Perfluorocarbon Liquid-Assisted External Drainage in the Management of Central Serous Chorioretinopathy with Bullous Serous Retinal Detachment

Hung Chiao Chen, Jau Der Ho, San Ni Chen

研究成果: 雜誌貢獻文章

8 引文 (Scopus)

摘要

The differential diagnosis of serous retinal detachment (RD) includes Vogt-Koyanagi-Harada syndrome, severe hypertensive choroidopathy, posterior scleritis, multifocal choroiditis, metastatic tumor, and uveal effusion. Some cases of serous retinal detachment occur as a result of central serous chorioretinopathy (CSCR). Typical CSCR generally affects healthy middle-aged males and is characterized by localized serous RD of the neurosensory retina and retinal pigment epithelium in the macula that often spontaneously improve within 2 to 3 months. On rare occasions, variant CSCR with bullous RD occurs which is frequently misdiagnosed. We report on a case of variant CSCR with severe bullous serous retinal detachment in the left eye that was initially treated at another hospital under the misdiagnosis of rhegmatogenous retinal detachment. Because the retinal detachment developed so fast that a laser could not be applied to all leaking spots, we performed a pars plana vitrectomy, perfluorocarbon liquid-assisted external drainage, and final treatment with an endolaser. The retina was well attached after this management.

原文英語
頁(從 - 到)777-781
頁數5
期刊Chang Gung Medical Journal
26
發行號10
出版狀態已發佈 - 十月 2003
對外發佈Yes

指紋

Central Serous Chorioretinopathy
Fluorocarbons
Retinal Detachment
Drainage
Diagnostic Errors
Retina
Uveomeningoencephalitic Syndrome
Scleritis
Temazepam
Retinal Pigment Epithelium
Vitrectomy
Lasers
Differential Diagnosis

ASJC Scopus subject areas

  • Medicine(all)

引用此文

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title = "Perfluorocarbon Liquid-Assisted External Drainage in the Management of Central Serous Chorioretinopathy with Bullous Serous Retinal Detachment",
abstract = "The differential diagnosis of serous retinal detachment (RD) includes Vogt-Koyanagi-Harada syndrome, severe hypertensive choroidopathy, posterior scleritis, multifocal choroiditis, metastatic tumor, and uveal effusion. Some cases of serous retinal detachment occur as a result of central serous chorioretinopathy (CSCR). Typical CSCR generally affects healthy middle-aged males and is characterized by localized serous RD of the neurosensory retina and retinal pigment epithelium in the macula that often spontaneously improve within 2 to 3 months. On rare occasions, variant CSCR with bullous RD occurs which is frequently misdiagnosed. We report on a case of variant CSCR with severe bullous serous retinal detachment in the left eye that was initially treated at another hospital under the misdiagnosis of rhegmatogenous retinal detachment. Because the retinal detachment developed so fast that a laser could not be applied to all leaking spots, we performed a pars plana vitrectomy, perfluorocarbon liquid-assisted external drainage, and final treatment with an endolaser. The retina was well attached after this management.",
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AU - Chen, San Ni

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AB - The differential diagnosis of serous retinal detachment (RD) includes Vogt-Koyanagi-Harada syndrome, severe hypertensive choroidopathy, posterior scleritis, multifocal choroiditis, metastatic tumor, and uveal effusion. Some cases of serous retinal detachment occur as a result of central serous chorioretinopathy (CSCR). Typical CSCR generally affects healthy middle-aged males and is characterized by localized serous RD of the neurosensory retina and retinal pigment epithelium in the macula that often spontaneously improve within 2 to 3 months. On rare occasions, variant CSCR with bullous RD occurs which is frequently misdiagnosed. We report on a case of variant CSCR with severe bullous serous retinal detachment in the left eye that was initially treated at another hospital under the misdiagnosis of rhegmatogenous retinal detachment. Because the retinal detachment developed so fast that a laser could not be applied to all leaking spots, we performed a pars plana vitrectomy, perfluorocarbon liquid-assisted external drainage, and final treatment with an endolaser. The retina was well attached after this management.

KW - Central serous chorioretinopathy

KW - Perfluorocarbon liquid

KW - Serous retinal detachment

KW - Variant central serous chorioretinopathy

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