Atypical Chronic Central Serous Chorioretinopathy Mimicking Vogt-Koyanagi-Harada Disease: Full Therapeutic Response to Half-Fluence Photodynamic Therapy
Autor: | Özge Yanık, Figen Batıoğlu, Nilüfer Yalçındağ, Sibel Demirel, Emin Özmert |
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Jazyk: | English<br />Turkish |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Türk Oftalmoloji Dergisi, Vol 52, Iss 2, Pp 147-152 (2022) |
Druh dokumentu: | article |
ISSN: | 1300-0659 2147-2661 |
DOI: | 10.4274/tjo.galenos.2022.93213 |
Popis: | The aim of this case report is to describe a case of atypical central serous chorioretinopathy (CSCR) definitively diagnosed after 8 years. A 44-year-old woman presented with reduced visual acuity in her left eye. Her visual acuity was light perception with projection in the right eye and 0.15 in the left. She described a similar decline in vision in her right eye 8 years ago. At that time, she had exudative retinal detachment and was treated with systemic immunosuppressive therapy for a presumed diagnosis of Vogt-Koyanagi-Harada disease. Despite resolution of the exudative retinal detachment, macular scarring developed. Eight years later, she developed inferior exudative retinal detachment in the left eye. A diagnosis of atypical CSCR was made with the help of multimodal imaging and her left eye was successfully treated with eplerenone and half-fluence photodynamic therapy (hf-PDT). In conclusion, early diagnosis and treatment of atypical CSCR may prevent subretinal fibrosis formation and permanent vision loss. Hf-PDT and eplerenone are successful treatment options for atypical CSCR. |
Databáze: | Directory of Open Access Journals |
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