Atypical Central Serous Chorioretinopathy
Zafer Cebeci1, Merih Oray1, Şerife Bayraktar1
1İstanbul University İstanbul Faculty of Medicine, Department of Ophthalmology, İstanbul, Turkey.
Turkish Journal of Ophthalmology
|August 29, 2017
Summary
Bullous central serous chorioretinopathy (CSCR) is a rare condition causing severe retinal detachment. This case highlights how corticosteroid therapy, given for misdiagnosed Vogt-Koyanagi-Harada disease, can induce this specific CSCR variant.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Bullous central serous chorioretinopathy (CSCR) is a rare, severe variant of CSCR.
- It characteristically presents with significant serous retinal detachment, predominantly in inferior quadrants.
- Corticosteroid use, for systemic or ocular conditions, is a known risk factor for inducing or worsening CSCR.
Purpose of the Study:
- To report the diagnosis and treatment outcomes of a unique bullous CSCR case.
- To emphasize the role of prior corticosteroid therapy in inducing this condition.
- To discuss the implications of misdiagnosis leading to inappropriate treatment.
Main Methods:
- Case report detailing clinical presentation and diagnostic findings.
- Review of patient's history, focusing on corticosteroid administration and prior misdiagnosis.
- Description of treatment strategies and outcomes for bullous CSCR.
Main Results:
- The patient presented with bullous CSCR.
- The condition was linked to systemic and periocular corticosteroid treatment.
- The corticosteroids were administered due to a misdiagnosis of Vogt-Koyanagi-Harada disease.
Conclusions:
- Systemic and periocular corticosteroids can induce bullous CSCR.
- Accurate diagnosis is crucial to avoid iatrogenic complications.
- Prompt recognition and management are vital for favorable outcomes in bullous CSCR.
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