Document Detail


Central serous chorioretinopathy and pregnancy.
MedLine Citation:
PMID:  8447747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Fourteen cases of central serous chorioretinopathy in pregnancy had been reported before this study was conducted. These cases have suggested a nonwhite predominance. Subretinal fibrinous exudates have been seen in 90% of the patients, compared with fewer than 20% of patients in typical (nonpregnant) central serous chorioretinopathy. No case has recurred outside of pregnancy, to our knowledge, and there have been no reports of subsequent pregnancies uninvolved by this disorder. These findings led us to collect our cases of central serous retinopathy in pregnancy because our experience differed from that of previous reports and provides additional new information. DESIGN: Case series. SETTING: The Wilmer Institute Retinal Vascular Center, Baltimore, Md. PATIENTS: Questionnaires sent to retinal faculty and fellows and a review of files revealed four patients, all included herein, with central serous chorioretinopathy presenting during pregnancy. RESULTS: All four patients were white. Three patients had subretinal fibrinous exudates and/or precipitates. All experienced resolution of the serous detachment near the end of the pregnancy or within the first few months after delivery. Only one patient had a subsequent pregnancy, and this was not complicated by the presence of central serous chorioretinopathy. One other patient experienced a recurrence 2 1/2 years after her last pregnancy. CONCLUSIONS: There may be no racial predominance in the development of central serous chorioretinopathy in pregnancy. Subretinal fibrinous exudates are quite common, independent of race. The uninvolved subsequent pregnancy suggests that recurrence in the context of pregnancy is not inevitable. This disorder may recur outside of pregnancy.
Authors:
J S Sunness; J A Haller; S L Fine
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of ophthalmology     Volume:  111     ISSN:  0003-9950     ISO Abbreviation:  Arch. Ophthalmol.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-04-05     Completed Date:  1993-04-05     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7706534     Medline TA:  Arch Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  360-4     Citation Subset:  AIM; IM    
Affiliation:
Wilmer Institute, Johns Hopkins University School of Medicine, Baltimore, Md.
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MeSH Terms
Descriptor/Qualifier:
Adult
Choroid Diseases / complications*,  pathology
Exudates and Transudates
Female
Fluorescein Angiography
Follow-Up Studies
Fundus Oculi
Humans
Pregnancy
Pregnancy Complications*
Questionnaires
Recurrence
Retinal Detachment / complications,  pathology
Retinal Diseases / complications*,  pathology
Risk Factors
Visual Acuity
Grant Support
ID/Acronym/Agency:
EY00259/EY/NEI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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