The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Central serous retinopathy (CSR)

by Dr Adrian Koay, Professor Chua and Dr. Mahadhir Alhady

A 57-year old man presented with a right central scotoma of one-week duration. Fundoscopy revealed a raised macula and the visual acuity was reduced to 6/24 not improved with pin-hole. He had had a similar episode 6 months earlier and this was attributed to central serous retinopathy. The left eye was normal without any evidence of age-related macular degeneration. However, the patient's age was outside the age range for CSR so a OCT was performed to look for any choroidal neovascularization (CNV).  The OCT showed sensory retina detachment without evidence of any breach of retinal pigment epithelium or CNV.

Coloured fundal photo showing raised central macula.

OCT shows detachment of the central sensory retina in the macula.

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