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Editor,—Central serous chorioretinopathy is thought to be an idiopathic disease and such cases are not usually investigated for an underlying cause. Bullous exudative retinal detachment is a recognised complication of central serous chorioretinopathy (CSR).1 There are a number of reports of exudative retinal detachments occurring in the context of generalised coagulopathies.2 3 We present a patient with central serous chorioretinopathy who on further investigation was found to have the primary antiphospholipid syndrome.
CASE REPORT
A 42 year old white man presented in December 1992 with difficulty in reading and a grey “circle” in his right central field of vision of 6 weeks' duration. His past medical history consisted of widespread burns requiring skin …