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Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

By Dr.Ameen Marashi

38 years old Texie driver with a history of CSR and now he is complaining from metamorphopsia his vision is 6/9
DDx

Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

This OCT 2 months ago:

OCT of Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

OCT of Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

By Dr.Mervat Omear CSR&PED.pt can get CSR any time but investigate him Harada disease &cushing syndrome & uncontral HNT. If investigation is normal give pt amsler chert in home and follow up him by OCT give him vit omega3.
By Dr.Sidra Saad Siddiqui Since he is a young man he shud be thoroughly investigated including toxo ig G & M, CBC,esr, CXRay, VDRL his sugar levels and BP and inquire regarding any joint pains

Central serous retinopathy (CSR), also known as central serous chorioretinopathy (CSC), is an eye disease which causesvisual impairment, often temporary, usually in one eye. When the disorder is active it is characterized by leakage of fluid under the retina that has a propensity to accumulate under the central macula. This results in blurred or distorted vision (metamorphopsia). A blurred or gray spot in the central visual field is common when the retina is detached. Reduced visual acuity may persist after the fluid has disappeared.

The disease is considered idiopathic but mostly affects white males in the age group 20 to 50 and occasionally other groups. The condition is believed to be exacerbated by stress or corticosteroid use.

 

Diagnosis

The diagnosis usually starts with a dilated examination of the retina, followed with confirmation by optical coherence tomography and fluorescein angiography. The angiography test will usually show one or more fluorescent spots with fluid leakage. In 10%-15% of the cases these will appear in a “classic” smoke stack shape. Indocyanine greenangiography can be used to assess the health of the retina in the affected area which can be useful in making a treatment decision. An Amsler grid could be useful in documenting the precise area of the visual field involved.

Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED )

 

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Central Serous Retinopathy ( CSR ) with Pigment Epithelial Detachment ( PED ) By Dr.Ameen Marashi‎ 38 years old Texie driver with a history of CSR and now he is complaining from metamorphopsia his vision is 6/9 DDx This OCT 2 months ago: By Dr.Mervat Omear CSR&PED.pt can get CSR any time but investigate him …

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