TITLE:
Central Serous Chorioretinopathy and Pregnancy: A Case Report
AUTHORS:
A. N. S. Kra, F. X. Kouassi, C. E. Koman, M. Soumahoro, T. Y. C. Sowagnon, Y. G. Ouffoue
KEYWORDS:
Central Serous Chorioretinopathy, Macula, Pregnancy, OCT
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.8 No.4,
October
15,
2018
ABSTRACT: Introduction: Central
serous chorioretinopathy (CSCR) is a macular retinal serous detachment
associated with one or more leak points in the pigment epithelium. We present a
case of spontaneous evolution in the 3rd trimester of pregnancy in a
primiparous woman. Observation: This was a 27-year-old student, admitted
for a sharp drop in visual acuity in the left eye. During the interrogation, a
notion of 32 weeks of pregnancy-induced amenorrhea and a context of
preparations for end-of-year school exams were noted. Ophthalmological
examination revealed visual acuity in the left eye limited to counting the
fingers at 3 meters. In the eye fundus, a bubble occupying the macular region
of the left eye appeared. The examination of the right eye was strictly normal.
The general examination was normal with normal blood pressure. Optical
coherence tomography (OCT) brought out a large serous retinal detachment
confirming the diagnosis. Faced with this diagnosis of central serous
chorioretinopathy, therapeutic abstention with surveillance has been proposed.
The delivery route was discussed because of the impact of pushing phases during
vaginal delivery on the existing CSCR. Ophthalmologic examination performed 3
months after vaginal delivery was strictly normal with visual acuity at 10/10th and total disappearance of retinal detachment at OCT. Discussion: Central
serous chorioretinopathy is a relatively common ocular condition but whose
pathophysiology is still controversial. Pregnancy is a known risk factor for
central serous chorioretinopathy. The spontaneous resorption of central serous
chorioretinopathy during pregnancy is reported in the literature, hence a
therapeutic abstention with ophthalmological monitoring. Conclusion: Pregnancy
in a primiparous woman is a stress factor that can promote central serous
chorioretinitis.