Central serous retinopathy associated with topical oral corticosteroid use: a case report.
Central serous chorioretinopathy
Fluocinonide
Pigment epithelial detachment
Topical oral gel
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
02 Jul 2019
02 Jul 2019
Historique:
received:
03
12
2018
accepted:
04
06
2019
entrez:
3
7
2019
pubmed:
3
7
2019
medline:
16
1
2020
Statut:
epublish
Résumé
Oral topical corticosteroid gels are widely used in dental medicine. Case studies of central serous retinopathy have been reported following administration of corticosteroids, but none so far coinciding with the use of topical fluocinonide gel. This case report further contributes to the database of potential risks of corticosteroid use. A 40-year-old South Asian woman presented with decreased vision, pigment epithelial detachments, and serous retinal detachments in both eyes 1 month after starting treatment with topical fluocinonide 0.05%, a topical oral corticosteroid gel. Her condition resolved 6 months after discontinuing the use of the steroid. To the best of our knowledge, this is the first case of idiopathic central serous retinopathy associated with the use of oral fluocinonide gel. Discontinuing the use of the steroid may result in resolution of the serous retinal detachment and improvement of visual symptoms. Patients and their doctors who prescribe this medication should be aware of this association.
Sections du résumé
BACKGROUND
BACKGROUND
Oral topical corticosteroid gels are widely used in dental medicine. Case studies of central serous retinopathy have been reported following administration of corticosteroids, but none so far coinciding with the use of topical fluocinonide gel. This case report further contributes to the database of potential risks of corticosteroid use.
CASE PRESENTATION
METHODS
A 40-year-old South Asian woman presented with decreased vision, pigment epithelial detachments, and serous retinal detachments in both eyes 1 month after starting treatment with topical fluocinonide 0.05%, a topical oral corticosteroid gel. Her condition resolved 6 months after discontinuing the use of the steroid.
CONCLUSIONS
CONCLUSIONS
To the best of our knowledge, this is the first case of idiopathic central serous retinopathy associated with the use of oral fluocinonide gel. Discontinuing the use of the steroid may result in resolution of the serous retinal detachment and improvement of visual symptoms. Patients and their doctors who prescribe this medication should be aware of this association.
Identifiants
pubmed: 31262360
doi: 10.1186/s13256-019-2143-3
pii: 10.1186/s13256-019-2143-3
pmc: PMC6604175
doi:
Substances chimiques
Anti-Inflammatory Agents
0
Gels
0
Fluocinonide
2W4A77YPAN
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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