Central serous chorioretinopathy (CSCR) is a disease that affects vision due to a buildup of fluid under the retina, specifically in the central region of the macula. The fluid leaks from a layer of tissue located beneath the retina, called the choroid.
It can develop gradually or suddenly, in one or both eyes.
In chronic cases, central serous chorioretinopathy can cause retinal detachment.
Risk factors
The exact cause of CSCR is unknown, but it often affects young, healthy people and is more common in men than in women. Risk factors include:
- Stress, which is a major risk factor
- Hormonal changes
- The use of corticosteroids
- Certain genetic predispositions
- A malfunction of the retinal pigment epithelium
- Helicobacter pylori infection
- Insomnia, apnea and sleep disorders
- High blood pressure
- People under a lot of stress or with a type A personality are more prone to central serous chorioretinopathy
Symptoms
- Decreased central vision
- Distortion of straight lines
- Altered perception of colors
- Blurry vision
- Dark area in the central vision
The distortion of straight lines and the central dark spot can also appear in other conditions of the macula, such as age-related macular degeneration, which is why an accurate diagnosis is important.
Treatment
- In most cases, CSCR resolves spontaneously within a few weeks or in 2 to 3 months, without the need for any specific treatment. However, in chronic or recurrent cases, or when vision is significantly affected, treatment options may be considered.
- Some common therapeutic approaches include careful observation, reducing stress and other triggering factors, laser therapy to seal the fluid leaks, and anti-inflammatory drugs to help restore vision.
The choice of treatment will depend on the severity of the symptoms and the ophthalmologist’s evaluation.
Tests to be performed
- Fluorescein angiography
- Optical coherence tomography
It is important to consult an ophthalmologist for an accurate diagnosis and an appropriate treatment plan if you experience symptoms of CSCR. Regular follow-up with the specialist helps control the disease, minimize its impact on central vision and restore vision. At our clinic in Roatán you can schedule your eye exam and protect your vision in time.