Journal
EUROPEAN JOURNAL OF OPHTHALMOLOGY
Volume 21, Issue 5, Pages 661-664Publisher
WICHTIG EDITORE
DOI: 10.5301/EJO.2011.6449
Keywords
Adrenocortical adenoma; Central serous chorioretinopathy; Cushing syndrome
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Purpose. To report a case of Cushing syndrome due to adrenocortical adenoma revealed by central serous chorioretinopathy. Methods. A 45-year-old man presented with blurred vision and metamorphopsia in the left eye. He reported few episodes of high blood pressure in the last 3 months. Results. Visual acuity was 20/40 in the left eye. Fundus oculi examination revealed central serous chorioretinopathy in the left eye. Grade 1 hypertension was found. Increased serum and urinary levels of cortisol and reduced serum levels of ACTH were observed. Diagnosis of Cushing syndrome was made. Computed tomography scan revealed a right adrenal mass that was surgically removed; histologic examination showed an adrenocortical adenoma. Three months after surgical treatment, visual acuity improved to 20/20 and central serous chorioretinopathy completely resolved. Conclusions. Central serous chorioretinopathy may be the presenting symptom of Cushing syndrome in a patient with adrenocortical adenoma.
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