Central serous chorioretinopathy after epidural steroid injection.
Central serous chorioretinopathy (CSC) is a condition characterized by serous detachment of the neurosensory retina in the posterior pole. Corticosteroids administered by various routes is reported as a possible cause of CSC. We report the cases of two patients who developed CSC after receiving a corticosteroid injection in the epidural space for the treatment of back pain. In both patients, the accumulation of subretinal fluid spontaneously resolved within several weeks. Patients who develop CSC after epidural analgesia with corticosteroids should be alerted to the possible relationship between CSC and this treatment. Clinicians should advise all patients with CSC to avoid systemic corticosteroids administered by any route, unless they have a compelling medical indication. Pharmacists should advise patients to seek evaluation if visual changes occur during or after corticosteroid therapy.
Pizzimenti
Joseph J
JJ
Department of Optometry Clinics, College of Optometry, Health Professions Division, Nova Southeastern University, Fort Lauderdale, Florida 33328-2018, USA.
Daniel
Karen P
KP
D000328:Adult; D000792:Angiography; D002823:Chorion / Q000000981:diagnostic imaging; D005128:Eye Diseases / Q000139:chemically induced*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000150:complications / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects / Q000627:therapeutic use; D012008:Recurrence; D012160:Retina / Q000000981:diagnostic imaging; D012164:Retinal Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging
D008775:Methylprednisolone