Fillers

A patient's view of central serous retinopathy

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7480.1483 (Published 16 December 2004) Cite this as: BMJ 2004;329:1483
  1. Victor Hu, senior house officer (victorhu{at}doctors.org.uk),
  2. Adrian MacFarlane, consultant,
  3. Eddie Doyle, specialist registrar,
  4. Mohammed Rifaat, associate specialist
  1. Maidstone Hospital, Maidstone, Kent ME16 9QQ
  2. Maidstone Hospital, Maidstone, Kent ME16 9QQ

    Patients with disease of the visual pathway use all manner of ways to describe the sensory aberrations they are experiencing. An important part of an ophthalmologist's work is to try to gain a clear impression of a patient's symptoms, and the descriptions that are given often relate to the patient's background and culture. In particular, artists who have visual problems often report minute details and fluctuations in their vividly crafted interpretations of disordered function. Such observations often strongly correlate with the underlying pathophysiology of their condition. A 32 year old man presented to us with a left central serous retinopathy. He works as a graphic designer and was able to combine his professional and artistic skills to generate images showing us the symptoms he was experiencing. The subretinal fluid resolved over the subsequent few months, but he was left with some residual visual distortion.

    Fig 1
    Fig 1

    Images created by the patient showing the metamorphopsia, micropsia, and blurring experienced with the left eye.

    Fig 2
    Fig 2

    Fundus of the left eye showing subretinal fluid

    Fig 3
    Fig 3

    Fluorescein angiogram showing an inkblot appearance

    View Abstract