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Association of chronic central serous chorioretinopathy with subclinical Cushing's syndrome
Rebecca Russ Soares1, Annika Samuelson2, Allen Chiang1
1Retina Service, Wills Eye Hospital, Philadelphia, PA, USA.
Purpose:
To report the clinical course of a patient with central serous chorioretinopathy (CSCR) secondary to subclinical hypercortisolism before and after adrenalectomy.
Observations:
A 50-year-old female patient with multifocal, chronic CSCR was found to have an adrenal incidentaloma and was diagnosed with subclinical hypercortisolism. Patient elected to undergo minimally-invasive adrenalectomy and presented at 3 months after surgery without subretinal fluid.
Conclusions And Importance:
Subclinical Cushing's Syndrome (SCS) may present an underrecognized risk factor for developing chronic CSCR. Further investigation is needed to determine the threshold of visual comorbidity that may influence surgical management.
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