Perfluorocarbon Liquid-Assisted External Drainage in the Management of Central Serous Chorioretinopathy with Bullous Serous Retinal Detachment.

The differential diagnosis of serous retinal detachment (RD) includes Vogt-Koyanagi-Harada syndrome, severe hypertensive choroidopathy, posterior scleritis, multifocalchoroiditis, metastatic tumor, and uveal effusion. Some cases of serous retinal detachmentoccur as a result of central serous chorioretinopathy (CSCR). Typical CSCR generallyaffects healthy middle-aged males and is characterized by localized serous RD of the neurosensoryretina and retinal pigment epithelium in the macula that often spontaneouslyimprove within 2 to 3 months. On rare occasions, variant CSCR with bullous RD occurswhich is frequently misdiagnosed. We report on a case of variant CSCR with severe bullousserous retinal detachment in the left eye that was initially treated at another hospital underthe misdiagnosis of rhegmatogenous retinal detachment. Because the retinal detachmentdeveloped so fast that a laser could not be applied to all leaking spots, we performed a parsplana vitrectomy, perfluorocarbon liquid-assisted external drainage, and final treatment withan endolaser. The retina was well attached after this management.