Central Serous Retinopathy - PED and Serous RD
|
|
49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14.
SLIT LAMP EXAM: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan.
FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary.
Vision returned to 20/20 within 5 months and no recurrences over 2 years.
|
Central Serous Retinopathy - Acute931 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute815 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute625 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute673 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute744 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute650 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute664 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute568 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute714 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute666 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute794 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute1313 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
Central Serous Retinopathy - Acute1002 views49-year-old man sees a spot in the central vision with a red halo for 2 weeks OD is 20/50, OS is 20/20
(0 votes)
|
|
|
|
|
|
|
49-year-old man was doing fine until about two weeks ago when he noticed he was having some difficulty with his vision. He closed his left eye and noticed the right eye was not seeing well. He sees a spot in the central vision with a red halo. He is healthy and his blood pressure is fine. He does not take any steroids.
VISUAL ACUITY: Vision OD is 20/50, OS is 20/20. IOP: OD 17, OS 14.
SLIT LAMP EXAM: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. There is a pigment epithelial detachment on the inferotemporal margin of the fovea and there is a serous macular detachment.
OS: Vertical C/D ratio is 0.1. There is no posterior vitreous separation. The macula and periphery look healthy.
OCT SCAN: The right eye shows a pigment epithelial detachment and a serous macular detachment. The left eye had a normal scan.
FLUORESCEIN ANGIOGRAPHY: FA of the right eye shows a leaky subfoveal pigment epithelial detachment with serous macular detachment. The left eye is angiographically normal.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – RIGHT EYE
DISCUSSION: I explained to the patient that he does have central serous retinopathy in the right eye. I asked him to return urgently should he notice any problems, such as substantial decline in vision. I asked him to avoid steroids unless it is absolutely necessary.
Vision returned to 20/20 within 5 months and no recurrences over 2 years.
