Evidence map›Paper›PMID 41018434›Full record

ArticleCureus2025

Diagnostic and Management Challenges in Atypical Central Serous Chorioretinopathy Mimicking Vogt-Koyanagi-Harada Disease: A Case Report.

Woan Shian See, Rajasudha Sawri Rajan, Sheena Mary Alexander

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Woan Shian SeeDepartment of Ophthalmology, Hospital Selayang, Kuala Lumpur, MYS.
Rajasudha Sawri RajanDepartment of Ophthalmology, Hospital Selayang, Kuala Lumpur, MYS.
Sheena Mary AlexanderDepartment of Ophthalmology, Queen Elizabeth Hospital, Kota Kinabalu, MYS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central serous chorioretinopathy (CSCR) is characterized by serous detachment of the neurosensory retina and is considered part of the pachychoroid spectrum. Vogt-Koyanagi-Harada (VKH) disease, in contrast, is characterized by bilateral granulomatous panuveitis, exudative retinal detachments, and choroidal thickening. As both are primarily diseases of the choroid, the rare clinical overlap between atypical CSCR and VKH disease can complicate diagnosis. We report a case of atypical CSCR mimicking VKH disease, highlighting the diagnostic and treatment challenges. A 50-year-old woman presented with bilateral progressive reduction in vision over three months, accompanied by headaches and tinnitus. Ocular examination revealed bilateral exudative retinal detachment, and she was diagnosed with acute incomplete VKH disease. Despite systemic corticosteroid therapy, her condition worsened, leading to a revised diagnosis of VKH disease with steroid-induced CSCR. Systemic corticosteroids were tapered and discontinued due to CSCR development. Subsequent surgical interventions, including vitreous biopsy, vitrectomy, subretinal fluid drainage, and silicone oil tamponade, were carried out. One month postoperatively, recurrent exudative retinal detachment occurred. With a suspicion of masquerade syndrome, she underwent left eye removal of oil, retinal and choroidal tissue biopsy, subretinal fluid sampling and drainage, endolaser, and silicone oil tamponade. Histopathological examination and biopsies revealed no malignancy, infection, or inflammation. Postoperatively, visual improvement was limited due to chronic exudative retinal detachment. Ultimately, the diagnosis was revised to atypical CSCR based on clinical findings, disease progression, and multimodal imaging. Atypical bullous retinal detachment is a rare manifestation, emphasizing the need to consider this variant in cases of serous retinal detachment. Timely recognition is essential to guide appropriate treatment and minimize visual complications.

Indexed as

atypical central serous chorioretinopathyexudative retinal detachmentsteroidvkh diseasevogt-koyanagi-harada

Identifiers

PMID41018434
PMCPMC12464508

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