Topical dermal steroid–induced retinopathy

Topical steroid‐induced visual disturbances related to central serous chorioretinopathy. A potentially serious complication of dermocorticoids

“…Though classically described in patients with systemic steroids, 1 cases complicating the use of topical steroids have already been reported, even when the latter were only applied on a small skin surface. 2,3 CSCR usually resolves spontaneously, as was the case in this patient, but it tends to recur on re-administration of steroids, which should be proscribed. The time of onset after steroids can vary and does not seem dose-dependent.…”

“…5 Other conditions associated with CSCR are psychological stress, pregnancy, antibiotics, hypertension and coronary artery disease. 2 In case of persistence or subretinal fluid for more than 3 months or recurrence, treatment with laser or photodynamic therapy has been advocated. 2 Because of potentially serious complications of CSCR related to the use of topical steroids, dermatologists should be aware of this side effect.…”

“…2 In case of persistence or subretinal fluid for more than 3 months or recurrence, treatment with laser or photodynamic therapy has been advocated. 2 Because of potentially serious complications of CSCR related to the use of topical steroids, dermatologists should be aware of this side effect. Any patient with new-onset vision changes should be rapidly referred to experienced ophthalmologists, and topical steroids suspended.…”

Case – Central serous retinopathy following topical intraurethral corticosteroid use for urethral stricture secondary to lichen sclerosus

“…CSC is characterized by fluid collection beneath the retina, causing serous retinal detachment, and often presents as a central blind spot in vision. 3,4 Retinal imaging via fluorescein angiography or optical coherence tomography confirms diagnosis. 5 Unlike most other retinal conditions, CSC is most common in young and middle-aged adults.…”

“…5 Unlike most other retinal conditions, CSC is most common in young and middle-aged adults. 4 Multiple hypotheses exist regarding pathophysiology, including choroidal vascular hyperpermeability or retinal pigment epithelium dysfunction causing a change in fluid movement toward the retina. 6 Although most associations are limited by sample size and confounders, some risk factors have been identified.…”