Spectral domain optical coherence tomography and angiographic findings in central serous chorioretinopathy complicated by bilateral nonrhegmatogenous retinal detachment associated with systemic corticosteroids

Abstract

Purpose: To report spectral domail optical coherence tomography (OCT) and angiographic findings in exudative retinal detachment complicating central serous chorioretinopathy.Design: interventional case report.Methods: 33-year old man with bilateral nonrhegmatogenous retinal. detachment, misdiagnosed as uveitis, iatrogenically treated with systemic corticosteroids.Results: Discontinuation of corticotherapy led to anatomic and visual improvement. Fluorescein angiography demonstrated multiple leakage points; indocyanine green angiography disclosed large hyperfluorescent patches in the choroid and OCT demonstrated retinal detachment with dense subretinal deposits.Conclusion: the recognition of this atypical presentation with a combination of opthalmoscopic, angiographic and OCT findings may avoid inappropriate diagnosis and treatment with corticosteroids.