Ester Nuñez, Maria Rojo, Francisco J. Ascaso, Enrique Mínguez (Zaragoza, Spain)

Advantages:

A successful treatment with corticosteroids in a rare case of bilateral multiple serous neurosensory retinal detachments are presented.

Methods:

A 51-year-old woman complained of sudden onset of bilateral metamorphopsia and discromatopsia. On initial examination, she presented with bilateral macular sensory retinal detachment simulating to what is seen in idiopathic central serous chorioretinopathy (CSC). A few days later, fundus examination showed an enlargement of the macular neurosensory retinal detachment in both eyes, that were associated with multiple yellowish serous elevations of the sensory retina of varying size that were located along the temporal vascular arcades. Optical coherence tomography (OCT) demonstrated multiple blister-shaped hyporeflective lesions compatible with serous neurosensory retinal detachments, confirming the hydrodynamic separation of the sensory retina from the retinal pigment epithelium.

Effectiveness / Safety:

Corticosteroids act in many ways to decrease vascular permeability. They usually seem to worsen the retinal pigment epithelial and neurosensory retinal detachments in patients with idiopathic CSC. However, the present report points out the complete resolution of multiple serous neurosensory retinal detachments into an atypical CSC pattern following corticosteroid therapy.

Take home message:

The present report points out the complete resolution of multiple serous neurosensory retinal detachments into an atypical CSC pattern following corticosteroid therapy.