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Definition

What is central serous chorioretinopathy?

Central serous chorioretinopathy is when fluid builds up under the retina. This can distort vision. The fluid leakage comes from a layer of tissue under the retina, called the choroid. There is another layer of cells called the retinal pigment epithelium (RPE). When the RPE doesn’t work as it should, fluid builds up under the RPE. As a result, a small detachment forms under the retina, causing vision to become distorted.

How common is central serous chorioretinopathy?

Men are more likely to develop central serous choroidopathy than women, particularly in their 30s to 50s.

However, it can be managed by reducing your risk factors. Please discuss with your doctor for further information.

Symptoms

What are the symptoms of central serous chorioretinopathy?

If you have CSC, your central vision may be distorted. In addition to distorted central vision, your vision may also appear blurred or dim. You can have a blind spot in your central vision. It is noticeable that you may also have a distortion of straight lines in your affected eye, or objects may appear smaller or further away than they actually are. When you look at a white object, it may appear to have a brownish tinge or appear duller in color.

When should I see my doctor?

Early diagnosis and treatment can stop this condition from worsening and prevent another medical emergency, so talk to your doctor as soon as possible to prevent this serious condition.

Causes

What causes central serous chorioretinopathy?

The exact cause of CSCR is unknown. However, corticosteroid use in any form (oral, topical, inhaled, or injected) can precipitate or worsen an attack of CSCR. This is true even if the steroid use is remote from the eye, such as an injection into the knee. People who have a history of CSCR should avoid any steroid use if possible.

Risk factors

What increases my risk for central serous chorioretinopathy?

This disease typically affects young men. There may be a racial predisposition, with a higher incidence among Caucasians, Hispanics, and possibly Asians, and extremely low occurrence in African Americans. The more severe form of CSC occurs more frequently in individuals from South Asia and those of Latin descent.

Diagnosis & Treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

 

How is central serous chorioretinopathy diagnosed?

If your doctor suspects that you have CSC, he/she will dilate (widen) your eye with dilating eye drops to examine your retina. To specify that you have CSC, your doctor will take special photographs of your eye using fluorescein angiography and optical coherence tomography (OCT).

During fluorescein angiography, a fluorescein dye will be injected into a vein in your arm. The dye travels throughout the body, and of course including your eyes. Photographs are taken of your eye as the dye passes through the retinal blood vessels. Abnormal areas will be highlighted by the dye, showing your doctor whether you have central serous retinopathy.

OCT scanning is an imaging technique that creates a cross-section picture of your retina, which helps to measure retinal thickness and detect swelling of the retina.

How is central serous chorioretinopathy treated?  

Most cases of CSC naturally clear up in one or two months without any treatments. During this time, your doctor will monitor your eye to see if the liquid is being reabsorbed. If you have severe vision loss, or the leakage is severe, or does not go away, you may be helped by laser treatment or photodynamic therapy to seal the leak and restore vision.

Most people with CSC regain good vision even without treatment. However, vision may not be as good as it was before the condition appeared. About half of patients who have had CSC will have it return. It is important to have regular, thorough follow-up exams with your doctor since long-term fluid accumulation can lead to permanent vision loss.

Lifestyle changes & Home remedies

What are some lifestyle changes or home remedies that can help me manage central serous chorioretinopathy?

A well-rounded diet that provides you with your daily recommended intake of nutrients should not increase your risk for CSC. However, eating large amounts of certain foods or herbs could, potentially, affect your risk for CSC, especially if you also have an underlying blood disorder or if you take anticoagulant medications, so you should discuss with your doctor to have a proper diet.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: April 16, 2017 | Last Modified: April 16, 2017

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