Central serous chorioretinopathy after dacryocystorhinostomy operation on the same side

Abstract

A 43-year-old man developed central serous choroidoretinopathy in his left eye following dacryocystorhinostomy operation on the same side. He was using xylometazoline nasal drops in his left nostril. Action of xylometazoline or the stress related to the operation or the effect of both factors played the role in the causation of this ocular condition. Omission of nasal drops or relief from stress resulted in full recovery of vision and complete resolution of symptoms within one month.

Persistent subretinal fluid due to central serous chorioretinopathy after retinal detachment surgery

“…It has been proposed that CSC is more likely in patients having type A personality and when its occurrence is preceded by a variety of stressful events in a patient’s life. 4 – 6 CSC in the patient discussed here could have worsened after the second vitrectomy since subretinal fluid increased after internal limiting membrane peeling. Another explanation for the clinical course of this patient could be the persistence of subretinal fluid after RRD repair and the developing of CSC following macular surgery.…”

“…Fundus fluorescein angiography, which is not routinely performed in this setting, revealed retinal pigment epithelium leaking points underlying the detached fovea. It has been proposed that CSC is more likely in patients having type A personality and when its occurrence is preceded by a variety of stressful events in a patient’s life 4–6. CSC in the patient discussed here could have worsened after the second vitrectomy since subretinal fluid increased after internal limiting membrane peeling.…”

“…Central serous chorioretinopathy (CSC) is an idiopathic serous detachment of the macula related to increased adrenergic and steroidal stimulation state and has been reported secondary to different surgical procedures. 4 – 6 …”

Central Serous Chorioretinopathy after Rhinoplasty

“…Additionally, some psychopharmacologic and other medications may be risk factors. In fact, the use of imidazole derivatives like oxy- and xylometazoline, which directly stimulate alpha-receptors and are more alpha-2-selective, are associated with the manifestation of CSCR [ 6 , 7 ].…”

Comments on: Central serous chorioretinopathy after dacryocystorhinostomy operation on the same side

“…I read with interest the article entitled “Central serous chorioretinopathy after dacryocystorhinostomy operation on the same side” by Mondal et al . [ 1 ] However, I have a strong reservation to accept that the central serous chorioretinopathy (CSCR) in the said case was due to the action of xylometazoline nasal drop or stress related to dacryocystorhinostomy (DCR) operation. Let me explain in the following few lines:…”