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Derniers ajouts - Acute Bilateral Central Serous Retinopathy - Bullous Serous Retinal Detachment 49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula. OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy. His blood pressure was 140/85. IMPRESSION: 1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.
Idiopathic Central Serous Retinopathy - Bilateral - Acute - 4 months later VA 20/40 OUvu 754 foisNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OUvu 656 foisNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OUvu 620 foisNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OUvu 481 foisNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute 4 months later VA 20/40 OUvu 586 foisNo treatment and fluid under fovea in left eye is competely absorbed at 4 months.31 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 448 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 484 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 675 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 501 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 506 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 548 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 535 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 522 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 530 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 517 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 480 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 510 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 510 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 486 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 518 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 544 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 582 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 635 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 583 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 642 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 581 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 722 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 776 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 661 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 786 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 885 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 879 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 706 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 712 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 741 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011	Idiopathic Central Serous Retinopathy - Bilateral - Acute vu 884 fois49-year-old man decreasing vision in the left eye for one week. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/40031 Mars 2011
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49-year-old man was seen in the office on August 7, 2008. He has had decreasing vision in the left eye. It started about a week ago. He was having trouble focusing and then he noticed at a ball game his vision was worse and then this weekend he can hardly play golf. His right eye has been tired. He does work with table saws and things like that and it has been extremely difficult trying to work with only vision in one eye. He takes Atenolol and Zocor. He is not taking any steroid or steroid-related products. His blood pressure as far as he knows is under control. VISUAL ACUITY: OD 20/30, OS 20/400. IOP: OD 12, OS 13. The lenses are clear in both eyes. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.4. There is no posterior vitreous separation. There is a serous retinal detachment inferior to the macula. OS: Vertical C/D ratio is 0.3. There is no posterior vitreous separation. There is a serous retinal detachment in the macula. OCT SCAN: I appreciate you sending the OCT scans, which do show a serous macular detachment inferior to the fovea in the right eye and centrally in the left eye. Photos confirm clinical findings. FLUORESCEIN ANGIOGRAM: FA does show one hot spot in the right eye and two hot spots in the left eye with leakage typical for central serous retinopathy. His blood pressure was 140/85. IMPRESSION: 1. IDIOPATHIC CENTRAL SEROUS RETINOPATHY – BOTH EYES DISCUSSION: I explained to the patient he does have central serous retinopathy and 95% of people with this do spontaneously improve, although it can take up to six months. I asked him to return for a check in six to eight weeks, sooner should he notice any problems.