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Central Serous Chorioretinopathy Associated With Periocular Corticosteroid Injection Treatment for HLA-B27Associated Iritis
Arch Ophthalmol. 2004;122:926-928.
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Central serous chorioretinopathy (CSCR) is characterized by accumulation of fluid under the neurosensory retina and/or retinal pigment epithelium, resulting in a serous detachment that often involves the macula. Although the exact mechanism producing CSCR is unknown, increased adrenergic stimulation has been hypothesized to play a role.1 Furthermore, elevated corticosteroid levels after systemic administration or secondary to endogenous sources have been implicated in the causation or exacerbation of CSCR.2-3 Subtenon local corticosteroid injection is effective in the treatment of certain forms of uveitis. This report details a case of CSCR that developed after a single local subtenon corticosteroid injection to treat HLA-B27associated iritis and was confirmed by optical coherence tomography (OCT).
Report of a Case
A healthy 37-year-old man was examined because of a 10-day history of progressive blurred vision, photophobia, and floaters in the left eye. Medical and social histories were noncontributory. The patient had had an upper respiratory tract infection 2 weeks before . . . [Full Text of this Article] Comment
Caroline R. Baumal, MD, FRCSC;
Adam Martidis, MD;
Steven N. Truong, MD
Boston, Mass
Corresponding author: Caroline R. Baumal, MD. FRCSC, Department of Vitreoretinal Surgery, New England Eye Center, 750 Washington St, Box 450, Boston, MA 02111 (e-mail: cbaumal@tufts-nemc.org).
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