Cushing disease and central serous chorioretinopathy
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Central serous chorioretinopathy (CSCR) consists of subretinal accumulation of serous fluid leading to a circumscribed detachment of the neural retina. The fluid accumulates in the macular region, resulting in decreased visual acuity, blurry vision, colour desaturation, metamorphopsia, and impaired dark adaptation.Although the pathogenesis of CSCR remains unknown and most cases are idiopathic, excess corticosteroid levels have been reported in association with CSCR.This is rare in the setting of Cushing disease. We describe a patient with a history of presumed idiopathic CSCR who developed a recurrence after the diagnosis of an adrenocorticotropic hormone-secreting (ACTH) pituitary adenoma. To our knowledge, this is only the fifth such case in the English-language medical literature.

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