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Open Access Highly Accessed Case report

Alcoholic liver disease and bilateral multifocal central serous retinopathy: a case report

Despoina Gkotsi1*, Manish Gupta2, Gerassimos Lascaratos3, Andreas Syrogiannis3 and Baljean Dhillon3

Author Affiliations

1 Institute of Ophthalmology, 11-43 Bath Street, London, EC1V 9EL, UK

2 NHS Greater Glasgow and Clyde, Stobhill and Gartnavel Hospital, 1053 Great Western Road, Glasgow, G12 0YN, UK

3 Princess Alexandra Eye Pavilion, Edinburgh, EH3 9HA, UK

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Journal of Medical Case Reports 2013, 7:43  doi:10.1186/1752-1947-7-43

Published: 13 February 2013

Abstract

Introduction

We present a unique case of a patient with bilateral, multifocal central serous retinopathy in a patient with alcoholic liver disease.

Case presentation

A 58-year-old Caucasian man with alcoholic liver disease, liver cirrhosis and ascites presented to the eye clinic. The ophthalmoscopic examination of both eyes revealed a symmetrical pattern of variably sized, slightly yellowish, translucent, raised lesions throughout the fundi which were confirmed to be caused by multifocal central serous retinopathy after optical coherence tomography and autofluoresence tests.

Conclusion

This case highlights the possible link between central serous retinopathy and end-stage liver disease, with potential implications for the pathogenesis of central serous retinopathy in these patients.

Keywords:
Alcoholic liver disease; Ascites; Central serous retinopathy