Retina-Vitreous
2010 , Vol 18 , Num 4
Serous Retinal Detachment in a Case Of Breast Carsinoma: Choroidal Metastasis vs Central Serous Choroidoretinopathy
1Gazi Üniversitesi Tıp Fakültesi Hastanesi Göz Hastalıkları A.D. Ankara, Asist. Dr.2Gazi Üniversitesi Tıp Fakültesi Hastanesi Göz Hastalıkları A.D. Ankara, Doç. Dr.
3Gazi Üniversitesi Tıp Fakültesi Hastanesi Göz Hastalıkları A.D. Ankara, Prof. Dr. We aimed to describe serous retinal detachment (SRD) in a case with infiltrative ductal type breast cancer. A 49 yearold woman presented with blurry vision on her left eye for the last week. On her medical history, she had a surgery and chemotherapy 5 years ago because of breast cancer. She was on 10 mg dexamethazone treatment for hypophysis mikroadenoma and she was on follow up for suspected Cushing Syndrome. Her visual acuity (VA) was 1.0 on the right eye and 0.7 on the left with macular exudates in the right eye, bilateral window defects in fluorescein anjiography, and edema of outer retinal layers in OCT. Central serous chorioretinopathy (CSR) was the first in differential diagnosis and she was determined to be followed without treatment. She came back with loss of vision on both eye 15 days later to our clinic. VA was 0.1 on the right eye and finger counting from 1,.5 meter on the left eye. Systemic steroid treatment was stopped then. VA increased to 0.7 in the right and 0,2 in the left eye spontaneously within a month. Her final VA was 1.0 on the right eye and 0.3 on the left eye with total regression of serous retinal detachment. In this particular case, CSR was the diagnosis because of spontaneous resolution of SRD and increase in visual acuity after cessation of steroid. Keywords : Central serous choroidoretinopathy, serous retinal detachment, choroidal metastasis