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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 868

Leaking Beehive Honey Sign – An unusual occurrence of the photoreceptor layer detachment in a case of central serous chorioretinopathy


1 Department of Retina, MN Eye Hospital Private Limited, Chennai, Tamil Nadu, India
2 Academic Director, MN Eye Hospital Private Limited, Chennai, Tamil Nadu, India
3 Department of Glaucoma and Research, Mahathma Eye Hospital Private Limited, Trichy, Tamil Nadu, India
4 Department of Orbit, MN Eye Hospital Private Limited, Chennai, Tamil Nadu, India

Date of Web Publication16-Jul-2022

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No. 6, Tennur, Seshapuram, Trichy - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_943_22

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How to cite this article:
Sekaran S, Madhivanan N, Ramesh PV, Nivean PD. Leaking Beehive Honey Sign – An unusual occurrence of the photoreceptor layer detachment in a case of central serous chorioretinopathy. Indian J Ophthalmol Case Rep 2022;2:868

How to cite this URL:
Sekaran S, Madhivanan N, Ramesh PV, Nivean PD. Leaking Beehive Honey Sign – An unusual occurrence of the photoreceptor layer detachment in a case of central serous chorioretinopathy. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 19];2:868. Available from: https://www.ijoreports.in/text.asp?2022/2/3/868/351220



A 36-year-old male presented with complaints of distorted vision and positive scotoma in the left eye (OS) for the past 15 days. On examination, the best corrected visual acuity (BCVA) was 20/40 in OS. Fundus examination of OS revealed central serous chorioretinopathy [Figure 1]a and normal study in the right eye. The rare interesting feature in this patient is the photoreceptor layer detachment subfoveally, which is seen hanging from the outer retinal layer with subretinal fibrin, visually similar to the oozing honey from the beehive [Figure 1]b, [Figure 1]c, [Figure 1]d. This is an important prognostic indicator, and the patient may require early treatment intervention to prevent loss of photoreceptor layer integrity.[1],[2],[3],[4],[5]
Figure 1: (a) Color fundus photograph showing collection of the subretinal fluid leading to serous retinal detachment suggestive of central serous chorioretinopathy. (b-d) Various scan sections of spectral-domain optical coherence tomography (SD-OCT) revealing subretinal fluid accumulation suggestive of central serous chorioretinopathy and photoreceptor layer detachment with the fibrin subfoveally from the outer layer of the retina, metaphorically mimicking leaking honey from the beehive

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

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Mohanty A, Mahapatra SK. Funduscopy-guided fluorescein angiography-free focal laser photocoagulation for central serous chorioretinopathy. Indian J Ophthalmol 2022;70:890-4.  Back to cited text no. 1
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Chhablani J, Anantharaman G, Behar-Cohen F, Boon C, Manayath G, Singh R. Management of central serous chorioretinopathy: Expert panel discussion. Indian J Ophthalmol 2018;66:1700-3.  Back to cited text no. 2
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Nagesha CK, Megbelayin EO. Bilateral multifocal retinal pigment epithelium detachment and pachychoroidopathy. Indian J Ophthalmol 2018;66:570-1.  Back to cited text no. 3
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Bhende M, Shetty S, Parthasarathy MK, Ramya S. Optical coherence tomography: A guide to interpretation of common macular diseases. Indian J Ophthalmol 2018;66:20-35.  Back to cited text no. 4
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Symeonidis C, Kaprinis K, Manthos K, Androudi S, Anastassilakis K, Dimitrakos SA. Central serous chorioretinopathy with subretinal deposition of fibrin-like material and its prompt response to ranibizumab injections. Case Rep Ophthalmol 2011;2:59-64.  Back to cited text no. 5
    


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