title: Spectral domain optical coherence tomography and angiographic findings in central serous chorioretinopathy complicated by bilateral nonrhegmatogenous retinal detachment associated with systemic corticosteroids.
abstract: OBJECTIVE
  To report spectral domain optical coherence tomography (OCT) and angiographic findings in exudative retinal detachment complicating central serous chorioretinopathy.
  
  
  METHODS
  interventional case report.
  
  
  METHODS
  33-year old man with bilateral nonrhegmatogenous retinal detachment, misdiagnosed as uveitis, iatrogenically treated with systemic corticosteroids.
  
  
  RESULTS
  Discontinuation of corticotherapy led to anatomic and visual improvement. Fluorescein angiography demonstrated multiple leakage points; indocyanine green angiography disclosed large hyperfluorescent patches in the choroid and OCT demonstrated retinal detachment with dense subretinal deposits.
  
  
  CONCLUSIONS
  The recognition of this atypical presentation with a combination of opthalmoscopic, angiographic and OCT findings may avoid inappropriate diagnosis and treatment with corticosteroids.
authors.affiliation: Department of Ophthalmology, Federal University of São paulo, São Paulo, Brazil. t.arantes@inbox.com
authors.forename: Tiago E F
authors.initials: TE
authors.lastname: Arantes
authors.forename: Cláudio R
authors.initials: CR
authors.lastname: Garcia
authors.forename: Monica R
authors.initials: MR
authors.lastname: Rossi
authors.forename: Cristina
authors.initials: C
authors.lastname: Muccioli
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects*; D000328:Adult; D056833:Central Serous Chorioretinopathy / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D004396:Coloring Agents; D003951:Diagnostic Errors; D004334:Drug Administration Schedule; D005122:Exudates and Transudates / Q000378:metabolism; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D008297:Male; D012163:Retinal Detachment / Q000209:etiology* / Q000378:metabolism; D041623:Tomography, Optical Coherence; D014605:Uveitis / Q000175:diagnosis; D014607:Uveomeningoencephalitic Syndrome / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000305:Adrenal Cortex Hormones; D004396:Coloring Agents; D007208:Indocyanine Green