Bilateral central serous chorioretinopathy caused by intranasal corticosteroids: a case report and review of the literature

Laryngoscope. 2011 Sep;121(9):2034-7. doi: 10.1002/lary.21967. Epub 2011 Aug 16.

Abstract

The relationship between systemic corticosteroids and central serous chorioretinopathy (CSCR) has been well established; however, there also appears to be an association with intranasal corticosteroids. A search of the English literature revealed only three reported cases of CSCR linked to intranasal corticosteroid use, and in each, clinical improvement was observed after cessation of the steroid agent. We present an additional case of bilateral CSCR resulting from intranasal corticosteroid use and review the literature regarding this uncommon side effect. Otolaryngologists, as frequent prescribers of these medications, should be aware of their myriad side effects, including ophthalmologic conditions such as CSCR.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Administration, Intranasal
  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / adverse effects*
  • Angiography
  • Choroid Diseases / chemically induced*
  • Choroid Diseases / diagnosis
  • Female
  • Humans
  • Middle Aged
  • Retinal Diseases / chemically induced*
  • Retinal Diseases / diagnosis
  • Rhinitis / drug therapy*
  • Sinusitis / drug therapy*
  • Tomography, Optical Coherence

Substances

  • Adrenal Cortex Hormones