Childhood central serous chorioretinopathy: An uncommon cause of neurosensory macular detachment.

Central Serous Chorioretinopathy (CSC) is a pachychoroidopathy characterized by the accumulation of subretinal fluid due to alterations in the retinal pigment epithelium, affecting mainly to 30-50 years old men and being an extremely infrequent pathology in the pediatric age. In this article we present the case of a 7-year-old patient with recent personal record of trip to Mauricio Islands who attends to the Emergency Room with serious loss of vision in an insidious way during the last week. A complete ophthalmologic examination was performed along with imaging tests (ocular ultrasound, OCTm, and optomap) revealing a large neurosensory retinal detachment (NSD) in the macular area associated with underlying choroidal thickening. Systemic workup, including a head CT, 18-FDG PET-CT, and serological marker analysis, was normal. The NSD resolved completely within 6 weeks with topical anti-inflammatory treatment. Despite the sudden beginning of the clinical case and the wide variety of possible diagnosis, the self-limited and self-solving characteristics of the process, drives us to the diagnostic possibility of Central Serous Chorioretinopathy.