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Chronic Central Serous Chorioretinopathy Sequelae in Autofluorescence: Case Report and Literature Review

Abstract:
Central serous chorioretinopathy is the fourth most common nonsurgical retinopathy associated with subretinal fluid (SRF), whose chronic presence can ultimately damage the retinal pigment epithelium (RPE), although in some cases underlying multifocal choroidal vascular dysfunction can directly affect the RPE without the presence of SRF. In our case report, we present a patient with decreased visual acuity and photopsia with a history of corticosteroid treatment, whose complementary studies, such as OCT and autofluorescence (FAF), led us to conclude that we were dealing with chronic central serous chorioretinopathy with minimal residual accumulation of SRF, with RPE damage. In our review, we found the importance of autofluorescence (FAF) images that can help estimate the duration of the SRF episode and the damage induced by it, in addition to helping determine the appropriate treatment strategy