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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 624

Hyporeflective spot in fibrinous central serous chorioretinopathy


Department of Ophthalmology, University College of Medical Sciences, New Delhi, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Ankur Singh
Assistant Professor, Department of Ophthalmology, University College of Medical Sciences, New Delhi - 110095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1576_21

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How to cite this article:
Aggarwal A, Singh A, Das GK. Hyporeflective spot in fibrinous central serous chorioretinopathy. Indian J Ophthalmol Case Rep 2022;2:624

How to cite this URL:
Aggarwal A, Singh A, Das GK. Hyporeflective spot in fibrinous central serous chorioretinopathy. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 18];2:624. Available from: https://www.ijoreports.in/text.asp?2022/2/2/624/342889



A 39-year-old patient presented with a decrease in vision in the right eye for 7 months. The best-corrected visual acuity was 6/24 and intraocular pressure was 20 mmHg. Fundus examination revealed a yellowish-white juxta foveal lesion with a translucent center [Figure 1]a. Spectral-domain optical coherence tomography (SD-OCT) revealed a circular subretinal hyperreflective lesion with central hyporeflectivity [Figure 1]b. Diagnosis of fibrinous central serous chorioretinopathy (CSC) was made. Hyporeflective spot on SD-OCT in fibrinous CSCs is a crucial sign of leak secondary to retinal pigment epithelial defect in most of the cases, where fundus fluorescein angiography (FFA) is not possible.[1],[2]
Figure 1: Hyporeflective spot in fibrinous central serous chorioretinopathy, (a) Fundus photograph showing yellowish-white juxta-foveal lesion with a translucent center (dotted circle). (b) SD-OCT scan passing through the lesion showing the retinal pigment epithelium (RPE) detachment, dipping of outer retinal layers (white arrow) is seen above hyporeflective spot suggestive of a potential site of leak leading to the neurosensory detachment at the fovea, with elongation of photoreceptor outer segment along with subtle RPE thickening

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  References Top

1.
Rajesh B, Kaur A, Giridhar A, Gopalakrishnan M. “Vacuole” sign adjacent to retinal pigment epithelial defects on spectral domain optical coherence tomography in central serous chorioretinopathy associated with subretinal fibrin. Retina 2017;37:316-24.  Back to cited text no. 1
    
2.
Parchand S, Gupta V, Gupta A, Dogra MR, Singh R, Sharma A. Dark spot in fibrinous central serous chorioretinopathy masquerading choroiditis. Ocul Immunol Inflamm 2013;21:201-6.  Back to cited text no. 2
    


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