A 30-year-old presents with micropsia. This image is consistent with which diagnosis?
Analysis
There is a significant dome-shaped elevation in the macular area. The ellipsoid zone is lost and in the area of elevation, there is thickening and elongation of the outer segments of the photoreceptors. There is an area of focal thickening of the RPE. Pachychoroid was also noted on the wider-field OCT (video).
The patient was diagnosed with central serous retinopathy.
In this tip's accompanying 5 min. video, we will review:
- Causes of dome-shaped lesions
- The association between CSCR and pachychoroid
- Oral agent use for CSCR
OCT Tip
In any patient who presents with a dome-shaped elevation which is due to central serous retinopathy, rule out the possibility of steroid use.
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