Year : 2015 | Volume
: 10 | Issue : 3 | Page : 303--308
Central serous chorioretinopathy misdiagnosed as posterior uveitis and the vicious circle of corticosteroid therapy
Marina Papadia1, Bruno Jeannin3, Carl P Herbort2
1 Inflammatory and Retinal Eye Diseases, Center for Ophthalmic Specialized Care, Lausanne, Switzerland; Department of Ophathalmology, Ospedale Padre Antero Micone, Genova, Italy
2 Inflammatory and Retinal Eye Diseases, Center for Ophthalmic Specialized Care, University of Lausanne, Lausanne, Switzerland
Purpose: To determine the proportion of patients with central serous chorioretinopathy (CSCR) mistaken for posterior uveitis and to identify the deleterious consequences.
Methods: Charts of 1,657 patients admitted in the section of inflammatory eye diseases at the Center for Ophthalmic Specialized Care (COS) in Lausanne, Switzerland from 1995 to 2013 were reviewed. CSCR cases misdiagnosed as posterior uveitis or those with superimposed disease due to steroid therapy for uveitis were studied. Delay in diagnosis, specific erroneous uveitis diagnosis and evolution of the disease were also evaluated. Retrospectively, the most useful means for a correct diagnosis of CSCR were the original fluorescein angiography (FA), indocyanine green angiography (ICGA) and optical coherence tomography (OCT) when available.
Results: Out of a total of 1,657 patients, 15 (0.9%) cases with CSCR were identified. These included 12 subjects misdiagnosed as posterior uveitis and 3 uveitis subjects with superimposed CSCR following corticosteroid therapy for uveitis. The presentation of the disease was largely influenced by improper and continued use of corticosteroids.
Conclusion: CSCR is a rare but not negligible misdiagnosis in posterior uveitis representing approximately 1% of subjects from a collective series of uveitis cases at a referral center. Investigative measures such as FA, ICGA and OCT are crucial for reaching a correct diagnosis and avoiding disease aggravation due to corticosteroid therapy.
Carl P Herbort
Center for Ophthalmic Specialized Care, Rue Charles-Monnard 6, 1003 Lausanne
|How to cite this article:|
Papadia M, Jeannin B, Herbort CP. Central serous chorioretinopathy misdiagnosed as posterior uveitis and the vicious circle of corticosteroid therapy.J Ophthalmic Vis Res 2015;10:303-308
|How to cite this URL:|
Papadia M, Jeannin B, Herbort CP. Central serous chorioretinopathy misdiagnosed as posterior uveitis and the vicious circle of corticosteroid therapy. J Ophthalmic Vis Res [serial online] 2015 [cited 2020 Jan 18 ];10:303-308
Available from: http://www.jovr.org/article.asp?issn=2008-322X;year=2015;volume=10;issue=3;spage=303;epage=308;aulast=Papadia;type=0