LETTERS TO THE EDITOR Central serous chorioretinopathy may be

a manifestation of the primary antiphospholipid syndrome EDITOR,—Central serous chorioretinopathy is thought to be an idiopathic disease and such cases are not usually investigated for an underlying cause. Bullous exudative retinal detachment is a recognised complication of central serous chorioretinopathy (CSR).1 There are a number of reports of exudative retinal detachments occurring in the context of generalised coagulopathies.2 3 We present a patient with central serous chorioretinopathy who on further investigation was found to have the primary antiphospholipid syndrome. CASE REPOR