Central Serous Chorioretinopathy after Application of Topical Corticosteroid

Abstract

Central serous chorioretinopathy (CRSC) is a pathology of the retina and the choroid characterized by a vanishing point causing sub-retinal fluid accumulation and focal retinal detachment. We report a case of a 40-year-old male patient followed for 5 years in dermatology for psoriasis treated with topical corticosteroids who presented to the emergency department for a visual acuity at 3/10 in his right eye associated with a macular syndrome. Several cases of corticosteroid-induced CRSC were found in the literature, but only few cases were found after application of topical corticosteroid. Optical coherence tomography was performed urgently and revealed central serous chorioretinitis. Treatment with topical corticosteroids was discontinued. The patient was seen a week later, with visual acuity recovery from 3/10 to 10/10, with improvement in macular syndrome.