PURPOSE: To describe the exceptionally severe, bilateral, sight-compromising course of central serous chorioretinopathy (CSC) in a black patient. DESIGN: Observational case report. METHODS: We reviewed the clinical and angiographic findings of a 50-year-old black male patient with severe bilateral chronic CSC. RESULTS: The first attack was recorded 16 years earlier and it was asymmetrical. In OD, only retinal pigment epithelium (RPE) alterations were detected, while in OS there was a large serous retinal detachment with two smaller RPE detachments. Visual acuity (VA) was 1.0 OD and 0.6 OS. Gradually, after multiple remissions and exacerbations, a huge area of atrophy occupied the posterior pole OS, leading to a dramatic decrease of VA (0.02). The lesions also progressed and remained active in OD (VA 0.2). CONCLUSIONS: CSC can be exceptionally severe, non-benign, sight-compromising, with multiple remissions and exacerbations during the lifetime. Indocyanine-green angiography is useful for the long-term follow-up in severe cases, showing lesions that are not obvious in fluorescein angiography or funduscopy.
PURPOSE: To describe the exceptionally severe, bilateral, sight-compromising course of central serous chorioretinopathy (CSC) in a black patient. DESIGN: Observational case report. METHODS: We reviewed the clinical and angiographic findings of a 50-year-old black male patient with severe bilateral chronic CSC. RESULTS: The first attack was recorded 16 years earlier and it was asymmetrical. In OD, only retinal pigment epithelium (RPE) alterations were detected, while in OS there was a large serous retinal detachment with two smaller RPE detachments. Visual acuity (VA) was 1.0 OD and 0.6 OS. Gradually, after multiple remissions and exacerbations, a huge area of atrophy occupied the posterior pole OS, leading to a dramatic decrease of VA (0.02). The lesions also progressed and remained active in OD (VA 0.2). CONCLUSIONS: CSC can be exceptionally severe, non-benign, sight-compromising, with multiple remissions and exacerbations during the lifetime. Indocyanine-green angiography is useful for the long-term follow-up in severe cases, showing lesions that are not obvious in fluorescein angiography or funduscopy.
Authors: Uday R Desai; Amir A Alhalel; Thomas J Campen; Rhett M Schiffman; Paul A Edwards; Gordon R Jacobsen Journal: J Natl Med Assoc Date: 2003-07 Impact factor: 1.798
Authors: Lawrence A Yannuzzi; Jason S Slakter; Nicole E Gross; Richard F Spaide; Danielle L L Costa; Sheau J Huang; James M Klancnik; Alexander Aizman Journal: Retina Date: 2003-06 Impact factor: 4.256