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CASE REPORT
Year : 2017  |  Volume : 29  |  Issue : 1  |  Page : 54-56

Oral eplerenone for treatment of bullous retinal detachment secondary to chronic central serous retinopathy


1 Vitreoretina Services, Centre for Sight, New Delhi, India
2 Department of Ophthalmology, Vitreoretina Services, L.V. Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Jay Chhablani
Vitreoretina Services, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus, Banjara Hills, Opp. PVR, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_39_17

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The bullous variant is a rare manifestation of central serous retinopathy (CSR). Multiple therapeutic approaches have been described to treat these bullous detachments which mainly involve laser photocoagulation or surgical drainage. Here, we demonstrate the efficacy of oral eplerenone in the treatment of the bullous variant of CSR. A 44-year-old female presented to us with diminution of vision in the left eye (OS) for 1 month. On clinical examination, she was diagnosed to have a chronic CSR in both eyes along with a bullous retinal detachment in the OS which was confirmed on multimodal imaging. She underwent focal laser, which failed to resolve the bullous variant in the OS, then the patient was started on oral eplerenone for 3 months. At 3-month follow-up, the ultrasound scan of the OS confirmed resolution of the bullous detachment, and some residual subretinal fluid could be noted at the posterior pole. This was maintained till 6-month follow-up. Oral eplerenone can be an effective, cheap, and safer alternative in treating patients with nonresolving bullous detachments secondary to chronic CSR.


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