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Letter to the Editor
Central serous retinopathy complicated by massive bilateral subretinal haemorrhage
  1. P L LIP,
  2. L MOWATT-DIXON,
  3. M W HOPE-ROSS
  1. The Birmingham and Midland Eye Centre
  2. City Hospital NHS Trust, Birmingham
  1. Mrs Peck-Lin Lip, The Birmingham and Midland Eye Centre, City Hospital NHS Trust, Dudley Road, Birmingham B18 7QH.

https://doi.org/10.1136/bjo.83.8.987d

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    Editor,—Central serous retinopathy (CSR) is a common cause of visual disturbance in the younger age group. Spontaneous visual recovery occurs in the majority of patients. A minority of patients, however, suffer permanent visual loss commonly caused by chronic retinal pigment epithelial changes. We report a devastating complication of untreated CSR, with bilateral massive subretinal and vitreous haemorrhages.

    CASE REPORT

    A 43 year old Asian man presented with a 3 week history of blurred central vision and metamorphopsia affecting his left eye. Ocular examination revealed best corrected visual acuity of 6/9 in both eyes. Funduscopy revealed a neurosensory retinal detachment overlying the left fovea, with bilateral multiple retinal pigment epithelial changes. Fundus fluorescein angiography (FFA) and indocyanine green angiography (ICGA) confirmed the diagnosis of bilateral CSR (Figs 1 and 2).

    Figure 1

    Fluorescein angiography of the left eye reveals pinpoint hyperfluorescence superior to the fovea (A) …

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