Document Detail


Bilateral simultaneous central serous chorioretinopathy in a teenage girl with systemic arterial hypertension.
MedLine Citation:
PMID:  22983871     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of bilateral simultaneous central serous chorioretinopathy (CSCR) in a teenage girl with a history of systemic arterial hypertension. A 19-year-old Caucasian female, with a history of systemic arterial hypertension, presented with gradual decrease in her central vision for 1 month. She was diagnosed with bilateral simultaneous CSCR, based on the findings of spectral domain optical coherence tomography (SD-OCT), indocyanine green angiography (ICG), fundus auto-fluorescence, fluorescein angiography and color fundus photographs, which are described. Blood pressure was 134/95 mmHg at presentation. Systemic evaluation failed to reveal a cause for the high blood pressure, and included a panel of blood tests, which were all normal. Her best-corrected visual acuity was 20/30 OD and 20/25 OS. Dilated fundus examination showed normal optic discs and retinal vasculature, with no evidence of hypertensive retinopathy. However, shallow retinal fluid associated with pigmentary changes was noted in the center of both maculae. OCT and ICG findings were consistent with the diagnosis of bilateral CSCR. CSCR can manifest in patients with demographics outside the range of those previously reported. This is the first report of CSCR occurring in a teenage girl, with a history of systemic arterial hypertension. It is important to consider this disease in any patient who has a clinically compatible presentation.
Authors:
Ahmad A Alwassia; Mehreen Adhi; Jay S Duker
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2012-09-16
Journal Detail:
Title:  International ophthalmology     Volume:  33     ISSN:  1573-2630     ISO Abbreviation:  Int Ophthalmol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-03     Completed Date:  2013-05-09     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  7904294     Medline TA:  Int Ophthalmol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  79-82     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Pressure*
Central Serous Chorioretinopathy / complications*,  diagnosis
Female
Fluorescein Angiography
Fundus Oculi
Humans
Hypertension / complications*,  diagnosis,  physiopathology
Retina / pathology*
Tomography, Optical Coherence
Grant Support
ID/Acronym/Agency:
R01 EY011289/EY/NEI NIH HHS; R01 EY013178/EY/NEI NIH HHS; R01 EY013516/EY/NEI NIH HHS; R01-EY013516-07/EY/NEI NIH HHS; R01-EY11289-23/EY/NEI NIH HHS; R01-EY13178-07/EY/NEI NIH HHS
Comments/Corrections

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