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Case Series: Successful Visual Recovery in Central Serous Chorioretinopathy with Spironolactone Treatment

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  • Ais Fricella

  • Yasin Fadillah

  • Maria Debora Niken Larasati

Abstract

Purpose: To describe clinical outcomes of spironolactone therapy in patients with central serous chorioretinopathy (CSCR).Methods: We present a case series of three male patients diagnosed with CSCR and treated with oral spironolactone 25 mg/day for three months. All patients underwent baseline and follow-up ophthalmologic evaluation, including uncorrected visual acuity (UCVA) and optical coherence tomography (OCT).Results: All three patients showed significant anatomical and functional improvements. UCVA improved from 6/40 to 6/15 in Case 1, from 6/40 to 6/7.5 in Case 2, and from 6/40 to 6/8 in Case 3. OCT demonstrated near-complete resorption of subretinal fluid in all cases. No systemic or ocular adverse effects were reported during treatment.Conclusion: Low-dose spironolactone was effective and well tolerated in CSCR, supporting its potential as a therapeutic option in both acute and persistent cases

Suggested Citation

  • Ais Fricella & Yasin Fadillah & Maria Debora Niken Larasati, 2025. "Case Series: Successful Visual Recovery in Central Serous Chorioretinopathy with Spironolactone Treatment," International Journal of Scientific Research and Modern Technology, Prasu Publications, vol. 4(9), pages 154-160.
    • Handle: RePEc:daw:ijsrmt:v:4:y:2025:i:9:p:154-160:id:821
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