Bilateral exudative retinal detachment associated with central serous chorioretinopathy in a patient treated with corticosteroids

Abstract

Case report: The case is presented on a 54-year-old woman with a central serous chorioretinopathy, misdiagnosed as Vogt-Koyanagi-Harada disease, and treated with systemic corticosteroids. The patient presented with a bilateral bullous exudative retinal detachment.

Discussion: Discontinuation of corticosteroid therapy, surgical drainage of subretinal fluid, and photodynamic therapy, led to anatomical and functional improvement. The recognition of an atypical presentation of central serous chorioretinopathy may avoid complications of the inappropriate treatment with corticosteroids.

Keywords: Central serous chorioretinopathy; Coriorretinopatía serosa central; Corticoides; Corticosteroids; Desprendimiento exudativo de retina; Drenaje de líquido subretiniano; Enfermedad de Vogt-Koyanagi-Harada; Exudative retinal detachment; Pars plana vitrectomy; Photodynamic therapy; Subretinal liquid drainage; Terapia fotodinámica; Vitrectomía pars plana; Vogt-Koyanagi-Harada disease.