Central serous chorioretinopathy with angioid streaks: a rare combination

Abstract

Purpose: This rare case shows the presence of both angioid streaks (AS) and central serous chorioretinopathy (CSC) in the same eye. Methods: A 41-year-old Caucasian male who also has a positive family history of AS was diagnosed with angioid streaks. He was followed for few years, later developed CSC in his good eye. Results: Fundus fluorescein led to the diagnosis of CSC and indocyanine green angiography ruled out the possibility of idiopathic polypoidal choroidal vasculopathy (IPCV). The CSC followed a chronic course of non-resolution and finally half fluence photodynamic therapy was performed. Unfortunately, there was still some deterioration of vision with poor response. Conclusion: There is no known correlation between the two disorders and their presence in one eye has not been reported to our knowledge.

Keywords: CNV; angioid streaks; central serous chorioretinopathy; choroidal neo-vascularizartion; photodynamic therapy.

Figure 1. A) Right eye showing disciform scar at initial presentation. B) Left eye showing neurosensory elevation at initial presentation.

Figure 2. A) Left eye showing poor response post-PDT at 4 months. B) Left eye showing persistent neurosensory elevation post-PDT at 6 months.