Acuity profile perimetry in a unique case of bilateral central serous retinopathy

Static and acuity profile perimetry were conducted in a patient with bilateral central serous retinopathy, before and after argon laser photocoagulation treatment of the left eye. Prior to treatment, static profiles in the left eye revealed only a moderate centrocecal visual field defect, whereas acuity profiles showed a considerably greater deficit. This dissociation of sensitivity loss for static and acuity profiles in central serous retinopathy is consistent with previous findings. The results following treatment of the left eye revealed significant improvement in acuity profiles in spite of little or no change in static profiles. These data suggest that central serous retinopathy may independently alter visual resolution and detection properties, in sharp contrast to relatively equivalent deficits for both functions in optic nerve disease. This case is also of interest because the patient was atypical of most individuals with central serous retinopathy, and several unusual diagnostic problems were encountered.