#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Central Serous Choroidopathy as Rare Complication of the Corticosteroid Treatment


Authors: Z. Čepilová;  M. Porubská;  J. Fabianová
Authors‘ workplace: Národný ústav tuberkulózy, pľúcnych chorôb a hrudníkovej chirurgie, Vyšné Hágy, očné oddelenie, primárka MUDr. Zdenka Čepilová
Published in: Čes. a slov. Oftal., 65, 2009, No. 2, p. 64-67

Overview

The secondary glaucoma and complicated cataract are known and frequent complications of the corticosteroid treatment. The central serous choroidopathy (CSCH) is rare complication of corticotherapy in which occurs the focal serous ablation of the neurosensoric retina in the macular region caused by means of the leakage of the fluid trough the damaged retinal pigment epithelium. The authors present 5 cases of the CSCH during the corticosteroid treatment period, or the worsening of the already existing disease after the corticosteroid treatment. Despite the generally recognized fact the corticosteroids may precipitate the CSCH and they are contraindicated in its treatment, we repeatedly meet patients with this diagnosis, who are treated by means of systemic or parabulbar corticosteroids.

Key words:
central serous choroidopathy, retinal pigment epithelium, corticosteroids, fluorescein angiography, ICG, OCT


Sources

1. De Nijs, E., Brabant, P., De Laey, J.J.: The adverse effects of corticosteroids in central serous chorioretinopathy, Bull. Soc. belge Ophthalmol., 289, 2003: 35–41.

2. Gass, J.D.M., Little, H.: Bilateral bullous exsudative central serous chorioretinopathy during systemic corticosteroid therapy, Ophthalmology, 102, 1995: 737–747.

3. Iida T., Spaide R.F., et al.: Central serous chorioretinopathy after epidural corticosteroid injection, Amer. J. Ophthalmol., 132, 2001: 423–425.

4. Jampol, L.M., Weinreb, R., Yannuzi, L.: Involvement of corticosteroids and catecholamines in the pathogenesis of central serous chorioretinopathy: a rationale for new treatment strategies, Ophthalmology, 109, 2002:: 1765–1766.

5. Kitaya, N., Nagaoka, T., Hikichi, T. et al.: Features of abnormal choroidal circulation in central serous chorioretinopathy, Brit. J. Ophtlamol., 87, 2003: 709–712.

6. Marmor, M.F.: On the cause of serous detachments and acute central serous chorioretinopathy, Brit. J .Ophthalmol., 81, 1997: 812–813.

7. Mondal, L.K., Sarkar, K., Datterjee, P.R.: Acute bilateral central serous chorioretinopathy following intra-articular injection of corticosteroid, Indian J. Ophthalmology, 53, 2005: 132–134.

8. Polak, B.C., Baarsma, G.S., Snyers, B.: Diffuse retinal pigment epitheliopathy complicating systemic corticosteroid treatment, Brit. J. Ophthalmol., 79, 1995: 922–925.

9. Scheider,A., Nesemann, J.E., Lund O.E.: Fluorescein and indocyanine green angiographies of central serous choroidopathy by scanning laser ophthalmoscopy, Amer. J. Ophthalmol., 115,1993: 50–56.

10. Yannuzi, L.A.: Type A behaviour and central serous chorioretinopathy, Retina, 7, 1987: 111–130.

Labels
Ophthalmology
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#