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Acute central serous chorioretinopathy

Multimodal image (FF450 IR plus Zeiss) A: Color. Macular serous detachment B: AF of the fundus: Hypoautofluorescent point that corresponds to the leak point in AGF. C: AGF: Leak point in chimney smoke D: ICGA: Dilation of choroidal vessels

OCT HD EDI (Cirrus 5000, Zeiss): Macular serous detachment with photoreceptor elongation and marked choroidal thickening

Description

Central serous chorioretinopathy (CSC) has a marked male predisposition, usually between 30 and 50 years of age. The main risk factors are stress, type A personality, elevated corticosteroids (endogenous or exogenous) and pregnancy.

Comments

In acute CSC, OCT is essential. High-penetration techniques can detect increased choroidal thickness.

Indication

A 37-year-old man with marked anxiety presented with decreased visual acuity in the right eye, with micropsia and metamorphopsia. Multimodal imaging tests, including OCT, confirmed the diagnosis of acute CSC.