title: Central Serous Chorioretinopathy: Signal to Reduce Corticoid in Renal Transplant Recipients?
abstract: OBJECTIVE
  The aim of this work was to report the treatment effectiveness of central serous chorioretinopathy (CSCR) in a renal transplant recipient who received conventional therapy with little effect, and then reducing corticoid successively and with a better outcome later.
  
  
  METHODS
  We performed a retrospective comparison of best-corrected visual acuity (BCVA) and spectral-domain optical coherence tomography (SD-OCT) of a 57-year-old renal transplant recipient who received conventional therapy and reducing corticoid successively after he was diagnosed as CSCR in the left eye.
  
  
  RESULTS
  The BCVA of the left eye stayed at 20/200 after 3 months' conventional therapy, but rapidly improved to 20/25 after reducing corticoid by one-half. At the same time, SD-OCT showed much more obvious absorption of retinal liquid in the left eye from reducing corticoid than from conventional therapy. Despite the reducing of corticoid by one-half, the patient did not show any signs of rejection of the renal transplant.
  
  
  CONCLUSIONS
  CSCR may be a sign in renal transplant recipients for reducing corticoid, and reducing corticoid might be a more reliable and safer treatment for such patients.
authors.affiliation: Department of Ophthalmology, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China; Institution of Ophthalmic Center, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China.
authors.forename: P-B
authors.initials: PB
authors.lastname: Ou-Yang
authors.affiliation: Department of Ophthalmology, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China; Institution of Ophthalmic Center, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China.
authors.forename: X
authors.initials: X
authors.lastname: Qi
authors.affiliation: Department of Ophthalmology, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China; Institution of Ophthalmic Center, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China.
authors.forename: X-H
authors.initials: XH
authors.lastname: Zhu
authors.affiliation: Department of Ophthalmology, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China; Institution of Ophthalmic Center, Second Xiangya Hospital of Central South University, Changsha, Hunan Province, People's Republic of China. Electronic address: qq860222@hotmail.com.
authors.forename: X-C
authors.initials: XC
authors.lastname: Duan
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D056833:Central Serous Chorioretinopathy / Q000209:etiology*; D005921:Glomerulonephritis / Q000150:complications / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D055213:Retinal Pigment Epithelium / Q000473:pathology; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D066027:Transplant Recipients; D016896:Treatment Outcome; D014792:Visual Acuity
chemical_list: D000305:Adrenal Cortex Hormones