Rare Case Presentation of Central Serous Chorioretinopathy in Young Female Patient
A rare case presentation of bilateral central serous chorioretinopathy in a young female patient was discussed at the 9th Annual State Ophthalmological Conference (TOSCON) 2024. The condition, characterized by retinal pigment epithelium decompensation leading to neurosensory retinal detachment, is more common in men but can also affect women. Risk factors include infections, hypertension, stress, pregnancy, and sleep apnea. Early identification and treatment are crucial to prevent vision loss. The case study detailed a 36-year-old female presenting with vision issues, highlighting diagnostic findings like defective color vision and retinal detachment.
- Central Serous Chorioretinopathy
- Rare Case Presentation
- Ophthalmology Conference
- Female Patient
- Vision Loss
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9thAnnual State Ophthalmological Conference TOSCON 2024 12thto 14thJuly, 2024 at Katriya Hotel & Towers, Hyderabad A rare case presentation of B/L central serous chorioretinopathy in young female patient PRESENTING AUTHOR: DR.M.HARSHITHA REDDY (2nd YEAR POSTGRADUATE,PESIMSR) CO-AUTHOR: DR.M.NARAYAN (PROF AND HOD OPHTHAMOLOGY,PESIMSR)
Manoj Mathur E-Poster [TITLE: A rare case presentation of B/L central serous chorioretinopathy in young female patient ] [M. Harshitha Reddy] 9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Central serous chorioretinopathy is fourth most common retinopathy after age-related macular degeneration, diabetic retinopathy and branch retinal vein occlusion It s a common ocular disease characterized by decompensation of the retinal pigment epithelium , which results in neurosensory retinal detachment, serous pigment epithelium detachment , and retinal pigment epithelium atrophy. It s usually unilateral and affect young or middle aged men with M:F - 3:1 where as female tend to be older . Risk factors - Helicobacter pylori infection, Renal dialysis, systemic hypertension, psychology stress , pregnancy and sleep apnea syndrome Early identification and treatment is needed to prevent loss of photoreceptor layer integrity.
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Materials and methods: Descriptive single case study CASE PRESENTATION: A 36 yr old female who is a k/c/o hypertension since 2 yrs presented with complaints of Diminution of vision (RE>LE) for the past 10 days. On Ocular Examination BCVA-Right eye Counting finger-4m Left eye Counting finger -5mt Colour vision Defective in both eyesOn slit lamp examination sluggishly reacting pupils (BE)
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Amslers grid: Distortion of line on the amslers grid in BE On Fundoscopy: RE:Round detachment of sensory retina at macula LE:- A well demarcated dome shaped 3DD elevation of serous retinal with photoreceptor layer detachment subfoveally, which is seen hanging from the outer retinal layer with subretinal fibrin (Leaking BeehiveHoneySign) suggestiveofcentralserouschorioretinopathy.
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad DISCUSSION-CSCR is a multifactorial disease.It is most strongly associated with hypercortisolism and occurs because of leakage from choriocapillaries,choroidal hyperpermeability and secondary RPE dysfunction leading to serous retinal detachment While acute CSR is self resolving in most of the cases,progression to chronic CSR requires treatment .
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad CONCLUSION Our case had B/L CSR with round detachment of sensory retina in RE with photoreceptor layer detachment subfoveally, it is seen hanging from the outer retinal layer with subretinal fibrin, looking similar to the leaking honey from the beehive in LE This is an important prognostic indicator, and the patient may require early intervention to prevent loss of photoreceptor layer integrity. Majority of cases are self-resolving , but mineralocorticoid antagonists can be given for faster resorption of subretinal fluid . Photo Dynamic Therapy may be required for cases of chronic CSCR
