Central serous retinopathy in pregnancy.
Author(s): Shobha G. Pai, Gurudutt Kamath M., Dr. Roopashree*
Central serous retinopathy (CSR) is characterized by neurosensory retinal detachment, with associated retinal pigment epithelial (RPE) detachment, RPE leakage, as well as RPE and choroidal hyper-permeability. In general, CSR is a sporadic, self-limiting disease with a predilection for young or middle-aged adult males with type A personalities. A 27 year old female presented with blurred vision and distortion of images in her left eye since one week in the seventh month of her second pregnancy. Ophthalmic examination revealed a normal right eye and left eye showed a circumscribed elevation of the retina measuring two disc diameters in size involving the foveal center with subretinal exudates. Stratus domain-Optical coherence tomography (SD-OCT) was done which showed a serous retinal detachment at macula. CSR although not typical has been reported to occur during pregnancy and is known to be self-limiting. It is a recognized complication of pregnancy. CSR in pregnancy has been reported to occur in any trimester of pregnancy. This case report reaffirms the prevalence of CSR in pregnancy and its self-limiting nature. Accurate diagnosis of CSR via clinical examination and ancillary studies, to differentiate from other similar conditions, as the cause of visual disturbances during pregnancy allows for appropriate counseling of the patient.
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