Optos Optomap Panoramic 200MA™ Imaging of a Serous Choroidal Detachment Responsive to Furosemide

Sumit P. Shah Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, University of California, David Geffen School of Medicine, Los Angeles (UCLA), California, USA

, MD,

Atul Jain Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, University of California, David Geffen School of Medicine, Los Angeles (UCLA), California, USA

, MD,

Irena Tsui Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, University of California, David Geffen School of Medicine, Los Angeles (UCLA), California, USA

, MD &

Tara A. McCannel Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, University of California, David Geffen School of Medicine, Los Angeles (UCLA), California, USA

, MD, PhD

Abstract

Purpose: To describe a case of a serous choroidal detachment which resulted after discontinuation of furosemide and illustrate the utility of ultrawide-angle fundus imaging in documenting this lesion in the retinal periphery. Design: Observational case report. Method: An 85 year old female presented with symptoms of a “brown curtain” descending over the left eye which was temporally related to recent discontinuation of oral furosemide. Ultrawide-field photography allowed for accurate documentaton of the choroidal detachments. Result: After resuming furosemide, the serous choroidal detachments resolved. Conclusion: We hypothesize a shift of free water following discontinuation of furosemide as a novel etiology for the development of serous chordoidal detachments. Ultrawide-field fundus photography was useful to document this lesion.

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Optos Optomap Panoramic 200MA™ Imaging of a Serous Choroidal Detachment Responsive to Furosemide

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Optos Optomap Panoramic 200MA™ Imaging of a Serous Choroidal Detachment Responsive to Furosemide

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