외상 후 발생한 양안 중심장액맥락망막병증 1예

A Case of Bilateral Central Serous Chorioretinopathy after Blunt Trauma

Purpose: To report a case of bilateral central serous chorioretinopathy (CSC) after blunt trauma with rapid remission. Case summary: A 44-year-old man visited our clinic after blunt trauma around the right eye. At the first examination, no ocular problem was detected except a periorbital contusion. After one week, the patient complained of visual disturbance in his right eye. Fundus examination showed subretinal fluid in his right eye, and fluorescein angiography (FAG) showed typical smokestack pattern leakage, which lead to a diagnosis of CSC. Three days later, the patient complained of visual disturbance in his left eye, which was then also diagnosed as CSC. After 2 more weeks, the subretinal fluid in the right and left eyes had decreased. After 3 weeks, the subretinal fluid was almost completely absorbed in both eyes. Conclusions: Central serous chorioretinopathy can develop after blunt trauma, especially with a rapid clinical course. Thus, periodic ophthalmologic examination is needed after the first examination for blunt trauma of the eye. J Korean Ophthalmol Soc 2014;55(8):1248-1252