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Eur J Ophthalmol. 2011 Sep-Oct;21(5):661-4. doi: 10.5301/EJO.2011.6449.

Central serous chorioretinopathy as a presenting symptom of endogenous Cushing syndrome: a case report.

Author information

1
Department of Ophthalmology, Faculty of Medicine, Sapienza University, Rome, Italy. l.iannetti@policlinicoumberto1.it

Abstract

PURPOSE:

To report a case of Cushing syndrome due to adrenocortical adenoma revealed by central serous chorioretinopathy.

MATERIALS AND METHODS:

A 45-year-old man presented with blurred vision and metamorphopsia in the left eye. He reported few episodes of high blood pressure in the last 3 months.

RESULTS:

Visual acuity was 20/40 in the left eye. Fundus oculi examination revealed central serous chorioretinopathy in the left eye. Grade 1 hypertension was found. Increased serum and urinary levels of cortisol and reduced serum levels of ACTH were observed. Diagnosis of Cushing syndrome was made. Computed tomography scan revealed a right adrenal mass that was surgically removed; histologic examination showed an adrenocortical adenoma. Three months after surgical treatment, visual acuity improved to 20/20 and central serous chorioretinopathy completely resolved.

CONCLUSIONS:

Central serous chorioretinopathy may be the presenting symptom of Cushing syndrome in a patient with adrenocortical adenoma.

PMID:
21404219
DOI:
10.5301/EJO.2011.6449
[Indexed for MEDLINE]

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