ATYPICAL CENTRAL SEROUS CHORIORETINOPATHY WITH CHOROIDAL DETACHMENT: A CASE REPORT. Issue Volume 16:Issues 6(2022) (November 2022)

• Record Type: Journal Article
• Authors: Manayath, George J.; Kuthirummal, Nikhil; Ranjan, Ratnesh; Verghese, Shishir; Venkatapathy, Narendran
• Is Part Of: Retinal cases & brief reports. Volume 16:Issues 6(2022)
• Page Start: 735
• Page End: 739
• Publication Date: 2022-11
• Subjects: central serous chorioretinopathy -- choroidal detachment -- anterior choroidal loculations -- multimodal imaging -- half-fluence photodynamic therapy; Retina -- Diseases -- Periodicals; Retina -- Periodicals; Retinal Diseases -- Periodicals; Retina -- Case Reports; Retinal Diseases -- Case Reports; 617.7
• DOI: 10.1097/ICB.0000000000001065
• Languages: English
• ISSNs: 1935-1089

Abstract

Abstract : A 66-year-old man, who is a known case of chronic central serous chorioretinopathy had sudden worsening of vision in the right eye. He had increased subretinal fluid and choroidal detachment on clinical examination and multimodal imaging. He responded well to half-fluence photodynamic therapy. Abstract : Purpose: We describe long-term follow-up of a patient with atypical chronic central serous chorioretinopathy with inferior bullous retinal detachment and 360° choroidal detachment, findings on multimodal imaging, differential diagnoses, and treatment. Methods: Case report. Results: A 66-year-old male patient, known case of bilateral chronic central serous chorioretinopathy on follow-up, presented to us with sudden painless worsening of vision in the right eye. The fundus examination, optical coherence tomography, and fundus fluorescein angiography showed an atypical chronic central serous chorioretinopathy with inferior bullous retinal detachment and peripheral choroidal detachment. The patient underwent half-fluence photodynamic therapy in the right eye. At 3 months post-photodynamic therapy, there was resolution of choroidal detachment and minimal subretinal fluid was persisting in the inferior periphery, with improvement in visual acuity. Conclusion: Posterior choroidal loculation of fluid is a described entity in central serous chorioretinopathy. The possible explanations for anterior choroidal loculation of fluid in this case are: either a fresh excessive leakage of fluid from the posterior choroid and that fluid may have traversed to the peripheral choroid, or diffuse choroidal leakage extending up to the equatorial region, which resulted in peripheral choroidal thickening and suprachoroidal fluid accumulation.