[Idiopathic central serous chorioretinopathy: two case reports observed in Togo]

Central serous chorioretinopathy is due to accumulation of serous fluid between the sensory retina and pigmented epithelium. Our perusal of the literature did not turn up any reports on this topic in Black Africa. The disorder was observed in 2 patients from Togo who presented with unilateral reduction in visual acuity. Initially suspected by the presence of a macular lesion on the fundus and by ophthalmoscopic examination, diagnosis was confirmed by angiofluorography. Angiofluorography is the method of choice and the low incidence of this eye disorder in Black Africa is probably due to the poor availability of this method. Although the two patients in this study responded to corticosteroid therapy, treatment usually requires laser photocoagulation to eliminate the site of abnormal transudation and create a choroidal adhesion. In this regard recent studies indicate that the primary mechanism underlying this disorder is multifocal or diffuse hyperpermeability of the choroidal vessels.