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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Multifocal central serous chorioretinopathy with photoreceptor-retinal pigment epithelium diastasis in heritable pulmonary arterial hypertension

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  1. OPTICAL COHERENCE TOMOGRAPHY IN JUVENILE NEURONAL CEROID LIPOFUSCINOSIS

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Apical atrophy of retinal pigment epithelial detachments in central serous chorioretinopathy

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  2. Branch retinal vein occlusion precipitated by compression between a major retinal artery and underlying optic disc drusen

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  3. Cone photoreceptor density in the Copenhagen Child Cohort at age 16-17 years

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PURPOSE: To report atypical central serous chorioretinopathy and choroidal thickening in a patient with heritable pulmonary arterial hypertension.

METHODS: A 40-year-old man with heritable pulmonary arterial hypertension presented with blurred vision in his left eye and was followed up for 1 year with clinical examination, enhanced depth optical coherence tomography, fluorescein and indocyanine green angiography, and fundus photography.

RESULTS: At presentation, atypical central serous chorioretinopathy with multiple retinal pigment epithelial detachments, a thick subfoveal choroid, and dilated choroidal vessels were seen in the patient's symptomatic left eye. After treatment for pulmonary hypertension, the serous detachments disappeared and choroidal thickness gradually decreased over a period of 4 weeks and remained unchanged at 13 months of follow-up.

CONCLUSION: Central serous chorioretinopathy and choroidal thickening that responded to treatment of pulmonary arterial hypertension suggest a pathophysiological link between pulmonary arterial hypertension and central serous chorioretinopathy, perhaps mediated by choroidal venous stasis.

Original languageEnglish
JournalRetinal Cases & Brief Reports
Volume9
Issue number1
Pages (from-to)83-7
Number of pages5
ISSN1935-1089
DOIs
Publication statusPublished - 2015

ID: 44845571