A 48-year-old presents with a new distortion. Why?
Analysis
The OCT in the temporal area is normal. In the nasal macular area there is loss of deeper tissues with absence of the ellipsoid zone and outer nuclear layer. There are discrete areas of hyperreflectivity in the outer retina and subretinal fluid. The lesion correlated to a hyper auto fluorescent tract on FAF (video).
The patient was diagnosed with chronic central serous chorioretinopathy .
In this tip's accompanying 12 min. video, we'll review:
- The differential diagnosis of subretinal fluid
- Causes of CNV
- The pathogenesis and clinical types of CSCR on FAF
OCT Tip
In any patient with subretinal fluid consider the possibility of acute or chronic central serous chorioretinopathy.
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