Localized topical steroid use and central serous retinopathy.
OBJECTIVES
The link between topical steroid use and central serous retinopathy (CSR) is poorly understood as there are a limited number of reported cases, with most cases typically occurring in patients using oral or inhaled steroids. CSR is a common retinal disease that can cause loss of vision as a result of accumulated subretinal fluid leading to localized serous retinal detachments. CSR is associated with systemic steroid use. The objective of this case series and the review was to further understand the relationship between localized topical steroid use and CSR.


METHODS
The medical charts of two patients who developed CSR after using topical steroids were reviewed.


RESULTS
These cases demonstrate that CSR is associated with consistent topical steroid use to even limited areas of the body. These cases are unique, as other published cases describe patients who used topical steroids either on multiple or larger areas of the body.


CONCLUSION
It is critical that dermatologists are aware of this association, and refer patients who develop ocular symptoms after using topical steroids to ophthalmology.
['Chan|Lauren Y|LY|', 'Adam|Robert S|RS|', 'Adam|David N|DN|']
D000287:Administration, Topical D056833:Central Serous Chorioretinopathy D005260:Female D005938:Glucocorticoids D006801:Humans D008875:Middle Aged D012871:Skin Diseases
Central serous chorioretinopathy drug-related side effects and adverse reactions psoriasis topical drug administration