Chronic Central Serous Chorioretinopathy-Like Maculopathy as Atypical Presentation of Chorioretinal Folds

Abstract

Purpose: The purpose of this case report was to present the clinical data and management of a 69-year-old female patient with chorioretinal folds who developed chronic central serous chorioretinopathy-like maculopathy. Case Presentation: A 69-year-old female patient presented with a recent-onset slight decrease in visual acuity in her left eye. Her past ocular history was clear. Regarding her medical history, she had only hypertension, treated with per os medications. The patient underwent a complete ophthalmological examination. At presentation, the visual acuity was 6/6 in the right eye and 6/7.5 in the left eye. Intraocular pressure was 16 mm Ηg in both eyes. On fundoscopy, chorioretinal folds were noticed in the left eye. Spectral-domain optical coherence tomography, fluorescein angiography, and indocyanine green angiography confirmed the diagnosis of chronic central serous chorioretinopathy-like maculopathy in the left eye, since other causes of chorioretinal folding were excluded. The right eye was normal. No treatment was given to the patient, and at the 6-month follow-up there was improvement in visual acuity, which was 6/6, and decreased subretinal fluid. Conclusions: Central serous chorioretinopathy-like maculopathy should be taken into account for the differential diagnosis of patients with chorioretinal folds.

Atypical Presentation of Choroidal Folds: Steroid-induced Central Serous Chorioretinopathy-like Maculopathy

“…There are only a few case reports about this condition in the literature. 3,6,7,8 In the present study, the patient was observed to have choroidal folds and a short axial length. Therefore, the patient was already at risk for developing CSR-like maculopathy, which may have been exacerbated by corticosteroid treatment.…”

“…It has also been suggested that choroidal folds can affect the function of the RPE and cause fluid accumulation. 3,5,6,7 Our patient had CSR-like maculopathy and was taking systemic corticosteroids concurrently for the previous 2 months. Corticosteroid treatment may have contributed to the development of maculopathy in our patient, who already had choroidal congestion due to the presence of chorioretinal folds.…”

Hypotony Following Intravitreal Silicone Oil Removal in a Patient With a Complex Retinal Detachment With Giant Retinal Tear

“…A circumferential force following scleral thickening results in choroidal stress and the development of choroidal folds. However, the exact pathogenesis remains unclear [ 19 ].…”

Silicone Oil Associated Complications in Vitreoretinal Surgery

“…85 Başka bir ileri sürülen mekanizma da bu kıvrımların sklera ve koroid arasındaki gerilme ilişkisinin sonucu olduğudur. 93 Skleral kalınlaşmayı izleyen çevresel bir kuvvet, koroidal strese ve koroid kıvrımlarının gelişmesine neden olur.…”

“…Ayrıca SY alımı öncesinde silikon yağı tamponadına rağmen GİB düşük olan olgularda ameliyat sonrası hipotoni riski akılda tutulmalı ve SY alım zamanının ertelenmesi düşünülmelidir. [90][91][92][93][94][95][96]…”