Recurrent Central Serous Retinopathy with Permanent Visual Loss in a U.S. Naval Fighter Pilot

This case study described recurrent central serous retinopathy (CSR) in a U.S. Naval F/A-18 fighter pilot, which led to permanent visual loss in the right eye despite treatment with laser photocoagulation and finasteride. The pilot experienced multiple episodes of CSR over several years, necessitating removal from flying status. Although the disease process eventually stabilized, the pilot was left with permanent defective visual acuity. Notably, this was the first instance of a U.S. Naval pilot being granted a waiver to return to unrestricted flight status despite having permanent visual impairment.