학술논문

Central serous retinopathy associated with topical oral corticosteroid use: a case report
Document Type
Case study
Source
Journal of Medical Case Reports. July 2, 2019, Vol. 13 Issue 1
Subject
South Asia
Language
English
ISSN
1752-1947
Abstract
Background Oral topical corticosteroid gels are widely used in dental medicine. Case studies of central serous retinopathy have been reported following administration of corticosteroids, but none so far coinciding with the use of topical fluocinonide gel. This case report further contributes to the database of potential risks of corticosteroid use. Case presentation A 40-year-old South Asian woman presented with decreased vision, pigment epithelial detachments, and serous retinal detachments in both eyes 1 month after starting treatment with topical fluocinonide 0.05%, a topical oral corticosteroid gel. Her condition resolved 6 months after discontinuing the use of the steroid. Conclusions To the best of our knowledge, this is the first case of idiopathic central serous retinopathy associated with the use of oral fluocinonide gel. Discontinuing the use of the steroid may result in resolution of the serous retinal detachment and improvement of visual symptoms. Patients and their doctors who prescribe this medication should be aware of this association. Keywords: Pigment epithelial detachment, Central serous chorioretinopathy, Fluocinonide, Topical oral gel
Author(s): Preston O'Brien[sup.1] , Ryan C. Young[sup.1,2] , Shelley Day Ghafoori[sup.1,2] , C. Armitage Harper[sup.1,2] and Robert W. Wong[sup.1,2] Background Patients with idiopathic central serous retinopathy (CSR) develop a serous [...]