The patient was a 98-year-old man with pigmentary disturbances in the right eye. He had no acute visual complaints. The visual acuity was 20/25 OD and 20/20 OS. He was pseudophakic without posterior capsular opacity in either eye. Based on the OCTs and fundus photos, what was the most likely cause of the pigmentary disturbances?
The right fundus photo reveals drusen and there are pigmentary disturbances under the inferotemporal arcade and below the disc. The left fundus photo also reveals drusen. Neither eye has hemorrhages or hard exudates. There is peripheral reticular degeneration in each eye. The OCTs show drusen and focal disruption of the outer retinal layers in each eye. The right eye has a small neurosensory detachment above the fovea. There is choroidal thickening as well as pachyvessels in each eye.
Both eyes had dry AMD In each eye and also choroidal thickening and pachyvessels. The pigmentary changes in the right eye are quite characteristic of central serous chorioretinopathy (CSC). Patients with CSC often have longstanding neurosensory detachments that develop dependent subretinal fluid oriented inferiorly, which results in disruption of the underlying retinal pigment epithelium.
The right fundus photo reveals drusen and there are pigmentary disturbances under the inferotemporal arcade and below the disc. The left fundus photo also reveals drusen. Neither eye has hemorrhages or hard exudates. There is peripheral reticular degeneration in each eye. The OCTs show drusen and focal disruption of the outer retinal layers in each eye. The right eye has a small neurosensory detachment above the fovea. There is choroidal thickening as well as pachyvessels in each eye.
Both eyes had dry AMD In each eye and also choroidal thickening and pachyvessels. The pigmentary changes in the right eye are quite characteristic of central serous chorioretinopathy (CSC). Patients with CSC often have longstanding neurosensory detachments that develop dependent subretinal fluid oriented inferiorly, which results in disruption of the underlying retinal pigment epithelium.
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