Central Serous Chorioretinopathy and Pregnancy: A Case Report

Abstract

Introduction: Central serous chorioretinopathy (CSCR) is a macular retinal serous detachment associated with one or more leak points in the pigment epithelium. We present a case of spontaneous evolution in the 3rd trimester of pregnancy in a primiparous woman. Observation: This was a 27-year-old student, admitted for a sharp drop in visual acuity in the left eye. During the interrogation, a notion of 32 weeks of pregnancy-induced amenorrhea and a context of preparations for end-of-year school exams were noted. Ophthalmological examination revealed visual acuity in the left eye limited to counting the fingers at 3 meters. In the eye fundus, a bubble occupying the macular region of the left eye appeared. The examination of the right eye was strictly normal. The general examination was normal with normal blood pressure. Optical coherence tomography (OCT) brought out a large serous retinal detachment confirming the diagnosis. Faced with this diagnosis of central serous chorioretinopathy, therapeutic abstention with surveillance has been proposed. The delivery route was discussed because of the impact of pushing phases during vaginal delivery on the existing CSCR. Ophthalmologic examination performed 3 months after vaginal delivery was strictly normal with visual acuity at 10/10th and total disappearance of retinal detachment at OCT. Discussion: Central serous chorioretinopathy is a relatively common ocular condition but whose pathophysiology is still controversial. Pregnancy is a known risk factor for central serous chorioretinopathy. The spontaneous resorption of central serous chorioretinopathy during pregnancy is reported in the literature, hence a therapeutic abstention with ophthalmological monitoring. Conclusion: Pregnancy in a primiparous woman is a stress factor that can promote central serous chorioretinitis.