May 2020 Image of the Month

Image of the Month, a recurring feature in Retinal Physician since 2006, spotlights diagnostic images captured by industry practitioners using innovative technology and diagnostic instruments.

Central Serous Retinopathy Secondary to Eczema Treatment


Images Courtesy of Netan Choudhry, MD FRCS(C), DABO Co-Founder & Medical Director, Vitreous Retina Macula Specialists of Toronto, Toronto, Canada


A 45-year-old male currently taking topical prednisone cream for eczema was referred to our clinic for distorted and blurry vision in his right eye, testing at 20/80 OD.

Swept Source OCT from the Topcon DRI OCT Triton (Images D & E) demonstrated a thickened choroid and subretinal fluid as well as subretinal hyperreflective material overlying the fovea.

Fundus autofluorescence imaging (Image A) showed central hyperautofluorescence consistent with subretinal fluid, confirming the diagnosis of Central Serous Retinopathy.


Central Serous Retinopathy


A. Fundus Autofluorescence Image (TRC-50DX)
B. OCT EnFace Image (Triton)
C. 50O True Color Fundus Photo (TRC- 50DX)
D. Swept Source OCT Horizontal B-Scan (Triton)
E. Swept Source OCT Vertical B-Scan (Triton)

The opinions, ideas, views and assumptions expressed are the author's own and do not necessarily represent the views of Topcon, nor do they constitute advice from Topcon.

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