Sudden Visual Impairment After Caesarean Section | 20846
Journal of Clinical & Experimental Ophthalmology
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Background: We report a case of central serous chorioretinopathy (CSCR) after caesarean section of a 37-year-old Caucasian
woman. Four days after a delivery of twins, the patient noticed blurry vision, metamorphopsia and central scotoma of her right eye.
Methods: At presentation, the visual acuity of the right eye was 8/20 and funduscopy revealed a central serous detachment of
the retina. Optical coherence tomography displayed an increase of macular thickness to 558μm and fluoresce in angiography
showed ?pinpoint? leakage at the foveolar avascular zone. Non-steroidal, anti-inflammatory eyedrops and acetazolamide
tablets were administered.
Results: Five months later, macular morphology returned to normal, with a macular thickness of 276μm and a visual acuity of
20/20. Although CSCR has been reported during pregnancy, this is, to the best of our knowledge, the first report of a central
serous chorioretinopathy following an uneventful caesarean section.
Conclusions: Central serous chorioretinopathy should be taken into account in the differential diagnosis of impaired vision
following caesarean section. Women giving birth via caesarean should be informed of the possibility of a postpartum CSCR
David Eugen KUBIAK was born in Thorn (Poland). Has completed his Ph.D. in 2009 at the Medical University of Vienna (Austria). He obtained the title of FEBO
(Fellow of European Board of Ophthalmology Paris) in 2014. He is a member of the DOG (DOG is the scientific association of ophthalmology in Germany) and a
lecturer since 2010 at the German Ophthalmic Surgeons Congres, in N?rnberg.
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