Central serous chorioretinopathy treatment with spironolactone: a challenge-rechallenge case.

PURPOSE: To present a case of central serous chorioretinopathy (CSC) treatment with spironolactone in a challenge-rechallenge pattern.

METHODS

At presentation, fundus photography, fluorescein angiography, spectral domain optical coherence tomography, and enhanced depth imaging ocular coherence tomography were performed in both eyes. The patient was prescribed 25 mg spironolactone daily along with serum potassium monitoring. At follow-ups, spectral domain optical coherence tomography and enhanced depth imaging ocular coherence tomography were performed.

RESULTS

A 37-year-old white male accountant presenting with CSC. Spironolactone treatment resolved the CSC. After the patient discontinued treatment, it returned. After returning to daily treatment, the CSC again resolved.

CONCLUSION

Spironolactone was an effective treatment of CSC in this case. Other groups have reported similar findings with eplerenone, a similar drug.