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Central Serous Chorioretinopathy

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Visionary Ophthamology
Visionary Ophthamology
1 of 32
Central Serous Chorioretinopathy R. Fernando Auza, O.D. Benita Tailor – Optometry Intern
CC: blurry vision ,[object Object],[object Object],[object Object],[object Object],[object Object]
HPI cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object]
Examination Normal Rxn Normal Rxn Pupils Full Full EOM 17mmHg 16mmHg IOP @9:55am Plano 20/20 -0.50sph 20/40 MR J1+ J2 NVA 20/20- 20/40 PH: NI DVA OS OD
Slit Lamp Examination ,[object Object],[object Object],[object Object],[object Object]
Dilated Fundus Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Treatment ,[object Object],[object Object]
Follow up 1 ,[object Object],[object Object],[object Object],[object Object]
 
Visit 1 Visit 2
Discussion - Epidemiology ,[object Object],[object Object],[object Object],1 Kitzmann A.S., Pulido J.S., Diehl N.N., et al: The incidence of central serous chorioretinopathy in Olmsted County, Minnesota, from 1980 to 2002. ﾊ O phthalmology ﾊ 2 008; 115:169-2073.
Risk Factors 2 Yanoff & Duker: Ophthalmology, 3rd ed.
Symptoms ,[object Object],[object Object],[object Object],3 Wang M et al. Central serous chorioretinopathy. Acta Ophthalmol. 2008 Mar;86(2):126-45. Epub 2007 Jul 28. Review.
Signs ,[object Object],[object Object],[object Object],2 Yanoff & Duker: Ophthalmology, 3rd ed. 4 Ehlers JP., Shah CP. The Wills Eye Manual . 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2008. 300-301.
Background ,[object Object]
Two Clinical Presentations ,[object Object],[object Object]
Break in RPE
 
Clinical Presentation ,[object Object]
Mortality/Morbidity ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Systemic Associations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging Studies ,[object Object]
Imanginf Studies ,[object Object],[object Object]
Treatment ,[object Object],[object Object],Pikkel J et al, Acetazolamide for central serous retinopathy. Ophthalmology. 2002 Sep;109(9):1723-5.
Surgical Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you

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Central Serous Chorioretinopathy

Editor's Notes

  1. Wet/Dry AMD - Patient is usually >50 y/o Optic Pit Macular Hole - round, red spot in the center of the macula PED - Margins of PED are more distinct than those of CSCR Polypoidal choroidal vasculopathy - hemorrhagic disorder of the macula, recurrent sub-retinal pigment epithelium bleeding
  2. Margins of the detachment are sloping and merge gradually into the attached retina