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Photo Essay
January 2003

Central Serous Chorioretinopathy Exhibiting a Vitelliform Lesion Similar to Best Disease

Arch Ophthalmol. 2003;121(1):146. doi:10.1001/archopht.121.1.146

A 41-YEAR-OLD MAN complained of reduced vision in his left eye. His corrected visual acuity was 1.0 OD and 0.6 OS. A vitelliform lesion associated with a serous retinal detachment (SRD) in the macula and another SRD superior to the macula were detected in the left eye (Figure 1). The fundus of the right eye was normal, and there was no family history of Best disease.

Fluorescein angiography demonstrated 2 leakage points in the left eye(Figure 2A) that increased in size and intensity (Figure 2B). A diagnosis of central serous chorioretinopathy (CSC) was established on the basis of angiographic findings. At 2 months, the vitelliform lesion and SRD had disappeared(Figure 3), and the visual acuity recovered to 1.0.

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