Central serous chorioretinopathy after epidural corticosteroid injection.
OBJECTIVE
To report three patients who developed central serous chorioretinopathy after epidural corticosteroid injection for treatment of back pain.


METHODS
Interventional case series.


METHODS
Three men, aged 73, 52, and 73 years, presented with bilateral central serous chorioretinopathy after corticosteroid injection in the epidural space for treatment of back pain. In all three cases, we did not initially elicit the history of corticosteroid use.


RESULTS
Two of the three patients, aged 52 and 73 years, had diffuse retinal pigment epitheliopathy and one, aged 73 years, had classic central serous chorioretinopathy. Two patients had a spontaneous resolution of the subretinal fluid in both eyes. One patient had laser photocoagulation in both eyes but continued to have diffuse leakage in one eye.


CONCLUSIONS
A careful history to determine corticosteroid use, including possible intrajoint and epidural injection, should be performed in older people with serous detachment of the macula, particularly when bilateral.
Iida
T
T
LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear, and Throat Hospital, New York, NY, USA.
Spaide
R F
RF
Negrao
S G
SG
Carvalho
C A
CA
Yannuzzi
L A
LA
D000368:Aged; D001416:Back Pain / Q000188:drug therapy; D015862:Choroid Diseases / Q000139:chemically induced* / Q000473:pathology; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007268:Injections, Epidural; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects*; D008875:Middle Aged; D012164:Retinal Diseases / Q000139:chemically induced* / Q000473:pathology; D014792:Visual Acuity
D005938:Glucocorticoids; D008775:Methylprednisolone