Bilateral central serous chorio-retinopathy in pregnancy presenting with severe visual loss
Bilateral central serous chorio-retinopathy in pregnancy presenting with severe visual loss
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DOI：
10.3126/nepjoph.v6i2.11711
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发表时间：
2014-01-01
影响因子：
0.3
通讯作者：
Mondal, Ramkrishna
中科院分区：
文献类型：
--
作者：
Chakraborti, Chandana;Samanta, Swapan Kumar;Mondal, Ramkrishna
简介：双侧中心性浆液性脉络膜视网膜病变是一种不寻常的表现。目的：报告1例妊娠并发双侧中心性浆液性脉络膜视网膜病变。案例：一名30岁的女性主诉双眼视力下降，在妊娠晚期接受检眼镜检查。右眼最佳矫正视力为6/60，左眼在4米处数手指。眼底镜检查显示双眼黄斑部有浆液性脱离及视网膜下有白色渗出物。通过黄斑的光学相干断层扫描切片显示双眼视网膜浆液性隆起和视网膜色素上皮脱离。浆液性黄斑脱离消退，患者在分娩12周后双眼视力恢复至6/6。OCT显示右眼视网膜下积液消退，黄斑下渗出物消失，但左眼部分消退。结论：妊娠是CSCR的一个危险因素，它可以表现为严重的双侧视力下降。
Introduction: Bilateral central serous chorio-retinopathy is an unusual presentation. Objective: To report a case of pregnancy-induced bilateral central serous chorio-retinopathy. Case: A thirty-year-old woman complaining of reduced vision in both the eyes was referred for ophthalmoscopic evaluation in her third trimester of pregnancy. The best-corrected visual acuity was 6/60 in the right eye and finger counting at four meters in the left. The funduscopic examination revealed serous macular detachment with white sub-retinal exudates in both the eyes. Optical coherence tomography sections through the macula demonstrated serous elevation of the retina and retinal pigment epithelial detachment in both the eyes. The serous macular detachment resolved and the patient recovered to the visual acuity of 6/6 in both the eyes after twelve weeks of delivery. The OCT showed resolution of the sub-retinal fluid and disappearance of the sub-macular exudate in the right eye, but the resolution was partial in the left eye. Conclusion: Pregnancy is a risk factor for CSCR and it can present with severe bilateral visual diminution.