Case 4 presentation

contributed by Augenklinik Tausendfensterhaus, Duisburg, Germany

Categories: retina, macular edema

Key problem: pre-treated macular edema of unknown etiology, severe vision loss with need for treatment, findings do not allow definite diagnosis 


In contrast to other case reports that You might know, we want to present expert-level cases that do not have a clear and proper solution. We do this because we believe that a case report with just one specific solution will only add more encyclopedic knowledge to Your repertoire, while an open-ended case report with a discussion will train Your methods.

Therefore each case highlights one specific problem that is expressed in the introduction.

Don´t be afraid to send Your opinion even if You do not know the "right" answer:

These cases are meant to be tough and there is no "right answer"!

Therefore we can not offer You the satisfying feeling of solving a puzzle correctly, but something more valuable: You will train Your skills by developing a proper method for "how to proceed" and You will help others to train their skills by giving them your different perspective.

So we want to invite You to participate - You may also stay anonymous, if You wish so!


Male, 35 years old, Turkish ethnology

History of vision loss, right eye more than left eye, treated with PDT and intravitreal anti-VEGF injections, diagnosed as "atypical central serous retinopathy".



Visual acuity: OD 20/250, OS 20/30  

Anterior segment: within normal limits, anterior chamber deep and quiet, vitreous unremarkable

IOP: normal




What do You think and how would You proceed?

Send Your opinion!

This is a "hidden" case - You have to send Your opinion first to see others´ opinions (1 opinion yet).