Abstract
Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup of fluid leading to circumscribed elevation of the retina within the posterior pole. This condition affects young people between the ages of 20 - 50 years. The disease is seen predominantly in men as compared to women. We report the cases of two (02) patients received in consultation at IOTA-Teaching Hospital between July 2019 and February 2020. Case Presentation: We report two cases of Idiopathic stress central serous chorioretinopathy. The first case is a 37-year-old man that we received in consultation for visual acuity decrease from a sudden installation for 1 hour. The clinical and paraclinical arguments permitted us to retain the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient benefited from laser treatment and the clinical evolution was good. The second case is a 42-year-old man, who consulted for a sudden reduction of visual acuity that had been evolving for 3 weeks. The clinical and paraclinical contexts were in favour of the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient was treated with spironolactone. The clinical evolution was favourable. Conclusion: Our study confirms the existence of central serous chorioretinopathy (CSC) in Black African patients. Studies show the connection between CSC and stress.
Highlights
Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup of fluid leading to circumscribed elevation of the retina within the posterior pole
Case Presentation: We report two cases of Idiopathic stress central serous chorioretinopathy
The clinical and paraclinical arguments permitted us to retain the diagnosis of Idiopathic stress central serous chorioretinopathy
Summary
The name Central Serous Chorioretinopathy is accepted because the disease involves both the choroid and retina [5]. The Central Serous Chorioretinopathy is the collection of fluid between the RPE and the neurosensory retina [5]. The Central Serous Chorioretinopathy is characterized by a functional macular and clinical syndrome of serous retinal detachment, most commonly found in the macular region. The literature reported many risk factors of Central Serous Chorioretinopathy such as: local or systemic corticosteroid therapy, Cushing’s disease and pregnancy by increased production of endogenous cortisol; other risk factors independent are Type A personality, antipsychotic medication, and psychological stress [6] [7]. The first description of secondary stress central serous chorioretinopathy goes to the Togolese authors.
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