Natural course of central serous chorioretinopathy without subretinal exudates in normal pregnancy

To highlight the similarity in onset, clinical course, and resolution of central serous chorioretinopathy in two eyes, in two consecutive pregnancies in the same patient. A case report. Snellen visual acuity, slit-lamp examination, and optical coherence tomography (OCT). A 31-year-old female had central serous chorioretinopathy with sub-retinal exudates in left eye during the sixth month of her first pregnancy and later in right eye also during the sixth month of her second pregnancy two years later. Both eyes had spontaneous resolution of the lesions with final visual acuity of 1.0 each eye. To the best of our knowledge, there have been no reports of alternating CSCR with sub-retinal exudates, occurring exactly in the sixth month of two consecutive pregnancies, two years apart, with spontaneous resolution after deliveries.

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“…[7] However, CSCR in pregnancy may be without any sub-retinal exudates as has been reported by and Al-Mujaini et al . [17]…”

Section: Discussionmentioning

confidence: 99%

Alternating central serous chorioretinopathy in two consecutive pregnancies

Al‐Mujaini

Wali

2014

Oman J Ophthalmol

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“…CSR predominantly affects young and middle-aged males between 20 and 50 years of age. However, there are reports of CSR in females 1–5. Although CSR is generally unilateral, bilateral cases can occur.…”

Section: Introductionmentioning

confidence: 99%

Incidence and natural course of symptomatic central serous chorioretinopathy in pregnant women in a maternity hospital in Kuwait

Said-Ahmed

Moustafa

Fawzy

2012

Middle East Afr J Ophthalmol

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Purpose:To report the incidence, clinical features and natural course of central serous chorioretinopathy (CSR) in pregnant women in Kuwait.Materials and Methods:Patients were actively recruited from a private maternity hospital. Out of the 17,000 pregnant women who visited the antenatal care clinics (Al-Orf Hospital, Kuwait) over 3 years, 900 had visual complaints. Patients with visual complaints underwent complete ophthalmological assessment. Medical records of patients with CSR were reviewed, and a full clinical ophthalmological assessment was performed including measurement of best corrected visual acuity, intraocular pressure, slit lamp biomicroscopy, dilated indirect ophthalmoscopy and Amsler grid screening, color and red free fundus photography and retinal optical coherence tomography. All patients were evaluated throughout the course of pregnancy and for 6 months after delivery.Results:Four patients had CSR among the 17,000 pregnant women reviewed over 3 years corresponding to an incidence of 0.008 % per year. Two patients (50%) had CSR with white subretinal exudates and 2 (50%) had no exudates. There was complete resolution in all patients (100%) within 3 months after delivery.Conclusions:In pregnant women, CSR can present with or without retinal exudates and completely resolves in either case. Further studies with a larger sample size are warranted to investigate the risk factors in pregnant women.

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“…7,8 It is recommended that CSCR be considered in a pregnant patient complaining of diminution of vision, especially if systemic steroids have been exhibited for any associated disease. …”

Section: Atypical Features Of Cscr In Pregnancymentioning

confidence: 99%