DOI: 10.36347/sjmcr.2021.v09i04.010

Pages: 346-348

An 82-year-old man with polymyalgia rheumatica was referred for ophthalmological examination. On ophthalmic examination, his best-corrected visual acuity (BCVA) was 20/40 in the right eye and 20/20 in the left eye. Fundus examination was unremarkable in the left eye, but epiretinal membrane was observed in the right eye. There was no SRD on optical coherence tomography (OCT) in the right eye. The patient was treated with oral prednisolone (10 mg daily), and his symptoms subsided rapidly. However, 1 week after the administration of prednisolone, his right BCVA deteriorated to 40/200. OCT showed serous retinal detachment (SRD) involving the fovea in the right eye. We diagnosed our patient with steroid-induced SRD. SRD gradually improved with the reduction of the prednisolone dose. Clinicians should be aware of CSC development after glucocorticoid therapy. If possible, the glucocorticoid should be discontinued and replaced by an alternative.