Abstract | PURPOSE: DESIGN: Prospective, noncomparative, observational case series. PARTICIPANTS: Twenty-four eyes of 17 patients who were being treated with corticosteroids for atypical severe CSC. Of these 17 patients, 16 were treated inappropriately with corticosteroids for their ocular condition; presumably, these patients' conditions were misdiagnosed, and they were thought to have choroiditis, Harada's syndrome, or similar entities, and not central serous chorioretinopathy. INTERVENTION: MAIN OUTCOME MEASURES: Reattachment of the retina, obliteration of RPE leaks on fundus fluorescein angiography, and improvement in Snellen VA. RESULTS: Discontinuation of corticosteroids resulted in reattachment of the retina in 21 eyes (87.5%), with median time to reattachment of 49 days (range, 32-400); only 3 eyes required laser photocoagulation. Fundus fluorescein angiography showed obliteration of RPE leaks at a median period of 75 days (range, 32-400) in the observed eyes; the median VA improved from 20/80 to 20/30. The mean follow-up was 16.5 months. CONCLUSIONS: Discontinuation of corticosteroids in atypical CSC helped in obliteration of RPE leaks and retinal reattachment in 87.5% of the eyes without laser treatment, and improvement in VA was observed.
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Authors | Tarun Sharma, Nitant Shah, Madhav Rao, Lingam Gopal, Mahesh P Shanmugam, Mahesh Gopalakrishnan, Pramod Bhende, Muna Bhende, Nitin S Shetty, Sukumar Baluswamy |
Journal | Ophthalmology
(Ophthalmology)
Vol. 111
Issue 9
Pg. 1708-14
(Sep 2004)
ISSN: 1549-4713 [Electronic] United States |
PMID | 15350327
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Capillary Permeability
(drug effects, physiology)
- Choroid Diseases
(drug therapy, physiopathology)
- Exudates and Transudates
- Female
- Fibrosis
- Fluorescein Angiography
- Glucocorticoids
(therapeutic use)
- Humans
- Male
- Middle Aged
- Pigment Epithelium of Eye
(drug effects, physiopathology)
- Prospective Studies
- Retinal Detachment
(drug therapy, physiopathology)
- Visual Acuity
(drug effects, physiology)
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