Case #20 – Central Serous Chorioretinopathy

Central Serous Chorioretinopathy – Page 5 of 45

Heidelberg Engineering SPECTRALIS® OCT Images OS The lesion nasal to the fovea is likely a small nonspecific retinal detachment and not a pigment epithelial detachment (PED). Note the unusual vessel emanating from the temporal disc border which branches to both the superior and inferior retina. This is termed a congenital macula

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Central Serous Chorioretinopathy – Page 4 of 45

Heidelberg Engineering SPECTRALIS® OCT Movie OD Note: Buttons on the bottom of the video provide frame-by-frame advancement control. Note RPE disruption along with gap in the PIL superior nasal to the fovea.

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History/Chief Complaint • A 46-year-old white male presents with blurred vision while reading as well as increased difficulty with virtually all near tasks. He reports a family history of glaucoma and his last eye exam, about a decade earlier, was uneventful. Clinical Findings • BCVA 20/20 +2 OD and OS. J3 at near OU.

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Central Serous Chorioretinopathy – Page 2 of 45

Heidelberg Engineering SPECTRALIS® OCT Movie OS Note: Buttons on the video provide frame-by-frame advancement control. The infra-red pseudo color image reveals scattered light color specks superior nasal to the fovea in the OS which correspond to several small zones of RPE elevation and disruption with the SD OCT. A small nonspecific chronic

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Central Serous Chorioretinopathy – Page 1 of 45

Stress Related Disorders Patients in their 40’s often present for their first visual exam in decades with typical symptoms of early presbyopia. A routine exam may reveal abnormal retinal findings that the patient was unaware of and defy immediate diagnosis. Additional tests and an expanded history may lead to a diagnosis and prognosis. This

Central Serous Chorioretinopathy – Page 1 of 452023-01-31T21:30:10+00:00