Central Serous Chorioretinopathy in Endogenous Hypercortisolism

Bouzas, Evrydiki A.; Scott, Mark; Mastorakos, George; Chrousos, George P.; Kaiser‐Kupfer, Muriel I.

doi:10.1001/archopht.1993.01090090081024

Cited by 215 publications

(139 citation statements)

References 23 publications

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“…Endogenous hypercortisolism as a result of Cushing's disease or stress conditions is also thought to lead to CSR (27). "Type A" personality is a commonly mentioned characteristic of CSR patients.…”

Section: Associated Conditionsmentioning

confidence: 99%

Central serous retinopathy

Tarabishy

Ahn

Mandell

et al. 2011

Arthritis Care & Research

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Section: Associated Conditionsmentioning

confidence: 99%

Central serous retinopathy

Tarabishy

Ahn

Mandell

et al. 2011

Arthritis Care & Research

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“…It has been associated with type-A personality, elevated endogenous cortisol and corticosteroid therapy in various forms [1,5,6]. The main symptoms range from acute loss of vision to metamorphopsia and scotomas [1][2][3][4][5][6]. We report the case of a young female patient who developed acute CSR without recognisable risk factors.…”

Section: Introductionmentioning

confidence: 97%

“…Central Serous Chorioretinopathy (CSR) is characterized by the accumulation of subretinal fluid at the posterior pole of the fundus, causing serous detachment of the neurosensory retina and/or retinal pigment epithelium [1,2]. CSR typically affects young and middle-aged adults (between ages 20 and 40 years) with men being affected more commonly than women by approximately 10 to one [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…CSR typically affects young and middle-aged adults (between ages 20 and 40 years) with men being affected more commonly than women by approximately 10 to one [1][2][3][4][5]. It has been associated with type-A personality, elevated endogenous cortisol and corticosteroid therapy in various forms [1,5,6]. The main symptoms range from acute loss of vision to metamorphopsia and scotomas [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Central Serous Chorioretinopathy With Multiple Leakage Points in a Young Female Patient Without Detected Risk Factors

Chatziralli¹

2012

J Med Cases

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Central Serous Chorioretinopathy (CSR) is characterized by the accumulation of subretinal fluid at the posterior pole of the fundus, causing serous detachment of the neurosensory retina and/or retinal pigment epithelium. CSR typically affects young and middle-aged men between 20 and 40 years old with type-A personality and is associated with emotional stress. A 21-year-old non-pregnant female presented with a 2-day history of acute, sudden, painless loss of vision and metamorphopsia at the right eye. She complainted also for a central scotoma. On examination of the right eye, the best-corrected visual acuity (BCVA) was 3/10. Dilated fundus examination revealed a neurosensory serous detachment and the diagnosis of CSR was confirmed by fluorescein angiography and optical coherence tomography (OCT). Interestingly, the fluorescein angiography revealed multiple leakage points of the dye related to retinal pigmented epithelium defects, while OCT demonstrated a significantly increased retinal thickness. The most astonishing feature of this case report is that it concerns a female patient with acute CSR without any detected risk factors that was characterized by significantly high retinal thickness in OCT in parallel with multiple leakages in fluorescein angiography. As a result, CSR should be taken into account in the differential diagnosis of sudden, painless loss of vision, although the patient may be female without risk factors.

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“…A CRSC atinge principalmente homens (2)(3) (relação homem/mulher varia de 2,6 a 9) na faixa etária de 20 a 45 anos (4)(5) com altos níveis de ansiedade e estresse emocional. Sua associação com o uso de corticosteróides (3,6) e hipercortisonismo endógeno já foi descrita (7) . O principal sintoma é a diminuição de acuidade visual, geralmente unilateral, podendo variar de 0,8 a 0,1, sendo possível a correção com lentes positivas (4) .…”

Section: Introductionunclassified