findingsB. Fundus autofluorescence image of right eye with unremarkable findings.C. OCT scan through the right macula without remarkable findings.Note: there is a large circular artifact in pictures A & B that are not CSCR
Optical Coherence Tomography (OCT) Macular OCT OD and OS shows disruption of the outer retinal hyperreflective band and inner choroid, nasal to the fovea.
Fundus Autofluorescence Fundus Autofluorescence OD shows descending tracts created by subretinal fluid. Fundus Autofluorescence OS shows a vast area of hypoautofluorecence with hyperautofluorescent edge, around the left optic nerve.
Red Free Red-free fundus photographs OD and OS show subtle pigmentary change of retinal pigment epithelium.
Dilated Fundus Examination Fundus photograph OD shows subtle pigmentary changes temporal to optic nerve head and inferotemporal to fovea. Fundus photograph OS shows pronounced pigmentary change surrounding optic nerve head and temporal to fovea.
Case - 44-year-old Hispanic Male Chief complaint: Gradual distance vision blur after sustaining head trauma related to a fall one year prior. Describes distortions and ghosting in his visionPersonal Ocular and Medical History: UnremarkableMedications: NoneSocial History: Infrequent smoking of cigarettes over the past 20 years. Examination:Best-Corrected Visual Acuity: 20/40-2 OD, 20/30+2 OS.Pupils: ERRLEOM: FULLConfrontation Visual Fields:
Introduction Acute CSCR often follows a self-limiting course, with spontaneous reabsorption of subretinal fluid within approximately three to six months. Patients are monitored for resolution or progression, and are encouraged to self-monitor their visual symptoms at home.When subretinal fluid persists for longer than 6 months, it is considered chronic CSCR, for which various treatment modalities
Introduction While the exact cause of CSCR remains unknown, certain risk factors, including stress, corticosteroid use, and hypertension, have been implicated.It has been suggested there is a relationship between CSCR and Type A personality, notably that the accompanying stress and aggression releases catecholamine, which increases choroidal permeability.Prevalence: Men > Women, commonly occurs between the ages
Introduction Central serous chorioretinopathy (CSCR) presents a complex challenge, encompassing acute, chronic, and atypical manifestations that necessitate distinct management approaches.A condition characterized by the accumulation of subretinal fluid leading to a localized serous detachment of the macula, typically manifests unilaterally.Bilateral involvement may be seen in up to 40% of cases.The progression of CSCR adheres to
Gravitational Tracksin Bilateral Central Serous Chorioretinopathy
