CENTRAL SEROUS CHORIORETINOPATHY (CSC)/
CENTRAL SEROUS RETINOPATHY
Fluid leakage comes from a layer of tissue under the retina, called the choroid. Fluid builds up in the retina resulting in a serious detachment and vision loss. Central serous chorioretinopathy usually affects just one eye at a time, but both eyes can be affected at the same time. Men in their 30s to 50s are more likely to develop central serous chorioretinopathy than women. Stress is a major risk factor. Also, it can be triggered or exacerbated by corticosteroid use. In most cases it will resolve itself over a 3 month period, however, in a small minority of cases, chronic CSR may develop which could result in permanent visual loss.
Symptoms
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Distorted, dimmed, or blurred central vision
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Dark area in your central vision
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Straight lines may appear bent, crooked or irregular in your affected eye
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Objects may appear smaller or further away than they are
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White objects, may appear to have a brownish tinge or appear duller in color
Causes
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Steroids (by mouth, through a vein or even inhaled)
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Helicobacter pylori infection (a type of bacteria that can infect the stomach)
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Autoimmune disease (when the body attacks its own tissues)
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Sleep disturbances like insomnia or sleep apnea type
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A-Type behavior
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Hypertension (high blood pressure)
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Pregnancy cushing syndrome
Treatments
In most cases central serous chorioretinopathy/retinopathy will clear up in a few months without any treatment but vision may not be as good as it was before the condition.
In 50% of patients chorioretinopathy will return. As long term fluid accumulation can lead to permanent vision loss, it is important to continue with regular eye examinations. During this period, we will examine your eyes to see if the problem is clearing up.
In cases where leakage or vision loss continues then laser treatment, photodynamic therapy or oral medications may be offered. All treatments are offered to seal the leak and restore vision.
In certain cases that are not amenable for laser, intravitreal injection of anti-VEGF is recommended.
“This image was originally published in the Retina Image Bank® website.
Author and Photographer: Olivia Rainey. Central Serous Retinopathy.
Retina Image Bank. 2017; 27174 © the American Society of Retina Specialists."
“This image was originally published in the Retina Image Bank® website.
Author and Photographer: Olivia Rainey. Central Serous Retinopathy.
Retina Image Bank. 2017; 27174 © the American Society of Retina Specialists."
To learn more about treatment options or any concerns you may relating to Central Serous Chorioretinopathy or Central Serous Retinopathy please schedule a visit with Dr El Annan at the Annan Retina Eye Center. Please call 346-22A-NNAN to speak to a member of staff who will be more than happy to help you.
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