Central Serous Chorioretinopathy Development following Cessation of Terbinafine Treatment

Autor: Or Shmueli, Itay Nitzan, Edward Averbukh
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 13, Iss 3, Pp 793-797 (2022)
Druh dokumentu: article
ISSN: 1663-2699
DOI: 10.1159/000527379
Popis: This report describes a case of central serous chorioretinopathy (CSCR) occurring following cessation of terbinafine treatment. A 51-year-old man presented for a routine ophthalmic examination. He was treated with oral terbinafine for onychomycosis up to 3 months before the presentation. Spectral-domain optical coherence tomography (OCT) showed extrafoveal subretinal fluid in both eyes with small underlying pigment epithelial detachments. There were no additional relevant findings in the patient history or ocular examination. A diagnosis of CSCR was made. After 10 weeks without treatment, OCT demonstrated almost complete resolution of subretinal fluid in both eyes. The exact key ingredients of the perfect storm leading to CSCR in young, healthy individuals are still unknown. Here, we describe, to our knowledge, the first documented case, where the appearance of CSCR was apparently triggered by cessation of antifungal treatment. This unusual case may provoke further research that will bring us closer to understanding the mechanism behind the appearance of CSCR. It may also widen the scope of the routine anamnesis when dealing with patients newly diagnosed with this enigmatic condition.
Databáze: Directory of Open Access Journals
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