J Korean Ophthalmol Soc.  2020 Jun;61(6):690-693. 10.3341/jkos.2020.61.6.690.

Central Serous Chorioretinopathy Following High G-force Exposure in a Fighter Pilot

• Lim BS
• Won JY

• KMID: 2502978
• DOI: http://doi.org/10.3341/jkos.2020.61.6.690

Abstract

Purpose
To report a case of central serous chorioretinopathy (CSC) after high G-force exposure in a fighter pilot with rapid remission.
Case summary
A 28-year-old male patient was transferred from a local clinic with metamorphopsia in the left eye. His visual acuity was 20/20 in both eyes. Fundus examination of his left eye showed serous retinal detachment. Fluorescein angiography revealed leakage, which led to a diagnosis of CSC. As a fighter pilot, he had been exposed repeatedly to high g-forces before symptoms occurred. His flying was then stopped, and a follow-up examination was scheduled. After two weeks, a fundus examination showed resolution of the subretinal fluid.
Conclusions
CSC can develop after high g-force exposure, with a rapid clinical course. When making a CSC diagnosis, the physician should confirm potential causative environments by performing a thorough review of the patient’s occupational history and promptly terminate the likely causes.

Keyword

Central serous chorioretinopathy; G-Force; Gravitation