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Case report
Bullous central serous chorioretinopathy and retinal pigment epithelium sequelae postblunt trauma
  1. Nithin Teja Gunna,
  2. Deepika C Parameswarappa and
  3. Padmaja Kumari Rani
  1. Department of Vitreo-Retinal Disease, LV Prasad Eye Institute, Hyderabad, India
  1. Correspondence to Dr Padmaja Kumari Rani; rpk111{at}gmail.com

Abstract

A 68-year-old man presented with diminution of distance and near vision in the right eye for a duration of 1 month postblunt trauma with a stick. On examination, his visual acuity in the right eye was 20/320 and near vision was <N36. Right eye fundus showed bullous neurosensory retinal detachment at posterior pole and retinal pigment epithelium (RPE) atrophic area temporal to fovea. Optical coherence tomography showed subretinal fluid with pigment epithelial detachment and an area of RPE and photoreceptor loss temporal to fovea. Fundus fluorescein angiography and indocyanine green angiography showed focal leaks and transmitted hyperfluorescence corresponding to the area of RPE loss. Left eye examination was unremarkable except for senile cataract of nuclear opalescence grade 3. A diagnosis of right eye bullous central serous chorioretinopathy (CSCR) and RPE sequelae postblunt trauma was made. Our patient was managed conservatively with no specific treatment for CSCR. One month later, there was improvement in vision with decrease in neurosensory detachment. The area of RPE loss remained the same with photoreceptor loss. Since this area of RPE and photoreceptor loss were temporal to fovea, our patient’s visual acuity was not affected significantly.

  • ophthalmology
  • macula
  • retina
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Footnotes

  • Contributors Study idea: NTG, DCP and PKR. Data collection: NTG. Design and writing: NTG, DCP and PKR. Editing: DCP and PKR.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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