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Central serous chorioretinopathy and pregnancy
J S Sunness1, J A Haller, S L Fine
1Wilmer Institute, Johns Hopkins University School of Medicine, Baltimore, Md.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 1, 1993
Summary
Central serous chorioretinopathy in pregnancy may not have a racial predominance. Recurrence outside of pregnancy is possible, and subsequent pregnancies may not be complicated by this condition.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pregnancy Complications
Background:
- Previous reports suggested a nonwhite predominance for central serous chorioretinopathy (CSCR) in pregnancy.
- Subretinal fibrinous exudates were noted in 90% of prior reported cases.
Observation:
- This case series included four white patients with CSCR during pregnancy.
- Three patients presented with subretinal fibrinous exudates or precipitates.
- All patients experienced resolution of serous detachment post-delivery.
Findings:
- Contrary to previous literature, all patients in this series were white, suggesting no racial predominance.
- Subretinal fibrinous exudates were common in this pregnant cohort.
- One patient had an uncomplicated subsequent pregnancy, and another experienced recurrence years later.
Implications:
- Pregnancy-associated CSCR may not exhibit racial predilection.
- The presence of subretinal fibrinous exudates is common in pregnant patients with CSCR.
- Recurrence of CSCR in pregnancy is not guaranteed, and the condition can manifest outside of pregnancy.