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

- 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 48 year gentleman 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