Inflammatory Masquerades of CSCR

Purpose: To reinforce clinical examination and demonstrate the clinical utility of OCT to differentiate Central serous chorioretinopathy (CSCR) and its inflammatory masquerades Synopsis ? Two cases diagnosed outside as CSCR - 53-year-old male (unilateral) and 31-year-old female (bilateral) were evaluated in our retina department. On detailed evaluation and OCT imaging they were identified as inflammatory conditions masquerading as CSCR. Patients were started on Oral steroids with the resolution of the lesion as well as improvement in vision. In Some unusual situation?s inflammatory conditions like Vogt-Koyanagi-Harada syndrome posterior uveitis posterior scleritis white dot syndromes can mimic CSCR. It is essential to differentiate the two conditions as the treatment for the two conditions is exactly the opposite. OCT features (ILM folds, sub retinal septa, RPE folds, RPE undulation index, hyperreflective foci in choroid) in conjunction with clinical examination gives diagnostic clues and helps in differentiating CSCR and inflammatory conditions.