Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2019; 7(16): 2341-2345
Published online Aug 26, 2019. doi: 10.12998/wjcc.v7.i16.2341
A patient misdiagnosed with central serous chorioretinopathy: A case report
Tian-Yu Wang, Zhong-Qi Wan, Qing Peng
Tian-Yu Wang, Department of Ophthalmology, Minhang Hospital, Fudan University, Shanghai 201199, China
Zhong-Qi Wan, School of Public Health, Nanjing Medical University Nanjing 211166, Jiangsu Province, China
Qing Peng, Department of Ophthalmology, Tenth People’s Hospital of Shanghai Affiliated to Tongji University, Shanghai 200072, China
Author contributions: Wan ZQ ordinated and provided the collection of the information of the patient; Peng Q designed the study; Wang TY wrote the manuscript.
Informed consent statement: Written informed consent was obtained from the patient’s for publication of this case report.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Qing Peng, PhD, Doctor, Department of Ophthalmology, Tenth People’s Hospital of Shanghai Affiliated to Tongji University, No. 301 Middle Yanchang Road, Jingan District, Shanghai 200072, China. drqingpeng@126.com
Telephone: +86-13120811345
Received: February 24, 2019
Peer-review started: February 26, 2019
First decision: June 19, 2019
Revised: June 21, 2019
Accepted: July 20, 2019
Article in press: July 20,2019
Published online: August 26, 2019
Processing time: 183 Days and 12.5 Hours
Abstract
BACKGROUND

Due to some similarities in the manifestations between central serous chorioretinopathy (CSC) and polypoidal choroidal vasculopathy (PCV), PCV may be misdiagnosed as CSC. More attention should be paid to distinguishing these two disorders.

CASE SUMMARY

A 52-year-old woman presented to our hospital with blurred vision in her left eye for approximately 1 wk. Anterior segment and intraocular pressure findings were normal in both eyes. Fundus photography of the left eye showed a seemingly normal adult oculus fundus without any obvious hard exudate or hemorrhage. Optical coherence tomography exhibited a hypo-reflective space beneath both the neurosensory retina and the pigment epithelium layer. The late phase of fluorescein angiography revealed increased leakage. The patient was initially diagnosed with CSC. At follow-up, however, the final diagnosis turned out to be PCV.

CONCLUSION

CSC and PCV are two different retinal entities. Lipid deposition and hemorrhage are the most important elements that lead to confusion between these two entities. Indocyanine green angiography should be performed to make a definitive diagnosis, especially in cases with suspected PCV.

Keywords: Central serous chorioretinopathy; Polypoidal choroidal vasculopathy; Optical coherence tomography; Case report

Core tip: Polypoidal choroidal vasculopathy and central serous chorioretinopathy are different diseases. While relatively mature research has been done on central serous chorioretinopathy, there is no unified understanding of polypoidal choroidal vasculopathy. These two diseases have some common symptoms, which have been plaguing clinicians. This case report provides a good example for the differential diagnosis between them. It also provides an alternative treatment for the clinical treatment of polypoidal choroidal vasculopathy.