Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2015

Open Access 01-12-2015 | Case report

Central serous chorioretinopathy and systemic corticosteroids in rheumatic diseases: report of three cases

Authors: Elia Valls Pascual, Lucía Martínez-Costa, Fernando Santander

Published in: BMC Musculoskeletal Disorders | Issue 1/2015

Login to get access

Abstract

Background

Central serous chorioretinopathy is a disorder often related to systemic corticosteroids, drugs commonly used in rheumatologists’ clinical practice. Central serous chorioretinopathy prognosis is generally good but in some cases, it may lead to substantial loss of vision resulting in an important functional limitation for patients.
It is very important to distinguish this pathology from other diseases involving retinal detachment. When central serous chorioretinopathy and uveitis coexist, it is mandatory to distinguish serous retinal detachment from a uveitis worsening, as the respective treatments can be radically different.

Case presentation

We describe three cases of central serous chorioretinopathy in patients taking systemic corticosteroids due to rheumatological diseases (ankylosing spondylitis, systemic lupus erythematosus and Behçet’s disease). They were diagnosed and managed at our Multidisciplinary (Rheumatology-Ophthalmology) Uveitis Clinic. All three cases improved after corticosteroids dose tapering.

Conclusion

Central serous chorioretinopathy must be kept in mind by rheumatologists as it is related to systemic corticosteroids.
Literature
1.
2.
go back to reference Gelber GS, Schatz H. Loss of vision due to central serous chorioretinopathy following psychological stress. Am J Psychiatry. 1987;144:46–50.CrossRefPubMed Gelber GS, Schatz H. Loss of vision due to central serous chorioretinopathy following psychological stress. Am J Psychiatry. 1987;144:46–50.CrossRefPubMed
3.
go back to reference Errera MH, Kohly RP, da Cruz L. Pregnancy-associted retinal diseases and their management. Surv Ophthalmol. 2013;58:127–42.CrossRefPubMed Errera MH, Kohly RP, da Cruz L. Pregnancy-associted retinal diseases and their management. Surv Ophthalmol. 2013;58:127–42.CrossRefPubMed
4.
go back to reference Farzan K, Rezaei L, Ghanbari H, Dehghani A. Central serous chorioretinopathy following kidney transplantation. Saudi J Kidney Dis Transpl. 2014;25(3):615–20.CrossRefPubMed Farzan K, Rezaei L, Ghanbari H, Dehghani A. Central serous chorioretinopathy following kidney transplantation. Saudi J Kidney Dis Transpl. 2014;25(3):615–20.CrossRefPubMed
5.
go back to reference Tsai DC, Chen SJ, Huang CC, Chou P, Chung CM, Chan WL, et al. Risk of central serous chorioretinopathy in adults prescribed oral corticosteroids: a population-based study in Taiwan. Retina. 2014;34(9):1867–74.CrossRefPubMed Tsai DC, Chen SJ, Huang CC, Chou P, Chung CM, Chan WL, et al. Risk of central serous chorioretinopathy in adults prescribed oral corticosteroids: a population-based study in Taiwan. Retina. 2014;34(9):1867–74.CrossRefPubMed
6.
go back to reference Stefaniotou M, Vourda E, Katsanos A, Aspiotis M. Multifocal 218 central serous chorioretinopathy associated with steroids in a patient with myasthenia gravis. Case Rep Ophthalmol. 2013;4(2):1–6.CrossRefPubMedPubMedCentral Stefaniotou M, Vourda E, Katsanos A, Aspiotis M. Multifocal 218 central serous chorioretinopathy associated with steroids in a patient with myasthenia gravis. Case Rep Ophthalmol. 2013;4(2):1–6.CrossRefPubMedPubMedCentral
7.
go back to reference Grixti A, Kumar V. Steroid induced central serous chorioretinopathy in giant cell arteritis. Case Rep Ophthalmol Med. 2013;2013:924037.PubMedPubMedCentral Grixti A, Kumar V. Steroid induced central serous chorioretinopathy in giant cell arteritis. Case Rep Ophthalmol Med. 2013;2013:924037.PubMedPubMedCentral
8.
go back to reference Karadimas P, Bouzas EA. Glucocorticoid use represents a risk factor for central serous chorioretinopathy: a prospective, case–control study. Graefes Arch Clin Exp Ophthalmol. 2004;242(9):800–2.CrossRefPubMed Karadimas P, Bouzas EA. Glucocorticoid use represents a risk factor for central serous chorioretinopathy: a prospective, case–control study. Graefes Arch Clin Exp Ophthalmol. 2004;242(9):800–2.CrossRefPubMed
9.
go back to reference Bouzas EA, Karadimas P, Pournaras CJ. Central serous chorioretinopathy and glucocorticoids. Surv Ophthalmol. 2002;47(5):431–48.CrossRefPubMed Bouzas EA, Karadimas P, Pournaras CJ. Central serous chorioretinopathy and glucocorticoids. Surv Ophthalmol. 2002;47(5):431–48.CrossRefPubMed
10.
go back to reference Thoelen AM, Bernasconi PP, Schmid C, Messmer EP. Central serous chorioretinopathy associated with a carcinoma of the adrenal cortex. Retina. 2000;20:98–9.CrossRefPubMed Thoelen AM, Bernasconi PP, Schmid C, Messmer EP. Central serous chorioretinopathy associated with a carcinoma of the adrenal cortex. Retina. 2000;20:98–9.CrossRefPubMed
11.
go back to reference Hannouche D1, Korobelnik JF, Cochereau I, Hayem G, Beaudreuil J, Meyer O, et al. Systemic lupus erythematosus with choroidopathy and serous retinal detachment. Int Ophtalmol. 1995;19(2):125–7. Hannouche D1, Korobelnik JF, Cochereau I, Hayem G, Beaudreuil J, Meyer O, et al. Systemic lupus erythematosus with choroidopathy and serous retinal detachment. Int Ophtalmol. 1995;19(2):125–7.
12.
go back to reference Matsuo T, Nakayama T, Koyama T, Matsuo N. Multifocal pigment epitelial damages with serous retinal detachment in systemic lupus erythematosus. Ophtalmologica. 1987;195(2):97–102.CrossRef Matsuo T, Nakayama T, Koyama T, Matsuo N. Multifocal pigment epitelial damages with serous retinal detachment in systemic lupus erythematosus. Ophtalmologica. 1987;195(2):97–102.CrossRef
13.
go back to reference Wang M, Munch IC, Hasler PW, Prünte C, Larsen M. Central serous chorioretinopathy. Acta Ophthalmol. 2008;86:126–45.CrossRefPubMed Wang M, Munch IC, Hasler PW, Prünte C, Larsen M. Central serous chorioretinopathy. Acta Ophthalmol. 2008;86:126–45.CrossRefPubMed
14.
go back to reference Khairallah M, Kahloun R, Tugal-Tutkun I. Central serous chorioretinopathy, corticosteroids, and uveitis. Ocul Immunol Inflamm. 2012;20(2):76–85.CrossRefPubMed Khairallah M, Kahloun R, Tugal-Tutkun I. Central serous chorioretinopathy, corticosteroids, and uveitis. Ocul Immunol Inflamm. 2012;20(2):76–85.CrossRefPubMed
15.
go back to reference Nicholson B, Noble J, Forooghian F, Meyerle C. Central serous 241 chorioretinopathy: update on pathophysiology and treatment. Surv Ophthalmol. 2013;58(2):103–26.CrossRefPubMedPubMedCentral Nicholson B, Noble J, Forooghian F, Meyerle C. Central serous 241 chorioretinopathy: update on pathophysiology and treatment. Surv Ophthalmol. 2013;58(2):103–26.CrossRefPubMedPubMedCentral
Metadata
Title
Central serous chorioretinopathy and systemic corticosteroids in rheumatic diseases: report of three cases
Authors
Elia Valls Pascual
Lucía Martínez-Costa
Fernando Santander
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2015
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-015-0843-4

Other articles of this Issue 1/2015

BMC Musculoskeletal Disorders 1/2015 Go to the issue