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ADRENAL CORTICAL CARCINOMA PRESENTING AS CENTRAL SEROUS CHORIORETINOPATHY
A Reza Gohari1, Sara P Modjtahedi, Caleb R Telander
1Northern California Kaiser Permanente, Roseville, CA.
Retinal Cases & Brief Reports
|December 3, 2024
Summary
Bilateral chronic central serous chorioretinopathy (CSCR) can be a rare manifestation of adrenal cortical carcinoma. This case highlights the importance of considering systemic endocrine disorders in patients with persistent CSCR.
Area of Science:
- Ophthalmology
- Endocrinology
- Oncology
Background:
- Central serous chorioretinopathy (CSCR) is a condition affecting the retina.
- Bilateral chronic CSCR is less common and can have various underlying causes.
Purpose of the Study:
- To report a rare case of bilateral chronic CSCR secondary to adrenal cortical carcinoma.
- To emphasize the association between adrenal tumors and ocular manifestations.
Main Methods:
- Case report of a 70-year-old male with bilateral multifocal CSCR.
- Clinical examination, optical coherence tomography (OCT), endocrine testing, and abdominal imaging were performed.
- Adrenal tumor biopsy confirmed adrenal cortical carcinoma.
Main Results:
- Patient presented with bilateral chronic CSCR, subretinal fluid, and thickened choroid.
- Endocrine tests revealed ACTH-independent Cushing's syndrome.
- Abdominal imaging identified adrenal masses, diagnosed as adrenal cortical carcinoma.
Conclusions:
- Adrenal cortical carcinoma can manifest as bilateral chronic CSCR.
- Systemic evaluation is crucial for atypical or persistent CSCR cases.
Keywords:
adrenal cortical carcinomaadrenal tumorbilateral central serous chorioretinopathychronic central serous retinopathymultifocal central serous chorioretinopathyMore Related Videos
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