Alcoholic liver disease and bilateral multifocal central serous retinopathy: a case report

J Med Case Rep. 2013 Feb 13;7:43. doi: 10.1186/1752-1947-7-43.


Introduction: We present a unique case of a patient with bilateral, multifocal central serous retinopathy in a patient with alcoholic liver disease.

Case presentation: A 58-year-old Caucasian man with alcoholic liver disease, liver cirrhosis and ascites presented to the eye clinic. The ophthalmoscopic examination of both eyes revealed a symmetrical pattern of variably sized, slightly yellowish, translucent, raised lesions throughout the fundi which were confirmed to be caused by multifocal central serous retinopathy after optical coherence tomography and autofluoresence tests.

Conclusion: This case highlights the possible link between central serous retinopathy and end-stage liver disease, with potential implications for the pathogenesis of central serous retinopathy in these patients.