Presumed Idiopathic Central Serous Chorioretinopathy in a 12-Year-Old Girl

Abstract

Idiopathic central serous chorioretinopathy (CSC) typically affects middle-aged males. To date, only one case of idiopathic CSC in a prepubertal subject has been reported. Atypical idiopathic CSC presentation may be challenging to diagnose. Exclusion of secondary causes of serous retinal detachment (SRD) is warranted. We describe the atypical case of a 12-year-old female with a circumscribed SRD that resolved spontaneously and with fluorescein angiography (FA) findings that were compatible with idiopathic CSC. Optical coherence tomography (OCT) and systemic assessment were performed to exclude other etiologies. FA demonstrated multiple focal leaks in early phases, with subretinal leakage and pooling in late phases. OCT showed a localized circumscribed retinal detachment. Complete blood count was within normal limits. Serum cortisol was normal (22.1 µg/dl) and mean arterial blood pressure was 100/60 mm Hg, thereby excluding secondary causes of CSC. This is the second reported case of idiopathic CSC in a prepubertal female and the first one documented by FA and OCT, as well as other studies to exclude secondary causes. Albeit rare, idiopathic CSC should be considered in the differential diagnosis of SRD in this (prepubertal) age group, after excluding secondary ocular or systemic etiologies.

Central serous chorioretinopathy in a 91-year-old woman

“…A recent report described a 12-year-old girl with CSCR without any known risk factors that resolved without treatment 8. CSCR has also been reported to occur in elderly patients such as a 65-year-old woman with a history of recurrent anterior uveitis, Addison's disease and hydrocortisone use, where it resolved without treatment 9.…”

Central Serous Chorioretinopathy in a 14-Year-Old Atopic Boy: A Case Report.

“…Idiopathic CSC in children has been reported in a few case reports, 5,6,7,8 however this condition has never been linked to topical corticosteroid therapy in young patients.…”

“…1 Actually, there are only ve reported pediatric CSC cases. 4,5,6,7,8 To the best of our knowledge, we report the rst pediatric CSC case associated with topical corticosteroid use.…”

Secondary Stress Induced Central Serous Chorioretinopathy in Bamako: Report of Two Cases

“…However, some authors in America reported the suspicion of Idiopathic Central Serous Chorioretinopathy cases among girls aged 12-year old in 2012 [15].…”