Emrah ÖZTÜRK, Seyhan DİKİCİ, Soner DEMİREL, Abuzer GÜNDÜZ, Turgut YILMAZ, Murat FIRAT

Central serous chorioretinopathy due to low dose exogenous corticosteroid administered for a bee sting: a complication or coincidence?

Central serous chorioretinopathy (CSCR) is a posterior segment disorders characterized by localized and limited serous retinal detachment and/or retinal pigment epithelium detachment. The etiopathogenesis has not been fully elucidated. Local or systemic steroid administration through various routes and endogenous steroid increase are known to cause CSCR. It is believed that steroids cause CSCR development by delaying the healing of retinal pigment epithelium or increase choriocapillaris permeability through various mechanisms. The role of an allergic reaction in CSCR development is controversial. We evaluated a case that developed CSCR following a single intramuscular injection of 8 mg dexamethasone (Dekort, Deva) for a bee sting in this study. The systemic steroid dose used in our case was much lower than other doses reported to cause CSCR in the literature. This suggests that some molecules in the bee venom may have contributed to CSCR development in our case.

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