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JAMA Ophthalmology Clinical Challenge |

Serous Macular Detachment Following a Systemic Corticosteroid Injection QUIZ

Christina Y. Weng, MD, MBA1; J. William Harbour, MD1
[+] Author Affiliations
1Ocular Oncology Service, Bascom Palmer Eye Institute and Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida
JAMA Ophthalmol. 2015;133(4):473-474. doi:10.1001/jamaophthalmol.2014.5237.
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Fundus photograph (A-B) of the right eye demonstrates a serous macular detachment with yellowish choroidal discoloration. A, Similar yellowish choroidal lesions (arrowheads) were present in the nasal and inferior midperiphery. B, The enlarged image demonstrates the extent of serous macular detachment (arrowheads). C, Wide-angle fluorescein angiography in the late venous phase of the right eye shows an area between the disc and fovea with scattered hyperfluorescent hotspots. Magnified views of the macular lesion (D), nasal lesion (E), and inferior lesion (F). G, B-scan ultrasonography of the right eye shows a subtle nonspecific choroidal thickening with medium internal reflectivity. The arrowhead points to the choroidal infiltration by the metastatic tumor. H, Spectral-domain optical coherence tomography of the right eye demonstrates serous macular detachment with localized subtle choroidal vascular attenuation, infiltration, and thickening (arrowheads).

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