ESCRS - PO0103 - Unilateral Central Serous Chorioretinopathy (Cscr) Following Femtosecond Lasik For Myopia

Unilateral Central Serous Chorioretinopathy (Cscr) Following Femtosecond Lasik For Myopia

Published 2023 - 41st Congress of the ESCRS

Reference: PO0103 | Type: Case report | DOI: 10.82333/x4b5-me59

Authors: Sushank Ashok Bhalerao* 1 , Pratik Gogri 2 , Sowjanya Vuyyuru 1 , Uma Thigale 3

1Cornea, Cataract and Refractive Surgery Department,L V Prasad Eye Institute,Vijayawada, Andhra Pradesh,India, 2Cornea,Cataract and Refractive Surgery Department,Dr Agarwals Eye Institute,Navi Mumbai, Maharashtra,India, 3Cornea,Cataract and Refractive Surgery Department,L V Prasad Eye Institute,Vijayawada, Andhra Pradesh,India

  • Laser-assisted in situ Keratomileusis (LASIK) is associated with development of vitreoretinal complications including retinal breaks, retinal
    detachment, vitreous hemorrhage, choroidal neovascularization, and macular hemorrhage.
  • Central serous chorioretinopathy (CSCR) as a complication of refractive surgery is rare with only 4 previously reported cases.These reports identified 2 hyperopic and 1 myopic patient who developed CSCR shortly after LASIK and 1 patient who developed CSCR with choroidal neovascularization (CNV).
  • We herein describe the first reported case of CSCR to present after Femtosecond LASIK in both eyes.

We describe a rare case of unilateral central serous chorioretinopathy occurring after Femtosecond LASIK for myopia correction in both eyes in a healthy middle-aged man.

  • A man in his 50's presented to our out-patient department with complaints of decreased vision in the right eye for 1 month.
  • Patient has undergone FEMTOSECOND LASIK in both eyes 1month ago elsewhere. Patient had no ocular, medical, drug history.
  • On examination, his best corrected visual acuity(BCVA) was 20 /40 with +2.50/ -1.75 @ 140 and N6 with add +3.00D in the right eye and left eye was 20/25 and near vision N6.
  • Slit lamp examination of both eyes revealed 360 degrees LASIK flap with dilated vessels over sclera and monofocal intraocular lens in right eye and multifocal intraocular lens in left eye. Dilated fundus examination revealed subretinal fluid at macula with dull foveal reflex in right eye and within normal limits in left eye.
  • Anterior segment optical coherence tomography showed flap thickness of 120 microns in the right eye and 64 microns in the left eye.
  • OCT macula revealed sub macular fluid pocket with pachychoroid and attached vitreous phase. Diagnosis of right eye Central serous
    chorioretinopathy was made and confirmed by Indocyanine green and Fluorescein angiography.
  • Patient was started on topical NSAIDS (Nepafenac 0.1% eye drops thrice daily). After 1month, BVCA improved to 20/25 with -1.75D @ 140 and N6 with add +3.00D.

1. A dilated fundus examination will be helpful in revealing subtle retinal pathology that may be the cause of unexplained poor visual acuity following refractive surgery.
2. Optical coherence tomography or fundus fluorescein angiography may be helpful in revealing non-corneal causes of unexplained poor visual
acuity
3. Acute CSCR is a self-resolving disease in approximately 90% of cases