Fluorescein-free detection of focal leak in a patient with acute central serous chorioretinopathy

Abstract

Fundus fluorescein angiography (FFA) is considered the gold standard for identifying focal leaks in central serous chorioretinopathy (CSCR). However, there are situations where FFA cannot be performed, and alternative noninvasive investigations are required to pinpoint area of focal leaks. We present a case of a 36-year-old female patient with bilateral steroid induced acute CSCR with three distinct fluorescein-free signs converging in the same area indicating presence of focal leak.

Keywords

• central serous chorioretinopathy
• focal laser
• focal leaks
• fundus fluorescein angiography
• steroid