Korean J Ophthalmol.  2006 Jun;20(2):131-138. 10.3341/kjo.2006.20.2.131.

Surgical Management of Bilateral Exudative Retinal Detachment associated with Central Serous Chorioretinopathy

• Kang JE
• Kim HJ
• Boo HD
• Kim HK
• Lee JH

• KMID: 1099050
• DOI: http://doi.org/10.3341/kjo.2006.20.2.131

Abstract

PURPOSE: To report a case of bilateral bullous exudative retinal detachment in central serous chorioretinopathy (CSC) which was attached by vitrectomy and internal drainage of the subretinal fluid. METHODS: A 47-year-old man affected by bilateral atypical CSC with a bullous retinal detachment with subretinal exudate. A fluorescein angiogram (FAG) showed multiple points of leakage and staining of subretinal fibrosis. A tentative diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made and the patient was treated with systemic corticosteroids and immunosuppressive agents. However, the subretinal fluid was not absorbed. He was then treated with vitrectomy and internal drainage of subretinal fluid. RESULTS: The retina was attached successfully in both eyes. Visual acuity improved to 20/50 in his left eye but did not improve in the right eye due to subretinal fibrotic scarring and atropic changes on the macula. CONCLUSIONS: Our case suggests that the surgical management of bullous exudative retinal detachment is safe and necessary.

Keyword

Bullous retinal detachment; Central serous chorioretinopathy; Subretinal fluid drainage; Vitrectomy

MeSH Terms

*Vitrectomy
Retinal Detachment/etiology/pathology/*surgery
Middle Aged
Male
Humans
Fundus Oculi
Follow-Up Studies
Fluorescein Angiography
Exudates and Transudates
Drainage/*methods
Diagnosis, Differential
Choroid Diseases/*complications/diagnosis