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Case 65

Contributor: Shaan Bhambra (McGill University Medical Student)

Patient Presentation: A 41-year-old male presented to a tertiary retina clinic complaining of  “wavy” vision OD for 1 month. His past medical history was significant for hyperlipidemia and diet-controlled T2DM. His only medication was rosuvastatin. He notes new stress at home and work over the last 3 months.

Slit lamp examination was within normal limits. Fundus photos were taken and can be seen below: 


OCTs of the macula were taken and are shown below:


Question: Based on the OCTs above, what is the most likely diagnosis?

Question: Which type of OCT allows for the best visualisation of the choroid?

Question: Which is the most effective treatment for this diagnosis at this time?

Learning Objectives:

  1. OCT identification and treatment of acute CSR

  2. Treatment and management of acute CSR

  3. Risk factors and pathophysiology of CSR

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