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Case Study: |
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| Digital red-free fundus photograph clearly
delineates the neurosensory serous detachment and hard exudate is plainly seen. There is
an RPE defect indicating an area of focal leakage inferior to the rim of hard
exudate.(Hard exudate is an unusual finding in ICSC) |
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| This venous phase digital fluorescein angiogram
shows a discrete focal leakage of dye temporal to the foveal avascular zone. The vascular
tree demonstrates normal filling. |
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| This late phase angiogram obtained at 10 minutes
post injection shows a classic "smokestack" appearance of leakage within the
neurosensory detachment |
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| This late phase angiogram obtained at 20 minutes
post injection shows further leakage and the serous detachment is beginning to fill with
fluorescein. |
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Comments |
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Idiopathic Central
Serous Chorioretinopathy also known as Central Serous Retinopathy is a disease primarily
found in young males in the third or fourth decade of life. Many patients are self
described as having a "Type A" personality. However, it has not been shown that
any adjustment in lifestyle or work habits has any affect on the duration or natural
course of this disease. ICSC is predominate in males with a 20-1 greater incidence than in
females. The natural course of the disease varies, but usually treatment is not indicated.
Some studies have shown that laser treatment may be indicated in long standing serous
detachment, but usually the leakage will stop of its own accord and resolution of the
detachment will result in near normal visual acuity. Time and reassurance that vision will
improve is likely the best course of action. |
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John D. Matthews, MD and John T. Harriott, MD of
Southeastern Eye Center are both fellowship trained retina specialists and Board Certified
by the American Academy of Ophthalmology. Disclaimer: |
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