# Elderly Patient With Bilateral Central Serous Chorioretinopathy Misdiagnosed as Bilateral Wet Age-Related Macular Degeneration: A Case Report

## TL;DR

An elderly diabetic man was mistakenly treated for wet macular degeneration when he actually had central serous chorioretinopathy.

## Contribution

This case highlights a rare misdiagnosis of CSCR as wet AMD in an elderly patient.

## Key findings

- The patient had bilateral subretinal fluid but no signs of AMD or diabetic retinopathy.
- FFA confirmed the absence of choroidal neovascularization, ruling out wet AMD.
- The case demonstrates how CSCR can mimic occult CNV in elderly patients.

## Abstract

This report presents a unique case of a 77-year-old diabetic male patient with bilateral central serous chorioretinopathy (CSCR), who was receiving multiple bilateral intravitreal injections for a presumed diagnosis of wet age-related macular degeneration (AMD). The fundus examination did not show any signs of AMD or diabetic retinopathy (DR). The spectral domain optical coherence tomography (OCT) revealed bilateral subretinal fluid. The neovascular membrane was not visible on OCT angiography. Fundus fluorescein angiography (FFA) confirmed the absence of choroidal neovascularization (CNV). Notably, this represents a unique case of an elderly patient with CSCR mimicking occult CNV.