Comment on: Traumatic central serous chorioretinopathy

Dear Sir, We read with great interest the article titled “Traumatic central serous chorioretinopathy” by Steeples et al.[1] It is an interesting case of central serous chorioretinopathy developing after blunt trauma in a young 44-year-old Polynesian male patient. However, we would like to highlight the fact that this patient already had a preexisting history of central serous chorioretinopathy in the other eye probably secondary to his type A personality, which is said to be a predisposing factor for developing central serous chorioretinopathy secondary to increased endogenous corticosteroid levels.[2] In the case reported, the patient was already predisposed to developing central serous chorioretinopathy and the blunt trauma sustained by him could possibly have caused an increased stress level, and thereby leading to enhanced endogenous corticosteroid level and precipitating central serous chorioretinopathy, which possibly is unrelated to blunt trauma directly as the cause of the serous retinal detachment. Financial support and sponsorship Nil. Conflicts of Interest There are no conflicts of interest.