Anxious man with blurred vision
Adil Belmekhtar, Daoudi Rajae
The Pan African Medical Journal. 2015;20:361. doi:10.11604/pamj.2015.20.361.5349

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Anxious man with blurred vision

Cite this: The Pan African Medical Journal. 2015;20:361. doi:10.11604/pamj.2015.20.361.5349

Received: 06/09/2014 - Accepted: 13/09/2014 - Published: 14/04/2015

Key words: Eye, central serous chorioretinopathy, stress

© Adil Belmekhtar et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/20/361/full

Corresponding author: Adil Belmekhtar, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc (dr.abelmokhtar@hotmail.fr)


Anxious man with blurred vision

 

Adil Belmekhtar1,&, Daoudi Rajae1

 

1Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

&Corresponding author
Adil Belmekhtar, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

Image in medicine

A 34-year-old man with history of stress presented to the emergency department with blurred vision in the left eye for the past week. There has been no vision change in his right eye. The vision acuity of the left eye was 20/100. The fundus examination revealed a localized serous detachment of the macula (A). The fluorescein angiography (B) and the ocular coherence tomography (OCT) (C) confirmed the diagnosis of Central serous chorioretinopathy. Central serous chorioretinopathy (CSCR) is characterized by the accumulation of subretinal fluid at the posterior pole of the fundus, causing a retinal detachment. When the detachment spreads into the macula, patients typically describe decreased vision acuity, metamorphopsia and a scotoma. CSCR is predominant in caucasians men between 20 to 45 years of age, and is highly linked to stress and the use of corticosteroid. The diagnosis is based on the ophthalmoscopic findings and results of fluorescein angiography, which shows single or multiples leakage points. The ocular coherence tomography (oct) contribute in the diagnosis by demonstrating the neurosensory detachment and is an objective way of surveillance. Generally, CSCR has a good prognosis for spontaneous visual recovery. However, some patients develop chronic CSCR or subretinal fibrosis.



Figure 1: (A): photography of fundus showing CSCR limites; (white arrow) (B): the fluoresceine angio showing leakage points; (C): OCT scan demonstrating the neurosensory detachment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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