|Year : 2022 | Volume
| Issue : 2 | Page : 624
Hyporeflective spot in fibrinous central serous chorioretinopathy
Akshita Aggarwal, Ankur Singh, Gopal K Das
Department of Ophthalmology, University College of Medical Sciences, New Delhi, India
|Date of Web Publication||13-Apr-2022|
Assistant Professor, Department of Ophthalmology, University College of Medical Sciences, New Delhi - 110095
Source of Support: None, Conflict of Interest: None
|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
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.,
|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|| |
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