Oral rifampin utilisation for the treatment of chronic multifocal central serous retinopathy.

Steinle, Nathan C; Gupta, Naina; Yuan, Alex; Singh, Rishi P · Br J Ophthalmol · 2012

case_report · Level V

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Abstract

Chronic central serous retinopathy (CSR) is characterised by frequent exacerbations and a poor visual prognosis. Very few therapies exist for chronic CSR, and the existing therapies are often ineffective. Thus, novel therapies to combat this frustrating disorder are needed. Presented here is a case detailing a patient with chronic CSR with persistent subfoveal fluid of 2 years' duration that completely resolved with 1 month of oral rifampin therapy. As a cytochrome P450, 3A4 inducer, rifampin is thought to favourably alter the metabolism of endogenous steroids, thereby leading to an improvement in CSR manifestations.

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