A 52 year old presents with new blurring This is consistent with which diagnosis?
Analysis
The retina for the most part is within normal limits. There is normal lamellar architecture of the inner and outer retina. There is, however, subretinal fluid and a focal area of the retinal pigment epithelium. This area corresponded to a dome of fluid clinically; areas of hypo and hyperreflectivity were noted on OCTA (see video).
The patient was diagnosed with central serous retinopathy (CSCR) .
In this tip's accompanying 8 min. video, we'll:
- Review causes of focal cases of sub macular epithelial fluid
- How CSCR is managed
- Review the association between a thick choroid and CSCR
OCT Tip
In any patient with a focal subfoveal retinal detachment think of the possibility of CSCR.
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