Title: Weeping eye of Oguchi: A rare case of Oguchi’s disease with Central Serous Chorioretinopathy
Description: A 32-year-old male presented with blurring of vision in the right eye (RE) for 6-months. His best corrected visual acuity(BCVA) was 6/9 (-3DS) in RE and 6/6 (-2.5DS) in left eye. He was a chronic smoker and had a history of difficulty in reading in dim light. On examination, his anterior segment was unremarkable. Fundus examination in both eyes (BE) showed peripheral tapetal sheen presence of pigmentary degeneration along with gravitational tracts (Tear Drop Sign) in the RE. Mizuo-Nakamura phenomenon was also noted in BE. RE fundus autofluorescence showed hypo-autofluorescent areas surrounded by hyper-autofluorescent margins in the inferior areas corresponding to that of gravitational tracts.
The corresponding RE B-scans on Optical Coherence Tomography showed the presence of RPE and outer retinal atrophy. ERG of BE showed defective scotopic response which improved on prolonged dark adaptation. Hence, a diagnosis of BE Oguchi’s disease with RE Central serous retinopathy was made.
