Atypical chronic central serous chorioretinopathy with cystoid macular edema: Therapeutic response to medical and laser therapy

• Main Authors: Jiun L. Do, Lisa C. Olmos de Koo, Hossein Ameri
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2017-06-01
• Series: Journal of Current Ophthalmology
• Subjects: Central serous chorioretinopathy; Cystoid macular edema; Eplerenone; Photodynamic therapy
• Online Access: http://www.sciencedirect.com/science/article/pii/S2452232516301767

Purpose: To describe an atypical case of chronic central serous chorioretinopathy (CSCR). Methods: A 58-year-old man with longstanding, bilateral visual impairment was self-referred for a second opinion. Results: Findings by direct ophthalmoscopy, optical coherence tomography, fluorescein angiography, and fundus autofluorescence (FAF) were suggestive of atypical, chronic CSCR. Treatment with oral anti-mineralocorticoids resulted in moderate improvement, and photodynamic therapy (PDT) had minimal effect. Conclusion: Chronic CSCR may lack cardinal features of CSCR. Once retinal degenerative changes ensue, current treatments may not be effective in improving anatomical and visual outcomes in patients with chronic CSCR.