A possible association between intraocular pressure changes and pigment epithelial detachment in central serous chorioretinopathy

• Published in: Acta ophthalmologica (Oxford, England) England), 2024-11, Vol.102 (7), p.843-848
• Main Authors: Balaratnasingam, Chandrakumar, Curcio, Christine A., Morgan, William H., Dijk, Elon H. C.
• Format: Article
• Language: English
• Subjects: Adult; Bruch Membrane - pathology; central serous chorioretinopathy; Central Serous Chorioretinopathy - complications; Central Serous Chorioretinopathy - diagnosis; Central Serous Chorioretinopathy - physiopathology; Female; Fluorescein Angiography - methods; Humans; intraocular pressure; Intraocular Pressure - physiology; Male; Middle Aged; Pathogenesis; Retinal Detachment - diagnosis; Retinal Detachment - etiology; Retinal Detachment - physiopathology; retinal pigment epithelial detachment; Retinal Pigment Epithelium - pathology; Tomography, Optical Coherence - methods; Visual Acuity - physiology
• ISSN: 1755-375X; 1755-3768; 1755-3768
• DOI: 10.1111/aos.16730

Central serous chorioretinopathy (CSC) is a frequently occurring chorioretinal disease, that is commonly associated with subretinal fluid accumulation in a generally young population. Even though choroidal abnormalities have been found to be of importance, the exact pathogenesis of CSC is still being learned. The origin of pigment epithelial detachments, seen in many CSC patients, is also unclear. Based on the follow‐up of a CSC patient for more than 5 years, we hypothesize that intraocular pressure and, by extension, the pressure gradient across the Bruch's membrane, may be one factor in the pathogenesis of pigment epithelial detachments in CSC, which might very well have implications for the occurrence of and possible ways to prevent subretinal fluid in CSC.