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Serous retinal detachment resembling central serous chorioretinopathy following organ transplantation

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Abstract

Two patients developed unilateral serous retinal detachments of the macula resembling idiopathic center serous chorioretinopathy within 9 months of cardiac transplantation, while one renal transplant recipient developed bilateral serous detachments within 6 months of surgery. In two cases (three eyes), dense, yellow, fibrlin-like exudates were present in the subretinal fluid. At the time of presentation, each of the three patients had a modest elevation of blood urea nitrogen. Laser photo-coagulation was performed in three eyes with limited success, although ultimately the detachments resolved leaving only mild visual impairment (6/9 vision). The differential diagnosis of visual loss in the transplant population includes serous detachment of the sensory retina as well as more serious chorioretinal infections related to immunosuppression.

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Authors and Affiliations

  1. The Eye and Ear Institute of Pittsburgh, 203 Lothrop Street, USA

    Thomas R. Friberg

  2. Department of Ophthalmology, The University of Pittsburgh, 15213, Pittsburgh, PA, USA

    Andrew W. Eller

Authors
  1. Thomas R. Friberg
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  2. Andrew W. Eller
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Friberg, T.R., Eller, A.W. Serous retinal detachment resembling central serous chorioretinopathy following organ transplantation. Graefe's Arch Clin Exp Ophthalmol 228, 305–309 (1990). https://doi.org/10.1007/BF00920052

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  • DOI: https://doi.org/10.1007/BF00920052

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