Scleral resection in chronic central serous chorioretinopathy complicated by exudative retinal detachment.
BACKGROUND
Effective therapeutic options are limited for the management of chronic central serous chorioretinopathy (CSCR) complicated by exudative retinal detachments (RD). The authors describe the resolution of one such case following partial thickness scleral resection with mitomycin C.


METHODS
This 39-year-old male presented with a unilateral inferior exudative RD in the right eye. There was no history of steroid use either locally or systemically. The fundus fluorescein angiogram showed window defects and leaks typical of chronic CSCR. The axial length was 21.06 mm in the right eye and 21 mm in the left eye. Thickening of the ocular coats was evident on ocular ultrasound. Considering an axial length in the borderline-low range inferotemporal and inferonasal partial thickness scleral resection with mitomycin C was performed. The exudative RD resolved at 4 months.


CONCLUSIONS
Partial thickness scleral resection may be considered as an option for treating chronic CSCR patients with borderline-low axial length complicated by exudative RD.
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Pradeep
P
Venkatesh
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Rohan
R
Chawla
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Koushik
K
Tripathy
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Harsh Inder
HI
Singh
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmology, All India Institute of Medical Sciences, New Delhi, 110029 India.
Ravi
R
Bypareddy
Diffuse retinal pigment epitheliopathy; Nanophthalmos; Sclerectomy; Uveal effusion syndrome