Spectral domain optical coherence tomography and angiographic findings in central serous chorioretinopathy complicated by bilateral nonrhegmatogenous retinal detachment associated with systemic corticosteroids.
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.
Arantes
Tiago E F
TE
Department of Ophthalmology, Federal University of São paulo, São Paulo, Brazil. t.arantes@inbox.com
Garcia
Cláudio R
CR
Rossi
Monica R
MR
Muccioli
Cristina
C
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
D000305:Adrenal Cortex Hormones; D004396:Coloring Agents; D007208:Indocyanine Green