A case of multifocal central serous chorioretinopathy from a progestin-only contraceptive device

Abstract

Purpose: To present a novel case of central serous chorioretinopathy (CSCR) diagnosed in a woman three weeks after implantation of Nexplanon, a progestin-only contraceptive device. Methods: Case report. Results and Discussion: A 35-year-old healthy woman presented with one-week duration of headache and photopsias in the right eye, three weeks after implantation of a progestin-only contraceptive device. Imaging demonstrated subretinal fluid in the right eye suggestive of central serous chorioretinopathy. Removal of the device was associated with a rapid restoration of visual acuity as well as resolution and sustained absence of CSCR on imaging.