Case 161 Diagnosis

Central serous chorioretinopathy

Differential Diagnosis (includes diseases that produce localized serous retinal detachments)

Optic nerve head pit: neither pinpoint leakage nor filling of the macular detachment on fluorescein angiogram
Choroidal hemangioma
Age-related macular degeneration: no late hyperfluorescence on fluorescein angiogram consistent with leaking choroidal neovascularization
Malignant hypertension, toxemia of pregnancy: no supporting history
Idiopathic choroidal neovascularization: no choroidal neovascularization, subretinal hemorrhages will not remit spontaneously
Presumed Ocular Histoplasmosis Syndrome: absent "punched-out" chorioretinal lesions, peripapillary atrophy, arcuate striae in mid-periphery
Harada’s disease: vitritis and systemic symptoms absent
Posterior scleritis: no vitritis or pain with ocular movement

Last Modified: Monday, 30-Mar-2009 12:50:55 EDT