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Kim, Kim, Kim, Lee, and Kang: Central Serous Chorioretinopathy with Peripapillary Retinoschisis
Case Report

Journal of the Korean Ophthalmological Society 2019; 60(6): 587-593.

Published online: 17 June 2019

DOI: https://doi.org/10.3341/jkos.2019.60.6.587

Central Serous Chorioretinopathy with Peripapillary Retinoschisis

Jong Heon Kim, MD, Im Gyu Kim, MD, Yong Il Kim, MD, Kyoo Won Lee, MD, PhD, Hyun Gu Kang, MD

Cheil Eye Hospital, Daegu, Korea.

Address reprint requests to Hyun Gu Kang, MD. Cheil Eye Hospital, #1 Ayang-ro, Dong-gu, Daegu 41196, Korea. Tel: 82-53-959-1751, Fax: 82-53-959-1758, flowerchild03@hanmail.net

Received 6 September 2018       Revised 24 October 2018       Accepted 16 May 2019

©2019 The Korean Ophthalmological Society

The Korean Ophthalmological Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of central serous chorioretinopathy with peripapillary retinoschisis.

Case summary

A 64-year-old male presented with abnormal color vision of the left eye, which occurred 6 months prior to his visit. At the initial visit, a funduscopic examination revealed retinal elevation with suspected serous retinal detachment around the optic disc in the left eye. Spectral domain optical coherence tomography showed subretinal fluid on the nasal side of the optic disc and retinoschisis on the temporal side of the optic disc in the left eye. Fluorescein angiography revealed multiple leakages in the left eye. Indocyanine green angiography revealed choroidal vascular hyperpermeability in both eyes. Based on these results, the patient was diagnosed with chronic central serous chorioretinopathy and was treated with argon laser photocoagulation at the leakage points. After 8 weeks of laser therapy, optical coherence tomography indicated that there was no retinoschisis or subretinal fluid in the macula, nasal, or temporal sides of the optic disc.

Conclusions

Peripapillary retinoschisis due to central serous chorioretinopathy improves with argon laser photocoagulation at leakage sites.

Keywords: Central serous chorioretinopathy, Retinoschisis

Figures and Tables

Figure 1

Color fundus photographs at initial visit. (A) Right eye shows retinal pigment epithelial degeneration around the macula. (B) Left eye shows edematous retina between the macula and the optic disc and retinal elevation on the nasal side of the optic disc.

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Figure 2

Optical coherence tomography images of the left eye at initial visit. (A) Cross-sectional image of the optic nerve head shows subretinal fluid on the nasal side of the optic disc and retinoschisis on the temporal side of the optic disc. (B) Cross-sectional image of the macula by enhanced depth image (EDI) mode shows retinoschisis between the optic disc and the macula. The choroidal thickness was increased and the pachyvessels were observed predominantly between the optic disc and the macula. (C) Cross-sectional image of the optic nerve head by EDI mode. The lamina cribrosa was indicated between the anterior and posterior border of the highly reflective region that was visible beneath the optic disc cup. There was no lesion within the lamina cribrosa.

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Figure 3

Fluorescein angiography (FAG) and indocyanine green angiography (ICGA) at initial visit. (A, B) FAG of the right eye shows multiple hyperfluorescent lesions. (C, D) FAG of the left eye shows multiple inkblot leakages. (E–H) Compared to the right eye, the ICGA of the left eye showed more dilated choroidal vasculature in the early phase and more patchy hyperfluorescence in the late phase.

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Figure 4

Optical coherence tomography images of the left eye, 8-weeks after argon laser photocoagulation, show complete resolution of retinoschisis and subretinal fluid. (A) Around the optic disc. (B) Around the macula.

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Notes

This study was presented as a poster at the 116th Annual Meeting of the Korean Ophthalmological Society 2016.

Conflicts of Interest The authors have no conflicts to disclose.

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