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A bullous variant of central serous chorioretinopathy treated with oral spironolactone
Author(s) -
David Leonardo Cruvinel Isaac,
Leonardo Landó,
Hugo Mendes Silva,
Marcos Pereira de Ávila
Publication year - 2022
Publication title -
arquivos brasileiros de oftalmologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.603
H-Index - 29
eISSN - 1678-2925
pISSN - 0004-2749
DOI - 10.5935/0004-2749.20230033
Subject(s) - medicine , visual acuity , serous fluid , ophthalmology , spironolactone , fundus (uterus) , retinal detachment , retinal , heart failure
We report the case of a 39-year-old male patient who presented with visual loss in the right eye for 6 weeks. The best-corrected visual acuity was counting fingers in the right eye and 20/30 in the left eye. The fundus examination demonstrated a right retinal detachment inferiorly extending to the fovea and a left macular serous detachment. After multimodal imaging study, the patient was diagnosed as having a bullous variant of central serous chorioretinopathy and treated with oral spironolactone associated with adjuvant laser photocoagulation. The retinal changes resolved after 6 months. The final visual acuity was 20/20 in both eyes.

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