Journal of Clinical Case Reports

Multimodal Imaging Approach for the Diagnosis of a Challenging Case of Bilateral Chronic Central Serous Retinopathy

Abstract

Fawwaz A, Al-Zawaideh FH, Mutaz H and Ruba M

Central serous retinopathy is one of relatively common clinical conditions, it is an idiopathic disorder characterized
by a localized serous detachment of the sensory retina at the macula due leakage from the choriocapillaris through
focal or diffuse retinal pigment epithelial defects. Usually affects the middle age people. Risk factors include type A
personality, use of systemic steroids, stress, pregnancy and autoimmune diseases. The acute course of the disease
(ACSR) usually spontaneously resolved within 3-6 months in 80% of cases, while the chronic course (CSCR)
lasting more than 12 months. Multimodal new imaging techniques like Swept Source OCT (SS-OCT), FAF (Fundus
Autofluorescence), FA (Fluorescein Angiography) and ICG (Indocyanine Green) are necessary to diagnose atypical
cases of CSCR that may be misdiagnosed as an inflammatory sensory detachment that leading to inappropriate
treatment and visual loss.