Response to Letter Regarding Article, “Spontaneous Resolution of Central Serous Chorioretinopathy in a Patient With Congenital Retinal Macrovessel”
I sincerely thank Lee et al for their interest in our article.1 I also appreciate their words about the value of this case report to provide information regarding the etiologic relationship between central serous chorioretinopathy and congenital retinal macrovessel (CRM). Although they might be right about the origin of the macular edema from an anastomotic site at the CRM, the level of the leakage is not completely clear. Likewise, the spontaneous resolution of the condition in 1 month, the existence of a recent stressful episode, and the elevated 24-hour urine cortisol levels argue in favor of a central serous chorioretinopathy. Unfortunately, I did not have spectral domain optical coherence tomography at the moment the patient was visited. Nevertheless, there is not always a typical serous retinal detachment in the previously described cases of CRM. Thus, the optical coherence tomography findings observed in our case are comparable to those reported by Arai et al,2 which revealed a combination of serous retinal detachment with certain amount of intraretinal fluid in the inner retina. Finally, another case of central serous chorioretinopathy associated with a CRM has already been reported.3 As in Kumar′s case, whether our central serous chorioretinopathy could be caused by CRM or whether these are coincidental findings remains to be determined.
Francisco J. Ascaso, MD, PhD
Department of Ophthalmology
“Lozano Blesa” University Clinic Hospital
Aragon Health Sciences Institute
- © 2012 American Heart Association, Inc.