Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis - "Treatment dilemma" - Case report and review of literature
The adverse reactions of high-dose exogenous steroid administration are well documented, and central serous chorioretinopathy (CSCR) is one among them. Steroid-induced CSCR has a different clinical profile when compared to idiopathic CSCR and poses a unique clinical challenge, especially when encoun...
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Published in | TNOA Journal of Ophthalmic Science and Research Vol. 59; no. 4; pp. 376 - 378 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Wolters Kluwer India Pvt. Ltd
01.10.2021
Medknow Publications and Media Pvt. Ltd Wolters Kluwer Medknow Publications |
Subjects | |
Online Access | Get full text |
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Summary: | The adverse reactions of high-dose exogenous steroid administration are well documented, and central serous chorioretinopathy (CSCR) is one among them. Steroid-induced CSCR has a different clinical profile when compared to idiopathic CSCR and poses a unique clinical challenge, especially when encountered during the management of posterior-segment inflammation such as optic neuritis and posterior uveitis. The clinical course of steroid-induced CSCR is variable and is not dose dependent. Management options include observation, cessation of steroids when permissible, focal laser, photodynamic therapy, and switching to alternative immunosuppressive therapy. We describe a case of steroid-induced recurrent bilateral CSCR during the treatment of unilateral isolated retrobulbar neuritis in a young male, its clinical course, and management. Our case emphasizes the importance of obtaining prior informed consent explaining the possible side effects of high-dose steroid therapy, and documentation is very important for the management of these complex case scenarios. |
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ISSN: | 2589-4528 2589-4536 2589-4528 |
DOI: | 10.4103/tjosr.tjosr_163_20 |