Teaching NeuroImages: Central Serous Chorioretinopathy After Corticosteroid Treatment for Optic Neuritis
Bibliographic record
Abstract
A 37-year-old woman presented with a 1-week history of painful vision loss in both eyes from optic neuritis. She was treated with intravenous, followed by oral corticosteroids. After she completed intravenous corticosteroids, she developed a new area of blurred vision inferiorly (right eye) and centrally (left eye) secondary to central serous chorioretinopathy (CSCR), which resolved after oral prednisone taper (figure). CSCR is characterized by well-circumscribed serous detachments of the retina and is typically seen after exogenous corticosteroid use. CSCR can be misdiagnosed as optic neuritis1 or develop in patients with optic neuritis after corticosteroid treatment2 and should be kept in the differential diagnosis for worsening vision after corticosteroids.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.007 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".