Pole Cameron, Gaw Stephanie Stephanie L, Tsui Irena Irena
Retina Division, Stein Eye Institute, University of California Los Angeles, 200 Stein Plaza, Los Angeles, CA, 90095, USA.
Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, 550 16th St, Box 0132, San Francisco, CA, 94143, USA.
Am J Ophthalmol Case Rep. 2020 Oct 22;20:100979. doi: 10.1016/j.ajoc.2020.100979. eCollection 2020 Dec.
To describe a case of pregnancy-related central serous chorioretinopathy (pCSCR) and the utility of monitoring with optical coherence tomography (OCT) and OCT angiography (OCTA).
A 34-year-old female in her third trimester of pregnancy presented with symptomatic visual disturbances of the right eye. Medical history was otherwise unremarkable. Optical coherence tomography (OCT) disclosed a serous retinal detachment with trace subretinal fibrin and elevation of the retinal pigment epithelium (RPE). OCT angiography (OCTA) demonstrated absence of choroidal neovascular membrane (CNV). It was decided to monitor with weekly OCTs until delivery, after which the patient had full resolution of symptoms and subretinal fluid.
Pregnancy-related CSCR may be complicated by fibrin deposition and RPE changes suspicious for CNV. This provides evidence of the utility of OCT for monitoring pCSCR progression and of OCTA to non-invasively assess presence of CNV.
描述一例妊娠相关性中心性浆液性脉络膜视网膜病变（pCSCR）病例以及光学相干断层扫描（OCT）和 OCT 血管造影（OCTA）在监测中的应用。
一名妊娠晚期的 34 岁女性出现右眼有症状的视觉障碍。其他病史无异常。光学相干断层扫描（OCT）显示浆液性视网膜脱离伴微量视网膜下纤维蛋白及视网膜色素上皮（RPE）隆起。OCT 血管造影（OCTA）显示无脉络膜新生血管膜（CNV）。决定每周进行 OCT 监测直至分娩，之后患者症状完全缓解且视网膜下液消失。
妊娠相关性 CSCR 可能并发纤维蛋白沉积和疑似 CNV 的 RPE 改变。这为 OCT 监测 pCSCR 进展及 OCTA 无创评估 CNV 的存在提供了有用证据。
