Abstract

We report a case of central serous chorioretinopathy (CSC) as a presenting pathology in a patient with undiagnosed Sjogren's syndrome (SS). A 46 years-old man admitted to the ophthalmology department with a history of decreased vision in his left eye for a month. Slit-lamp examination revealed punctate epitheliopathy and mucus plaques in both eyes. Fundus examination showed macular edema in the left eye. Fundus flourescein angiography and optical coherence tomography showed charactherictic leakage in the macular area which confirmed the diagnosis of CSC. Patient was consulted to rheumatology department because of the dry eye symptoms. The patient was diagnosed with SS. Autoimmune diseases were reported as risk factors for CSC but to best of our knowledge this is the first case which reported CSC as the presenting pathology of SS. CSC should be added to the list of manifestations of SS.

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