Central serous chorioretinopathy and angioid streaks: coincidental?

Autores da FMUP

• Amândio António Rocha Dias De Sousa

  Autor

• Angela Maria Veloso Guimarães Carneiro

  Autor

• Fernando Manuel Mendes Falcão Reis

  Autor

Participantes de fora da FMUP

• Penas, S.
• Resende, JA

Unidades de investigação

• Cirurgia e Fisiologia

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

Background To report an unusual case of central serous chorioretinopathy in a patient with angioid streaks. Case presentation The authors describe a case report of a 26-year old male patient presenting acute scotoma and metamorphopsia in OD. He had been diagnosed with angioid streaks complicated with choroidal neovascularization and referred to us for treatment. The patient presented an ETDRS score of 85 letters (20/20) in OD and in OS. The anterior segment examination was unremarkable. Fundoscopy revealed bilateral angioid streaks (AS) and peau dorange, as well as a small neurosensory retinal detachment in the macula of OD. A multimodal retinal analysis, including fundus photography, infra-red and fundus autofluorescence imaging, spectral-domain optical coherence tomography, optical coherence tomography angiography, fluorescein and indocyanine green angiography was performed. The diagnosis of central serous chorioretinopathy was made in the absence of any identifiable choroidal neovascularization. He was submitted to half-dose photodynamic therapy with verteporfin. One month later, he reported no visual complaints, his vision was 85 letters (20/20) in OD and a complete resolution of the sub-retinal fluid was registered. No signs of choroidal neovascularization were detected on the optical coherence tomography angiography (OCTA). A complete medical workup evaluation was made to exclude systemic diseases usually associated with AS. Conclusions To the authors knowledge, this is the second reported case of CSC associated with angioid streaks. The focal abnormalities in the Bruchs membrane and the irregular vascular choriocapillary network associated with AS might predispose to CSC.

Keywords

• Central serous chorioretinopathy; CSC; Angioid streaks; OCTA