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Central Serous Chorioretinopathy after Rhinoplasty.

Moschos MM, Droutsas K, Margetis I - Case Rep Ophthalmol (2010)

Bottom Line: The left eye was normal.One month after the operation, without any treatment, visual acuity returned to 6/6, the leakage of the retinal pigment epithelium disappeared and the macular thickness returned to 183 μm.Moreover, it widens the spectrum of drugs associated with the occurrence of the disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, University of Athens, Athens, Greece.

ABSTRACT
We report a case of central serous chorioretinopathy after rhinoplasty for deviation of the nasal septum in a 23-year-old Caucasian man. The patient complained of deterioration of vision in the right eye 4 days after rhinoplasty. At presentation, visual acuity of the right eye was 6/9 with metamorphopsia. Fluorescein angiography revealed a focal retinal pigment epithelium leakage and optical coherence tomography an increase in macular thickness to 245 μm. The left eye was normal. One month after the operation, without any treatment, visual acuity returned to 6/6, the leakage of the retinal pigment epithelium disappeared and the macular thickness returned to 183 μm. To the best of our knowledge, central serous chorioretinopathy after rhinoplasty has not been previously reported. This case report shows a possible association between the postoperative stress and central serous chorioretinopathy. Moreover, it widens the spectrum of drugs associated with the occurrence of the disease.

No MeSH data available.


Related in: MedlinePlus

One month after rhinoplasty, the leakage of the RPE in the RE disappeared (a). OCT sections through the macula depict a decrease in retinal thickness (b).
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Figure 2: One month after rhinoplasty, the leakage of the RPE in the RE disappeared (a). OCT sections through the macula depict a decrease in retinal thickness (b).

Mentions: A 23-year-old man presented with a sudden decrease of visual acuity of the right eye (RE) 4 days after rhinoplasty for a deviation of the nasal septum. General anesthesia was induced with propofol 2-5 mg/kg i.v. and sufentanil 0.5 μg/kg i.v. For the first 2 postoperative days, xylometazoline drops were applied topically. No corticosteroids, antibiotics or other postoperative treatment was used. At presentation, best-corrected visual acuity of the RE was 6/9 with metamorphopsia. Fundus examination revealed a well-delineated serous elevation of the macula and fluorescein angiography (FA) showed a focal RPE leakage. The optical coherence tomography (OCT) sections through the macula depicted a mild neurosensory retinal detachment with an increase in retinal thickness equal to 245 μm (fig. 1). The left eye was normal. Two weeks later, without any treatment, a gradual improvement of the symptoms was assessed. One month after the operation, visual acuity of the RE returned to 6/6 and the neurosensory retinal detachment disappeared. Also, FA revealed the disappearance of RPE leakage and the retinal thickness of the macula measured with OCT was 183 μm (fig. 2).


Central Serous Chorioretinopathy after Rhinoplasty.

Moschos MM, Droutsas K, Margetis I - Case Rep Ophthalmol (2010)

One month after rhinoplasty, the leakage of the RPE in the RE disappeared (a). OCT sections through the macula depict a decrease in retinal thickness (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2992423&req=5

Figure 2: One month after rhinoplasty, the leakage of the RPE in the RE disappeared (a). OCT sections through the macula depict a decrease in retinal thickness (b).
Mentions: A 23-year-old man presented with a sudden decrease of visual acuity of the right eye (RE) 4 days after rhinoplasty for a deviation of the nasal septum. General anesthesia was induced with propofol 2-5 mg/kg i.v. and sufentanil 0.5 μg/kg i.v. For the first 2 postoperative days, xylometazoline drops were applied topically. No corticosteroids, antibiotics or other postoperative treatment was used. At presentation, best-corrected visual acuity of the RE was 6/9 with metamorphopsia. Fundus examination revealed a well-delineated serous elevation of the macula and fluorescein angiography (FA) showed a focal RPE leakage. The optical coherence tomography (OCT) sections through the macula depicted a mild neurosensory retinal detachment with an increase in retinal thickness equal to 245 μm (fig. 1). The left eye was normal. Two weeks later, without any treatment, a gradual improvement of the symptoms was assessed. One month after the operation, visual acuity of the RE returned to 6/6 and the neurosensory retinal detachment disappeared. Also, FA revealed the disappearance of RPE leakage and the retinal thickness of the macula measured with OCT was 183 μm (fig. 2).

Bottom Line: The left eye was normal.One month after the operation, without any treatment, visual acuity returned to 6/6, the leakage of the retinal pigment epithelium disappeared and the macular thickness returned to 183 μm.Moreover, it widens the spectrum of drugs associated with the occurrence of the disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, University of Athens, Athens, Greece.

ABSTRACT
We report a case of central serous chorioretinopathy after rhinoplasty for deviation of the nasal septum in a 23-year-old Caucasian man. The patient complained of deterioration of vision in the right eye 4 days after rhinoplasty. At presentation, visual acuity of the right eye was 6/9 with metamorphopsia. Fluorescein angiography revealed a focal retinal pigment epithelium leakage and optical coherence tomography an increase in macular thickness to 245 μm. The left eye was normal. One month after the operation, without any treatment, visual acuity returned to 6/6, the leakage of the retinal pigment epithelium disappeared and the macular thickness returned to 183 μm. To the best of our knowledge, central serous chorioretinopathy after rhinoplasty has not been previously reported. This case report shows a possible association between the postoperative stress and central serous chorioretinopathy. Moreover, it widens the spectrum of drugs associated with the occurrence of the disease.

No MeSH data available.


Related in: MedlinePlus