Surgical management of bilateral exudative retinal detachment associated with central serous chorioretinopathy.
OBJECTIVE
To report a case of bilateral bullous exudative retinal detachment in central serous chorioretinopathy (CSC) which was attached by vitrectomy and internal drainage of the subretinal fluid.


METHODS
A 47-year-old man affected by bilateral atypical CSC with a bullous retinal detachment with subretinal exudate. A fluorescein angiogram (FAG) showed multiple points of leakage and staining of subretinal fibrosis. A tentative diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made and the patient was treated with systemic corticosteroids and immunosuppressive agents. However, the subretinal fluid was not absorbed. He was then treated with vitrectomy and internal drainage of subretinal fluid.


RESULTS
The retina was attached successfully in both eyes. Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula.


CONCLUSIONS
Our case suggests that the surgical management of bullous exudative retinal detachment is safe and necessary.
Kang
Ji Eun
JE
Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Kim
Hyun Jin
HJ
Boo
Hee Don
HD
Kim
Ha Kyoung
HK
Lee
Jeong Hee
JH
D015862:Choroid Diseases / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014821:Vitrectomy