A bullous variant of central serous chorioretinopathy treated with oral spironolactone

Uma variante bolhosa da coriorretinopatia serosa central tratada com espironolactona oral

ABSTRACT

We report the case of a 39-year-old male patient who presented with visual loss in the right eye for 6 weeks. The best-corrected visual acuity was counting fingers in the right eye and 20/30 in the left eye. The fundus examination demonstrated a right retinal detachment inferiorly extending to the fovea and a left macular serous detachment. After multimodal imaging study, the patient was diagnosed as having a bullous variant of central serous chorioretinopathy and treated with oral spironolactone associated with adjuvant laser photocoagulation. The retinal changes resolved after 6 months. The final visual acuity was 20/20 in both eyes.

Keywords:
Retinal detachment; Central serous chorioretinopathy; Retinal pigment epithelium detachment; Spironolactone; Aldosterone antagonist