Central serous chorioretinopathy (CSCR) is the spontaneous leakage of fluid into the retina, often in young, healthy people between the ages of 25 and 50. The cause is unknown, although stress is believed to be linked to the problem.
How does it happen?
CSCR occurs when a small break forms in the blood vessels that form the pigment layer of the retina, causing fluid to seep up through the break and creating a retinal detachment. CSCR typically resolves on its own, but it can recur and in some cases, it may lead to moderate but permanent loss of central vision.
What are the signs?
Blurred, wavy, or distorted vision ; a central blind spot
How is it treated?
Ophthalmoscopy to examine the retina is typically used to diagnose CSCR. Fluorescein angiography is often used to gather additional information about the extent and severity of the problem. Most patients with CSCR do not require treatment since it usually resolves itself. The fluid usually absorbs gradually over a period of months, often like a water blister on the skin. Steroidal and non-steroidal anti-inflammatory eye drops may be prescribed and in some cases, laser treatment may be required to stop the leak.
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