Spontaneous Resolution of Central Serous Chorioretinopathy in a Patient With Congenital Retinal Macrovessel

Abstract

An otherwise healthy 46-year-old man complained with sudden visual loss and a black spot in his left eye. The patient referred a recent stressful episode and was not using corticosteroids. Best-corrected visual acuity was 20/20 and 20/40 in the right eye and left eye, respectively. Applanation tonometry and anterior segment examination of both eyes were unremarkable. Fundus examination of the left eye revealed a serous elevation of the retina in the macular area, with loss of foveal reflex. There was also a peculiar, large aberrant superotemporal venule branching inferiorly and crossing the horizontal raphe with several tributaries, two of which passed through the macula, but not involving the fovea. The right fundus was normal. Fundus fluorescein angiography (FFA) of the left eye showed a few microaneurysms in the capillary network of the perifoveal area and an ink blot pattern of leak in the temporal juxtafoveal area with diffuse spreading of the stain accumulating under the retina at the late stage with the typical aspect of …