ACUTE EXACERBATION OF CHRONIC CENTRAL SEROUS CHORIORETINOPATHY AT THE SITE OF A RETINAL PIGMENT EPITHELIUM APERTURE.

Autor: Abramowicz, Stéphane, Pasteels, Brigitte, Postelmans, Laurence
Zdroj: Retinal Cases & Brief Reports; Mar2024, Vol. 18 Issue 2, p206-210, 5p
Abstrakt: Purpose: To describe an atypical case of chronic central serous chorioretinopathy with acute exacerbation consisting of severe exudation at the site of a retinal pigment epithelium aperture. Methods: Case report. Results: A 39-year-old man presented with a recurrence of central serous chorioretinopathy in the right eye. Initial evaluation was notable for a retinal pigment epithelium aperture overlying a chronic avascular pigment epithelial detachment. He was initially treated with topical dorzolamide and indomethacin. During the follow-up, application of topical dermal steroid for a case of athlete's foot led to severe fibrinous exudation originating from the site of the retinal pigment epithelium aperture. Half-fluence verteporfin photodynamic therapy induced rapid and complete resolution of the retinal findings. Conclusion: Photodynamic therapy allowed for excellent resolution of an atypical exudative and fibrinous form of central serous chorioretinopathy associated with a retinal pigment epithelium aperture. [ABSTRACT FROM AUTHOR]
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