Alwassia Ahmad A, Adhi Mehreen, Duker Jay S
New England Eye Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
Int Ophthalmol. 2013 Feb;33(1):79-82. doi: 10.1007/s10792-012-9624-3. Epub 2012 Sep 16.
We present a case of bilateral simultaneous central serous chorioretinopathy (CSCR) in a teenage girl with a history of systemic arterial hypertension. A 19-year-old Caucasian female, with a history of systemic arterial hypertension, presented with gradual decrease in her central vision for 1 month. She was diagnosed with bilateral simultaneous CSCR, based on the findings of spectral domain optical coherence tomography (SD-OCT), indocyanine green angiography (ICG), fundus auto-fluorescence, fluorescein angiography and color fundus photographs, which are described. Blood pressure was 134/95 mmHg at presentation. Systemic evaluation failed to reveal a cause for the high blood pressure, and included a panel of blood tests, which were all normal. Her best-corrected visual acuity was 20/30 OD and 20/25 OS. Dilated fundus examination showed normal optic discs and retinal vasculature, with no evidence of hypertensive retinopathy. However, shallow retinal fluid associated with pigmentary changes was noted in the center of both maculae. OCT and ICG findings were consistent with the diagnosis of bilateral CSCR. CSCR can manifest in patients with demographics outside the range of those previously reported. This is the first report of CSCR occurring in a teenage girl, with a history of systemic arterial hypertension. It is important to consider this disease in any patient who has a clinically compatible presentation.
我们报告一例患有系统性动脉高血压病史的青少年女性双侧同时发生中心性浆液性脉络膜视网膜病变（CSCR）的病例。一名19岁的白种女性，有系统性动脉高血压病史，出现中心视力逐渐下降1个月。根据光谱域光学相干断层扫描（SD - OCT）、吲哚菁绿血管造影（ICG）、眼底自发荧光、荧光素血管造影和彩色眼底照片的检查结果，她被诊断为双侧同时性CSCR，这些检查结果将在文中描述。就诊时血压为134/95 mmHg。系统评估未能发现高血压的病因，包括一组血液检查，结果均正常。她的最佳矫正视力右眼为20/30，左眼为20/25。散瞳眼底检查显示视盘和视网膜血管正常，无高血压性视网膜病变的证据。然而，在两个黄斑中心均发现了伴有色素改变的浅视网膜下液。OCT和ICG检查结果与双侧CSCR的诊断一致。CSCR可在先前报道的人群范围之外的患者中表现出来。这是第一例有系统性动脉高血压病史的青少年女性发生CSCR的报告。对于任何有临床相符表现的患者，考虑这种疾病都很重要。
