A bullous variant of central serous chorioretinopathy treated with oral spironolactone.

Abstract

We report the case of a 39-year-old male patient who presented with visual loss in the right eye for 6 weeks. The best-corrected visual acuity was counting fingers in the right eye and 20/30 in the left eye. The fundus examination demonstrated a right retinal detachment inferiorly extending to the fovea and a left macular serous detachment. After multimodal imaging study, the patient was diagnosed as having a bullous variant of central serous chorioretinopathy and treated with oral spironolactone associated with adjuvant laser photocoagulation. The retinal changes resolved after 6 months. The final visual acuity was 20/20 in both eyes.

• Authors: David Leonardo Cruvinel Isaac, Leonardo Lando, Hugo Mendes Silva, Marcos P Avila
• Journal: Arquivos brasileiros de oftalmologia (Arq Bras Oftalmol) 2023 Jul-Aug Vol. 86 Issue 4 Pg. 375-379 ISSN: 1678-2925 [Electronic] Brazil
• PMID: 35417525 (Publication Type: Letter)