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Introduction
Central serous chorioretinopathy (CSC) is a well-recognized retinal disease. First described by Albrecht von Graefe in 1866, it is characterized by idiopathic focal detachments of the neurosensory retina or the retinal pigment epithelium (RPE) in the macula. Often the fluid resolves spontaneously. In chronic or recurrent cases, treatment options consist of focal laser photocoagulation or photodynamic therapy, with more recent modalities including micropulse laser and anti--vascular endothelial growth factor agents.
A number of conditions are associated with CSC, including Helicobacter pylori infection, organ transplantation, autoimmune disorders, and medications such as psychotropics and sympathomimetics. Corticosteroid use is the most prevalent drug-related risk factor. Other factors include emotional stress and type A personality. In this case report, we describe a man with CSC who had no known risk factors and whose medical history was significant only for an unusual health supplement, deer antler spray.
Case Report
A 41-year-old white man presented with blurry vision and darkening of vision in his left eye for the past 2 months. He had no significant ocular or medical history and did not use any medications; he denied tobacco and alcohol use. On examination, best corrected visual acuity was 20/20 in the right eye and 20/25 in the left. Pupils, applanation tonometry, confrontation visual fields, Ishihara color plates, and anterior examination findings were normal. Amsler testing results were normal in the right eye but revealed an area of central distortion in the left eye.
On fundus examination, the right eye showed pigmentary changes along with small yellowish-white dots in the central macula. The left eye showed a round, discrete elevation in the macula with similar dots (Figure 1). Spectral-domain optical coherence tomography (SD-OCT)...