A patient misdiagnosed with central serous chorioretinopathy: A case report  

作　　者：Tian-Yu Wang Zhong-Qi Wan Qing Peng 

机构地区：[1]Department of Ophthalmology,Minhang Hospital,Fudan University,Shanghai 201199,China [2]School of Public Health,Nanjing Medical University Nanjing 211166,Jiangsu Province,China [3]Department of Ophthalmology,Tenth People’s Hospital of Shanghai Affiliated to Tongji University,Shanghai 200072,China

出　　处：《World Journal of Clinical Cases》2019年第16期2341-2345,共5页世界临床病例杂志

摘　　要：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.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.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.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.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.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.

关 键 词：Central SEROUS CHORIORETINOPATHY Polypoidal choroidal VASCULOPATHY Optical COHERENCE TOMOGRAPHY Case report 

分 类 号：R[医药卫生]