Central Serous Chorioretinopathy (CSCR)
OVERVIEW
Central serous
chorioretinopathy (CSCR) is a problem that affects the
macula
(central portion of the retina). The exact cause is not
understood. CSCR occurs when a small break forms in the
pigment layer of the
retina.
Fluid from the layer of blood
vessels that lie underneath the
retina seeps up through the break, causing a small detachment to
form under the retina.
This problem is somewhat similar to a water blister that forms on the skin. The process is similar to CSCR: fluid collects beneath the skin's surface, causing the layers of skin to separate.
CSCR affects men more often then women and usually occurs between the ages of 25 and 50. Stress is thought to be linked to this problem. CSCR typically resolves spontaneously, but it can recur. In some cases, it may lead to moderate but permanent loss of central vision.
SIGNS AND SYMPTOMS
- Blurred central vision
- Wavy, distorted vision
- Central blind spot
DETECTION AND DIAGNOSIS
Usually the doctor can
diagnose CSCR with an exam of the retina using
ophthalmoscopy. In
most cases fluorescein
angiography is used to gather additional information about the
extent and severity of the problem.
TREATMENT
Most patients with
CSCR do not require treatment. The fluid usually absorbs
gradually over a period of months. Occasionally, steroid and
non-steroidal anti-inflammatory eye drops are prescribed. In
cases where visual recovery is delayed, laser treatment may be
required to seal the leak and help the vision improve.
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