Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature
The adverse reactions of high-dose exogenous steroid administration are well documented, and central serous chorioretinopathy (CSCR) is one among them. Steroid-induced CSCR has a different clinical profile when compared to idiopathic CSCR and poses a unique clinical challenge, especially when encoun...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
| Subjects: | |
| Online Access: | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=4;spage=376;epage=378;aulast=Mohan |
| _version_ | 1798034194596626432 |
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| author | Roshni Mohan M Arthi Ayshwaria Basker Priya Sivakumar |
| author_facet | Roshni Mohan M Arthi Ayshwaria Basker Priya Sivakumar |
| author_sort | Roshni Mohan |
| collection | DOAJ |
| description | The adverse reactions of high-dose exogenous steroid administration are well documented, and central serous chorioretinopathy (CSCR) is one among them. Steroid-induced CSCR has a different clinical profile when compared to idiopathic CSCR and poses a unique clinical challenge, especially when encountered during the management of posterior-segment inflammation such as optic neuritis and posterior uveitis. The clinical course of steroid-induced CSCR is variable and is not dose dependent. Management options include observation, cessation of steroids when permissible, focal laser, photodynamic therapy, and switching to alternative immunosuppressive therapy. We describe a case of steroid-induced recurrent bilateral CSCR during the treatment of unilateral isolated retrobulbar neuritis in a young male, its clinical course, and management. Our case emphasizes the importance of obtaining prior informed consent explaining the possible side effects of high-dose steroid therapy, and documentation is very important for the management of these complex case scenarios. |
| first_indexed | 2024-04-11T20:40:48Z |
| format | Article |
| id | doaj.art-8f44ac84aaa54c46885c437d0f6056d7 |
| institution | Directory Open Access Journal |
| issn | 2589-4528 2589-4536 |
| language | English |
| last_indexed | 2024-04-11T20:40:48Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj.art-8f44ac84aaa54c46885c437d0f6056d72022-12-22T04:04:13ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362021-01-0159437637810.4103/tjosr.tjosr_163_20Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literatureRoshni MohanM ArthiAyshwaria BaskerPriya SivakumarThe adverse reactions of high-dose exogenous steroid administration are well documented, and central serous chorioretinopathy (CSCR) is one among them. Steroid-induced CSCR has a different clinical profile when compared to idiopathic CSCR and poses a unique clinical challenge, especially when encountered during the management of posterior-segment inflammation such as optic neuritis and posterior uveitis. The clinical course of steroid-induced CSCR is variable and is not dose dependent. Management options include observation, cessation of steroids when permissible, focal laser, photodynamic therapy, and switching to alternative immunosuppressive therapy. We describe a case of steroid-induced recurrent bilateral CSCR during the treatment of unilateral isolated retrobulbar neuritis in a young male, its clinical course, and management. Our case emphasizes the importance of obtaining prior informed consent explaining the possible side effects of high-dose steroid therapy, and documentation is very important for the management of these complex case scenarios.http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=4;spage=376;epage=378;aulast=Mohanexogenous steroidsfocal laseroptic neuritisoptic neuritis treatment trialsteroid-induced central serous chorioretinopathy |
| spellingShingle | Roshni Mohan M Arthi Ayshwaria Basker Priya Sivakumar Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature TNOA Journal of Ophthalmic Science and Research exogenous steroids focal laser optic neuritis optic neuritis treatment trial steroid-induced central serous chorioretinopathy |
| title | Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature |
| title_full | Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature |
| title_fullStr | Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature |
| title_full_unstemmed | Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature |
| title_short | Central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis – “Treatment dilemma” – Case report and review of literature |
| title_sort | central serous chorioretinopathy following intravenous steroid therapy for retrobulbar optic neuritis treatment dilemma case report and review of literature |
| topic | exogenous steroids focal laser optic neuritis optic neuritis treatment trial steroid-induced central serous chorioretinopathy |
| url | http://www.tnoajosr.com/article.asp?issn=2589-4528;year=2021;volume=59;issue=4;spage=376;epage=378;aulast=Mohan |
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