Corticosteroid-induced central serous chorioretinitis: a case report

Author: Choaib Sadouni (Morocco)

Co-authors: Rajaa Boubsir, Hamza Jamaleddine, Adil Mchachi, Laila Benhmidoune, Riad Rachid, Mohamed El Belhadji

Purpose

Central serous chorioretinitis (CRSC) is a pathology of the retina and choroid characterized by a leak point leading to an accumulation of fluid responsible for focal retinal detachment and therefore macular syndrome.

Setting/Venue

Hôpital 20 août,CHU Casablanca,Maroc

Methods

We report a case of central serous chorioretinopathy as a rare complication of corticosteroid therapy.

Results

This is a 45-year-old patient who has been followed in the internal medicine department since 2011 for behcet's disease, on corticosteroid therapy. Therapeutically, she received three boli of solumedrol of 1 g relayed by oral corticosteroids at a dose of 1 mg / kg / day with a gradual decrease. She presented with a progressive decrease in visual acuity on 40 mg / day of corticosteroids. Ophthalmologic examination showed bullous retinal epithelial lesions corresponding to retinal detachment. The OCT confirmed the CRSC. Corticosteroid therapy was stopped. The course was presented by an improvement in visual acuity and the control OCT after a three-month stoppage showed regression of retinal lesions with disappearance of the vanishing points and CRSC

Conlusions

CRSC is admittedly a rare diagnosis, but given its seriousness it should be considered when faced with any reduction in visual acuity in a patient on corticosteroids.

Financial Disclosure

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