Abstract
Purpose
To describe the exceptionally severe, bilateral, sight-compromising course of central serous chorioretinopathy (CSC) in a black patient.
Design
Observational case report.
Methods
We reviewed the clinical and angiographic findings of a 50-year-old black male patient with severe bilateral chronic CSC.
Results
The first attack was recorded 16 years earlier and it was asymmetrical. In OD, only retinal pigment epithelium (RPE) alterations were detected, while in OS there was a large serous retinal detachment with two smaller RPE detachments. Visual acuity (VA) was 1.0 OD and 0.6 OS. Gradually, after multiple remissions and exacerbations, a huge area of atrophy occupied the posterior pole OS, leading to a dramatic decrease of VA (0.02). The lesions also progressed and remained active in OD (VA 0.2).
Conclusions
CSC can be exceptionally severe, non-benign, sight-compromising, with multiple remissions and exacerbations during the lifetime. Indocyanine-green angiography is useful for the long-term follow-up in severe cases, showing lesions that are not obvious in fluorescein angiography or funduscopy.
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References
Anderson NB, Myers HF, Pickering T, Jackson JS (1989) Hypertension in blacks: psychosocial and biological perspectives. J Hypertens 7:161–172
Balo KP, Mihluedo H (1996) Idiopathic central serous chorioretinopathy: two case reports observed in Togo. Med Trop (Mars) 56:381–383
Calhoun DA, Mutinga ML, Collins AS, Wyss JM, Oparil S (1993) Normotensive blacks have heightened sympathetic response to cold pressor test. Hypertension 22:801–805
Desai UR, Alhalel AA, Campen TJ, Schiffman RM, Edwards PA, Jacobsen GR (2003) Central serous chorioretinopathy in African Americans. J Natl Med Assoc 95:553–559
Gass JDM (1970) Stereoscopic atlas of macular diseases: a funduscopic and angiographic presentation. Mosby, St Louis
Hooymans JM (1998) Fibrotic scar formation in central serous chorioretinopathy developed during systemic treatment with corticosteroids. Graefe’s Arch Clin Exp Ophthalmol 236:876–879
Otsuka S, Ohba N, Nakao K (2002) A long-term follow-up study of severe variant of central serous chorioretinopathy. Retina 22:25–32
Piccolino FC, Borgia L, Zinicola E, Zingirian M (1995) Indocyanine green angiographic findings in central serous chorioretinopathy. Eye 9:324–332
Tittl M, Maar N, Polska E, Weigert G, Stur M, Schmetterer L (2005) Choroidal hemodynamic changes during isometric exercise in patients with inactive central serous chorioretinopathy. Invest Ophthalmol Vis Sci 46:4717–4721
von Graefe A (1866) Über zentrale rezidivierende Retinitis. Archiv Ophthalmol 12:211–215
Yannuzzi LA, Slakter JS, Gross NE, Spaide RF, Costa DL, Huang SJ, Klancnik JM Jr, Aizman A (2003) Indocyanine-green angiography-guided photodynamic therapy for treatment of chronic central serous chorioretinopathy: a pilot study. Retina 23:288–298
Zweng HC, Little LH (1977) Diffuse retinal pigment epitheliopathy. In: Argon laser photocoagulation. Mosby, St Louis, pp 117–126
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Katsimpris, J.M., Pournaras, C.J., Sehgelmeble, C.W. et al. Severe bilateral central serous chorioretinopathy in a black patient: 16 years follow-up. Graefe's Arch Clin Exp Ophthalmol 245, 460–463 (2007). https://doi.org/10.1007/s00417-006-0342-2
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DOI: https://doi.org/10.1007/s00417-006-0342-2