Surgical Management of Bilateral Exudative Retinal Detachment associated with Central Serous Chorioretinopathy.
10.3341/kjo.2006.20.2.131
- Author:
Ji Eun KANG
1
;
Hyun Jin KIM
;
Hee Don BOO
;
Ha Kyoung KIM
;
Jeong Hee LEE
Author Information
1. Department of Ophthalmology, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea. leejhoph@mm.ewha. ac.kr
- Publication Type:Case Report
- Keywords:
Bullous retinal detachment;
Central serous chorioretinopathy;
Subretinal fluid drainage;
Vitrectomy
- MeSH:
*Vitrectomy;
Retinal Detachment/etiology/pathology/*surgery;
Middle Aged;
Male;
Humans;
Fundus Oculi;
Follow-Up Studies;
Fluorescein Angiography;
Exudates and Transudates;
Drainage/*methods;
Diagnosis, Differential;
Choroid Diseases/*complications/diagnosis
- From:Korean Journal of Ophthalmology
2006;20(2):131-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To report a case of bilateral bullous exudative retinal detachment in central serous chorioretinopathy (CSC) which was attached by vitrectomy and internal drainage of the subretinal fluid. METHODS: A 47-year-old man affected by bilateral atypical CSC with a bullous retinal detachment with subretinal exudate. A fluorescein angiogram (FAG) showed multiple points of leakage and staining of subretinal fibrosis. A tentative diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made and the patient was treated with systemic corticosteroids and immunosuppressive agents. However, the subretinal fluid was not absorbed. He was then treated with vitrectomy and internal drainage of subretinal fluid. RESULTS: The retina was attached successfully in both eyes. Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula. CONCLUSIONS: Our case suggests that the surgical management of bullous exudative retinal detachment is safe and necessary.
