Central Serous Retinopathy

Central Serious Retinopathy

Central Serous Retinopathy

What is Central Serous Retinopathy?

Central serous retinopathy (CSR) also known as central serous chorioretinopathy is a condition associated with accumulation of fluid in the space beneath the retina. Whilst the exact cause of CSR is unknown there are associations of this disorder with stress, steroid (cortisone) and other medication use, smoking, and sleep disorders. Males between the age of 20-50 years are more likely to be affected at a rate 10 times that of females.

What are the symptoms?

  • Blurred vision, particularly in a central circular area
  • Distortion (straight lines appear wavy or crooked)
  • Colour vision defect (visual defect in which objects appear unnaturally coloured)
  • Increasing far-sightedness
  • Flashes and floaters
  • In some patients, the symptoms are accompanied by migraine-like headaches.

How is it diagnosed?

Central Serious Retinotherapy - OCT

Central Serous Retinopathy – FFA

A comprehensive eye examination will need to be performed to confirm the diagnosis and determine the best treatment option. This may include OCT scan, retinal photography, fluorescein angiography, and indocyanine green angiography.

What are the available treatments?

In many patients, symptoms may improve spontaneously however may take weeks to months. The following treatments are available for some patients: Multispot Micropulse Yellow Laser Surgery, Photodynamic Therapy and certain medications. These may help resolve symptoms more rapidly in certain patients, particularly in those who have persisting visual disturbance, however still may not necessarily improve vision or prevent further recurrence.