Case 161 Teaching Points

Idiopathic condition characterized by well-subscribed serous retinal detachment
Etiology likely secondary to decompensated retinal pigment epithelium pumping function
Typically seen in healthy Caucasian/Asian/Hispanic men, 25-55 years of age. Can be seen in women.
Associated with Type A personality, steroids, stress
Asymptomatic or acute blurry vision, micropsia, metamorphopsia, paracentral scotoma, decreased color vision
Photocoagulation at fluorescein leakage sight induces rapid remission; no significant difference in final visual acuity
Most cases resolve spontaneously within a few months
Visual acuity returns to 20/25 or better (<5% of all cases experience severe, permanent visual loss)

References

Gass JD. Bullous retinal detachment: an unusual manifestation of idiopathic central serous choroidopathy. Am J Ophthalmol 1973;75:810-821.

Hussain D, Gass, JD. Idiopathic central serous chorioretinopathy. Indian J Ophthalmol 1998;46:131-137.

Last Modified: Monday, 05-Jan-2009 14:27:16 EST