
Bilateral Central Serous Retinopathy in Patient with Chronic Kidney Disease on Haemodialysis: A Case Report
Author(s) -
Heena Dharamdasani,
Shankar Chokkalingam,
Siddharam S Janti,
Stephen Sudhakar
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/47068.15011
Subject(s) - medicine , fundus (uterus) , retina , retinal pigment epithelium , ophthalmology , serous fluid , kidney disease , retinopathy , visual acuity , retinal , pathology , diabetes mellitus , endocrinology , physics , optics
Central Serous Chorioretinopathy (CSCR) is the detachment of the neurosensory retina and/or Retinal Pigment Epithelium (RPE) due to accumulation of fluid in the sub retinal space, mostly confined to the macula. Hereby, presenting a rare case of a 32-year-old patient with defective vision in both eyes, she was a known case of Chronic Kidney Disease (CKD) on haemodialysis. On examination best corrected visual acuity was 6/9, on dilated fundus examination with ring reflex in both eyes, Optical Coherence Tomography (OCT) macula showed detachment of the neurosensory retina from RPE with the sub retinal fluid. This case is considered to be rare due to the unusual association noted between CSCR and End State Renal Disease (ESRD), in a female patient with no history of usage of corticosteroids or known identifiable risk factors. Hence, it is essential to screen patients with ESRD for CSCR to prevent vision threatening complications.