QUESTION:
A 45-year-old man presented with a 10-day history of decreased vision OS. Looking at the OCT image, could you describe the finding, and determine the diagnosis?
ANSWER:
Thanks to everyone who showed interest in the section of question of the month and answered the question. In this month’s question, a 45-year-old man with a 10-day history of decreased vision OS was presented. Description of the finding on the OCT image and determination of diagnosis were asked.
The answer to the question is ‘’ Central Serous Chorioretinopathy/ Retinal Dipping’’. The result of the lottery among those who answered the question correctly, the winner of this month’s book prize is Selva Nur Çukurova Kartal. Congratulations to her.
In patient with central serous chorioretinopathy, in leakage sites, sagging or dipping of the posterior layer of the neurosensory retina, which seemed to arise from the swelling of the outer nuclear layer and be attracted by fibrinous exudates to the protruded RPE at the leakage site, may be observed.
Fujimoto H, Gomi F, Wakabayashi T. Morphologic Changes in Acute Central Serous Chorioretinopathy Evaluated by Fourier-Domain Optical Coherence Tomography. Ophthalmology 2008;115:1494–1500
https://pubmed.ncbi.nlm.nih.gov/18394706/
Selva Nur Çukurova Kartal, MD
Istanbul University, Istanbul Medical Faculty
Dr. Selva Nur Çukurova Kartal is graduated from Istanbul University Cerrahpaşa Faculty of Medicine in 2016. She is currently continuing her residency in Ophthalmology at the Istanbul University Istanbul Faculty of Medicine.
