Abstract

A 58-year-old female presented to us with chronic central serous retinopathy in both eyes for which she had been medically managed and focally lasered twice in the past 5 years. Patient’s vision was 6/24 and 6/12 in right and left eye respectively. OCT macula and FFA were consistent with the disease. Considering the age and atypical presentation, along with the recommended conservative management, an endocrinologist review as well as pituitary hormone evaluation was advised. For the first time she underwent biochemical evaluation which was suggestive of ACTH dependent Cushing syndrome with a pituitary source. CE-MRI-Sella showed evidence of adenoma. Thereafter patient was undertaken for Trans-nasal trans-sphenoidal exploration of sella and the adenoma was resected. In subsequent follow-up, patient showed gradual decrease in the subretinal fluid.

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