Central Serous Chorioretinopathy with Peripapillary Retinoschisis.

Kim, Jong Heon; Kim, Im Gyu; Kim, Yong Il; Lee, Kyoo Won; Kang, Hyun Gu

doi:2019.60.6.587

J Korean Ophthalmol Soc > Volume 60(6); 2019 > Article

Case Report

Journal of the Korean Ophthalmological Society 2019;60(6):587-593.
DOI: https://doi.org/10.3341/jkos.2019.60.6.587 Published online June 15, 2019.

Central Serous Chorioretinopathy with Peripapillary Retinoschisis.

Jong Heon Kim, Im Gyu Kim, Yong Il Kim, Kyoo Won Lee, Hyun Gu Kang

Cheil Eye Hospital, Daegu, Korea. flowerchild03@hanmail.net

시신경유두주위 망막층간분리가 동반된 중심장액맥락망막병증

김종헌·김임규·김용일·이규원·강현구

제일안과병원

Correspondence: Hyun Gu Kang,
Email: flowerchild03@hanmail.net

Received: 6 September 2018 • Revised: 24 October 2018 • Accepted: 16 May 2019

Abstract

PURPOSE
To report a case of central serous chorioretinopathy with peripapillary retinoschisis. CASE SUMMARY: A 64-year-old male presented with abnormal color vision of the left eye, which occurred 6 months prior to his visit. At the initial visit, a funduscopic examination revealed retinal elevation with suspected serous retinal detachment around the optic disc in the left eye. Spectral domain optical coherence tomography showed subretinal fluid on the nasal side of the optic disc and retinoschisis on the temporal side of the optic disc in the left eye. Fluorescein angiography revealed multiple leakages in the left eye. Indocyanine green angiography revealed choroidal vascular hyperpermeability in both eyes. Based on these results, the patient was diagnosed with chronic central serous chorioretinopathy and was treated with argon laser photocoagulation at the leakage points. After 8 weeks of laser therapy, optical coherence tomography indicated that there was no retinoschisis or subretinal fluid in the macula, nasal, or temporal sides of the optic disc. CONCLUSIONS: Peripapillary retinoschisis due to central serous chorioretinopathy improves with argon laser photocoagulation at leakage sites.

Key Words: Central serous chorioretinopathy;Retinoschisis