TITLE:
Bilateral Central Scotoma Due to CSCR in an Asthmatic Policeman
AUTHORS:
Lai Chan Fhun, Evelyn Tai Li Min, Mei Fong Chong, Ahmad Tajudin Liza-Sharmini
KEYWORDS:
Central Serous Chorioretinopathy, Corticosteroids, Asthma
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.6 No.4,
November
30,
2016
ABSTRACT: Central serous chorioretinopathy (CSCR) is a retinal condition characterized by fluid
accumulation in the subretinal space, resulting in neurosensory detachment or pigment
epithelial detachment. The risk factors associated with this condition include
male gender, middle age, smoking, stress and use of corticosteroids. We report a case
of CSCR in a 37-year-old policeman with hypertension and bronchial asthma. He
presented with sudden onset of bilateral blurring of central vision for 1 day, worse
over the left eye. There were no other significant eye complaints. He is an active
smoker and has been on long-term corticosteroids for asthma. On examination, the
visual acuity was 6/9 bilaterally. The anterior segment of both eyes was normal. Examination
of the right fundus revealed a dome-shaped swelling inferior to the fovea,
while the left fundus showed circular detachment of the neurosensory retina at the
macula. He was diagnosed to have bilateral central serous chorioretinopathy. He was
also counseled to stop smoking. The corticosteroids were continued due to the risk of
precipitating an asthma attack if they were withheld. Upon his next review two
months later, his condition remained stable. CSCR is usually a self-limited condition,
with good visual outcome. A thorough medical, social and drug history should be
obtained, and patients advised to modify their lifestyle to eliminate or reduce risk
factors such as smoking, stress and corticosteroid use.