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A patient misdiagnosed with central serous chorioretinopathy: A case report.

Authors :
Wang TY
Wan ZQ
Peng Q
Source :
World journal of clinical cases [World J Clin Cases] 2019 Aug 26; Vol. 7 (16), pp. 2341-2345.
Publication Year :
2019

Abstract

Background: Due to some similarities in the manifestations between central serous chorioretinopathy (CSC) and polypoidal choroidal vasculopathy (PCV), PCV may be misdiagnosed as CSC. More attention should be paid to distinguishing these two disorders.<br />Case Summary: A 52-year-old woman presented to our hospital with blurred vision in her left eye for approximately 1 wk. Anterior segment and intraocular pressure findings were normal in both eyes. Fundus photography of the left eye showed a seemingly normal adult oculus fundus without any obvious hard exudate or hemorrhage. Optical coherence tomography exhibited a hypo-reflective space beneath both the neurosensory retina and the pigment epithelium layer. The late phase of fluorescein angiography revealed increased leakage. The patient was initially diagnosed with CSC. At follow-up, however, the final diagnosis turned out to be PCV.<br />Conclusion: CSC and PCV are two different retinal entities. Lipid deposition and hemorrhage are the most important elements that lead to confusion between these two entities. Indocyanine green angiography should be performed to make a definitive diagnosis, especially in cases with suspected PCV.<br />Competing Interests: Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.

Details

Language :
English
ISSN :
2307-8960
Volume :
7
Issue :
16
Database :
MEDLINE
Journal :
World journal of clinical cases
Publication Type :
Report
Accession number :
31531329
Full Text :
https://doi.org/10.12998/wjcc.v7.i16.2341