A 25 year old executive presents with metamorphopsia in his right eye. On examination the fundus shows a shallow detachement at the macula. The fluorescein angiography shows a "smoke stack" sign. Which of the following management should be given ?
Manifestation of metamorphosia, detachment of macula and "smoke stack" sign on fluorescein angiography in a 25 years old patient suggest the diagnosis of central serous retinopathy.
When left alone, central serous retinopathy heals spontaneously within 4-12 weeks, with full recovery of vision in 90% of patients. Therefore reassurence is the only treatment required in majority of the cases.
Topical antibiotic- corticosteroid combination
Systemic corticosteroid for two weeks and then taper
Pulse Methyl Prednisolone for three days and then taper
Just wait and watch for spontaneous recovery