Analysis of our cases with central serous chorioretinopathy

The aim of the current study is to present the clinical characteristics of cases with central serous chorioretinopathy diagnosed between January 2002 and March 2006 and followed-up at our clinic. Twenty two patients with accessible hospital records and fundus fluorescein angiography images were included in the study. Demographic data, complaints and visual acuity at admission, visual acuity at the last visit, fundus fluorescein angiography findings and treatments administered were recorded. Out of 22 patients, 17 were male and 5 were female, and their mean age was 43 years. Sixteen and 2 of the cases presented with the complaints of blurred vision and black patch in visual area, respectively. Central serous chorioretinopathy was detected during ophthalmologic examinations performed for various other reasons in 4 cases. Vision at admission in the cases was in the range of 0.05 to complete (Snellen). Lesions in macular region in both eyes were detected in 12 patients. Bilateral inactive lesions (hyperflorescens due to pigment epithelial changes) were detected in 4 of these 12 cases. In the remaining 8 bilateral cases, one eye had active leakage and the other eye had inactive lesion. All of the unilateral cases had active leakage. The number of patients under follow-up was 15, and the average visual acuity improved from 0.76 at admission to 0.91 at the last visit. Central serous chorioretinopathy is a self-limited disorder in most of the cases, however it may recur. Significant visual loss may be observed in atypical cases with a chronic course. © Gülhane Askeri Tip Akademisi 2007