Central Serous Chorioretinopathy after Caesarean Section

Abstract

Background: We report a case of central serous chorioretinopathy (CSCR) after caesarean section of a 37-year-old Caucasian woman. Four days after an uneventful delivery of twins, the patient noticed blurry vision, metamorphopsia and central scotoma of her right eye. Methods: At presentation, the visual acuity of the right eye was 8/20 and funduscopy revealed a central serous detachment of the retina. Optical coherence tomography displayed an increase of macular thickness to 558μm and fluorescein angiography showed pinpoint leakage at the foveolar avascular zone. Non-steroidal, anti- inflammatory eye drops and acetazolamide tablets were administered. Results: Five months later, macular morphology returned to normal, with a macular thickness of 276μm and a visual acuity of 20/20. Although CSCR has been reported during pregnancy, this is, to the best of our knowledge, the first report of a CSCR following an uneventful caesarean section. Conclusions: CSCR should be taken into account in the differential diagnosis of impaired vision following caesarean section. Women giving birth via caesarean should be informed of the possibility of a postpartum CSCR.