BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39185.419838.BD (Published 19 April 2007) Cite this as: BMJ 2007;334:858
  1. M Blundell, senior house officer, ophthalmology1,
  2. N Habib, consultant2,
  3. J Collier, general practitioner3
  1. 1Royal Cornwall Hospital, Truro TR1 3JL
  2. 2Royal Eye Infirmary, Plymouth PL4 6PL
  3. 3Surgery, Sutherland Road, Plymouth PL4 6BN
  1. M Blundell mike.claire{at}mac.com

    A woman presented to her general practitioner with a history of spots before her left eye. Direct ophthalmoscopy seemed to show a blurred area at the centre of her macula. Two more patients presented to the same general practitioner that week needing fundal examination, and both displayed similar findings in the left eye only. Realising the problem was in his own eye, the general practitioner referred himself to the ophthalmology department. He was diagnosed as having left central serous chorioretinopathy, an idiopathic accumulation of fluid at the macula, which was confirmed by fluorescein angiography. The condition took four months to resolve, leaving residual retinal pigmentary disturbance.

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