A Case of Chronic Central Serous Chorioretinopathy Associated with Pituitary Adenoma.

Kim, Ki Seok; Lee, Seung Jae; Lee, Won Ki

Case Report

Journal of the Korean Ophthalmological Society 2006;47(2):323-327.
Published online February 28, 2006.

A Case of Chronic Central Serous Chorioretinopathy Associated with Pituitary Adenoma.

Ki Seok Kim, Seung Jae Lee, Won Ki Lee

Department of Ophthalmology, The Catholic University of Korea, College of Medicine, Seoul, Korea. wklee@catholic.ac.kr

뇌하수체선종과 연관된 만성중심성장액맥락망막병증 1예

김기석,이승재,이원기

Department of Ophthalmology, The Catholic University of Korea, College of Medicine, Seoul, Korea

Correspondence: Ki Seok Kim, M.D.

Abstract

PURPOSE
We report a case of long-standing bilateral chronic central serous chorioretinopathy associated with pituitary adenoma along with a review of the literature. METHODS: A 42-year-old female had chronic central serous chorioretinopathy that did not improve for 6 months. To evaluate her endocrine state, we checked her serum cortisol level, and found it to be abnormally high. We then referred the patient to a physician. RESULTS: The patient was diagnosed with Cushing's syndrome due to pituitary adenoma. The tumor was removed by trans-sphenoidal surgical resection. One month after surgery, her serum cortisol level decreased to normal, her visual acuity improved and her fundus examination showed no abnormal findings. CONCLUSIONS: We propose that patients with chronic, recurrent central serous chorioretinopathy of unknown origin should undergo evaluation of their serum cortisol levels to determine if surgery is needed to treat a primary endocrine abnormality.

Key Words: Central serous chorioretinopathy;Cortisol;Pituitary adenoma