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Published in: Journal of Medical Case Reports 1/2019

Open Access 01-12-2019 | Retinal Detachment | Case report

Central serous retinopathy associated with topical oral corticosteroid use: a case report

Authors: Preston O’Brien, Ryan C. Young, Shelley Day Ghafoori, C. Armitage Harper, Robert W. Wong

Published in: Journal of Medical Case Reports | Issue 1/2019

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Abstract

Background

Oral topical corticosteroid gels are widely used in dental medicine. Case studies of central serous retinopathy have been reported following administration of corticosteroids, but none so far coinciding with the use of topical fluocinonide gel. This case report further contributes to the database of potential risks of corticosteroid use.

Case presentation

A 40-year-old South Asian woman presented with decreased vision, pigment epithelial detachments, and serous retinal detachments in both eyes 1 month after starting treatment with topical fluocinonide 0.05%, a topical oral corticosteroid gel. Her condition resolved 6 months after discontinuing the use of the steroid.

Conclusions

To the best of our knowledge, this is the first case of idiopathic central serous retinopathy associated with the use of oral fluocinonide gel. Discontinuing the use of the steroid may result in resolution of the serous retinal detachment and improvement of visual symptoms. Patients and their doctors who prescribe this medication should be aware of this association.
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Metadata
Title
Central serous retinopathy associated with topical oral corticosteroid use: a case report
Authors
Preston O’Brien
Ryan C. Young
Shelley Day Ghafoori
C. Armitage Harper
Robert W. Wong
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-019-2143-3

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