CSCR Mushroom Cloud

file Retina Image Bank

File number: 24670


Comments

    1. James B. Soque , CRA OCT-C COA (July 28 2015)

      Excellent presentation Diana! The elevation of this subretinal leakage is very apparent in your stereo submission of this Central Serous Chorioretinopathy.

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    Image of the week
    Aug 30, 2015
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    Appears in
    CSCR mushroom cloud
    Condition/keywords
    CSCR subfoveal leak
    Photographer
    Diana Bodnar, COT
    Imaging device
    Fundus camera
    Topcon 50X with OIS capture station
    Description
    Late transit FA of a large active subfoveal CSCR leak. Focus is on peri-foveal vessels to give sense of height of large serous RD of macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he was initially treated with rifampin and had partial resolution to 20/70 BCVA but this was short-lived with reaccumulation of the large serous detachment within 3 months. He then received sub-threshold micro-pulse laser photocoagulation with an 810 nm diode laser which resulted 1 month later in complete drying of the serous detachment and BCVA of 20/25.

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