This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Ophthalmology
[{'content': 'A 25 year old executive presents with metamorphopsia in his right eye. On examination the fundus shows a shallow detachement at the macula. The fluorescein angiography shows a "smoke stack" sign. Which of the following management should be given ? \nSelect and explain. \nA. Topical antibiotic- corticosteroid combination, B. Systemic corticosteroid for two weeks and then taper, C. Pulse Methyl Prednisolone for three days and then taper, D. Just wait and watch for spontaneous recovery', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Manifestation of metamorphosia, detachment of macula and "smoke stack" sign on fluorescein angiography in a 25 years old patient suggest the diagnosis of central serous retinopathy.\nWhen left alone, central serous retinopathy heals spontaneously within 4-12 weeks, with full recovery of vision in 90% of patients. Therefore reassurence is the only treatment required in majority of the cases.', 'role': 'assistant'}]