Abstract：
This report aimed to determine if pupil-dilating eye drops (mydriatics) affected serous pigment epithelial detachment elevation in an eye with central serous chorioretinopathy using spectral domain-optical coherence tomography. A 47-year-old man presented to our clinic with metamorphopsia in his right eye, which had best corrected visual acuity of 20/20. Spectral domain-optical coherence tomography revealed minimal subretinal fluid and serous pigment epithelial detachment. During the follow-up examination after the final diagnosis of central serous chorioretinopathy and serous pigment epithelial detachment, different pigment epithelial detachment elevations on optical coherence tomography images before and after pupil dilation were found incidentally. These elevations were re-measured separately on different days before and after pupil dilation with 2.5% phenylephrine and 1% tropicamide to determine if this was a mydriatic-induced increase in pigment epithelial detachment elevation, which was eventually found to be the case. Mydriatics appeared to affect pigment epithelial detachment elevation in central serous chorioretinopathy. A thorough consideration of pre-dilation ocular examination and imaging data in central serous chorioretinopathy may be valuable.
摘要：
本报告旨在使用谱域光学相干断层扫描技术确定扩瞳滴眼液（散瞳）是否会影响患有中央性浆液性脉络膜视网膜病变的眼睛的浆液性色素上皮脱离升高。一名47岁的男子出现在我们的诊所，他的右眼变形，最佳矫正视力为20/20。谱域光学相干断层扫描显示视网膜下液和浆液性色素上皮脱离最少。在最终诊断为中心性浆液性脉络膜视网膜病变和浆液性色素上皮脱离后的随访检查中，偶然发现瞳孔扩张前后光学相干断层扫描图像上不同的色素上皮脱离高度。在使用2.5％去氧肾上腺素和1％托吡卡胺进行瞳孔扩张之前和之后的不同天分别重新测量这些升高，以确定这是否是散瞳引起的色素上皮脱离升高的增加。最终被发现是这种情况。在中心性浆液性脉络膜视网膜病变中，散瞳似乎会影响色素上皮脱离的升高。彻底考虑中央性浆液性脉络膜视网膜病变的扩张前眼部检查和影像学数据可能是有价值的。
