Bệnh hắc võng mạc trung tâm thanh dịch dạng bọng: Báo cáo ca bệnh

Bullous Central Serous Chorioretinopathy (BCSCR) represents a rare and chronic variant of central serous chorioretinopathy, posing significant diagnostic challenges due to its overlapping clinical manifestations with other posterior segment diseases. This condition, if misidentified or inappropriately managed, can lead to irreversible damage and permanent visual impairment. Therefore, establishing a precise and timely diagnosis is paramount to ensuring optimal patient outcomes and mitigating severe vision loss. This academic manuscript aims to delineate the diagnostic approach and management strategies for BCSCR, emphasizing the critical importance of comprehensive evaluation in preventing detrimental effects on visual prognosis.

Ophthalmologists, optometrists, medical researchers, and students specializing in retinal diseases and differential diagnosis.

This academic manuscript details a case report concerning Bullous Central Serous Chorioretinopathy (BCSCR), a rare and chronic ocular condition frequently misdiagnosed due to its phenotypic similarities with other posterior segment diseases, such as Vogt-Koyanagi-Harada disease. The study outlines the case of a patient initially presenting with serous retinal detachment who was erroneously diagnosed and treated for Vogt-Koyanagi-Harada disease. A definitive diagnosis of **bullous central serous chorioretinopathy** was achieved through a comprehensive **multimodal ophthalmic imaging** approach, which proved instrumental in identifying characteristic findings including subretinal fibrin, multiple pigment epithelial detachments, and distinct fluorescein leakage points in both eyes. The therapeutic intervention involved oral **spironolactone** combined with the gradual tapering of corticosteroids. Initial clinical outcomes demonstrated a favorable response, marked by improved visual acuity and a significant reduction in subretinal fluid and retinal detachment. The report underscores the critical necessity of accurate differential diagnosis for BCSCR to prevent inappropriate treatments that could exacerbate **visual prognosis**. This case highlights the complexities of diagnosing such conditions and the efficacy of tailored treatment guided by thorough diagnostic evaluation.