Case Series


Association of central serous chorioretinopathy in young adults with consumption of energy drinks

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1 Lexington Highschool, 251 Waltham ST, Lexington, MA, USA

2 Ophthalmologist, St Lucie Eye Associates, Fort Pierce, FL 34950, USA

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Sailaja Bondalapati

Ophthalmologist, St Lucie Eye Associates, Fort Pierce, FL 34950,

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Article ID: 100049Z17RB2025

doi: 10.5348/100049Z17RB2025CS

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How to cite this article

Bondalapati RR, Bondalapati S. Association of central serous chorioretinopathy in young adults with consumption of energy drinks. J Case Rep Images Opthalmol 2025;8(2):18–22.

ABSTRACT


To report the outcomes and association of energy drinks with vision changes and central serous chorioretinopathy in young adults. Retrospective observational analysis of 3 eyes of 3 young adults with significant social history of using energy drinks with high doses of caffeine and taurine presenting with sudden visual changes and central serous chorioretinopathy. All 3 patients are in the age range of 25 to 40 years of age with no past medical or ocular history. They all endorsed some stress but nothing unusual although all are consuming energy drinks with beyond the recommended dose of caffeine per day. Energy drinks include 5-hour energy drinks, Celsius drinks, and Red Bull energy drinks. They presented with acute changes in vision with visual acuity ranging from 20/40 to 20/60 given the size of the serous detachment. The Fundoscopic exam was positive for blunted foveal reflex with elevation of macula consistent with subretinal fluid. Optical coherence topography (OCT) confirmed the sensory detachment of the retina which was used for diagnosis, management, and follow-up care of the patients. The patients were followed monthly for six months with visual acuity, dilated fundus exam, and macular OCT. The primary treatment for all the patients was to stop and avoid energy drinks. In all patients the subretinal fluid regressed in six weeks to three months and vision was improved to baseline. We report on our cases with a review of current literature.

Keywords: Caffeine, Central serous chorioretinopathy, Energy drinks, Photodynamic therapy, Pigment epithelial detachment

SUPPORTING INFORMATION


Acknowledgments

To the patients for participating in and agreeing for reporting the work.

Author Contributions

Raghav Rushi Bondalapati - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Sailaja Bondalapati - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Raghav Rushi Bondalapati et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.