CMO or CSCR?

13 July 2018
Summer 2018

Clinical Editor Kieran Loft MCOptom and Consultant Eye Surgeon Peter Simcock FRCOphth discuss discriminating between the two.

HISTORY OF CHIEF COMPLAINT

A 35-year-old male presented to his optometrist for his first eye examination in 10 years, describing reduced vision in his right eye over the previous two weeks. Intermittent photopsia in the right eye was reported over the last two years. The optometrist identified presumed central serous chorioretinopathy (CSCR) by undilated Volk fundoscopy. Corrected visual acuity (VA) was 6/9, N5 in the right eye and 6/5, N5 in the healthy left eye. He was told the condition was usually self-limiting and routine referral was made directly to the hospital eye service (HES). The patient did not pursue the referral, despite direct contact from the referral centre, because he thought it would improve spontaneously.

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