J Korean Ophthalmol Soc.  2014 Aug;55(8):1248-1252.

A Case of Bilateral Central Serous Chorioretinopathy after Blunt Trauma

• Chae MB
• Song MR
• Kim TJ
• Ha HS
• Park JH

Abstract

PURPOSE
To report a case of bilateral central serous chorioretinopathy (CSC) after blunt trauma with rapid remission.
CASE SUMMARY
A 44-year-old man visited our clinic after blunt trauma around the right eye. At the first examination, no ocular problem was detected except a periorbital contusion. After one week, the patient complained of visual disturbance in his right eye. Fundus examination showed subretinal fluid in his right eye, and fluorescein angiography (FAG) showed typical smoke-stack pattern leakage, which lead to a diagnosis of CSC. Three days later, the patient complained of visual disturbance in his left eye, which was then also diagnosed as CSC. After 2 more weeks, the subretinal fluid in the right and left eyes had decreased. After 3 weeks, the subretinal fluid was almost completely absorbed in both eyes.
CONCLUSIONS
Central serous chorioretinopathy can develop after blunt trauma, especially with a rapid clinical course. Thus, periodic ophthalmologic examination is needed after the first examination for blunt trauma of the eye.

Keyword

Central serous chorioretinopathy; Trauma

MeSH Terms

Adult
Central Serous Chorioretinopathy*
Contusions
Diagnosis
Fluorescein Angiography
Humans
Subretinal Fluid

Figure

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  Figure 1. A week after trauma. Fundus photograph and optical coherence tomography (OCT) show localized serous retinal detachment at superior macula in the right eye (A, C). Fluorescein angiography shows a “smokestack” pattern leakage (B).

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  Figure 2. At 10 days after trauma, the left eye shows serous retinal detachment at 2 areas involving superior macula and fovea (A). Fluorescein angiography (FA) of the left eye shows multiple leakages (B). Optical coherence tomography (OCT) of the left eye shows a neurosensory retinal detachment (C).

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  Figure 3. At 24 days after trauma, optical coherence tomography shows decreased subretinal fluid in both eyes (A, B).

Reference

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