Central Serous Chorioretinopathy (CSCR)

Central Serous Chorioretinopathy (CSCR) is a retinal condition that typically affects individuals between the ages of 20 and 50, primarily involving the macula, the area of the retina responsible for central vision. CSCR is characterized by symptoms such as blurred or distorted vision due to fluid accumulation beneath the retina. In over 90% of cases, the condition resolves spontaneously within 4 to 6 months without treatment. However, in some instances, intervention may be required, especially if symptoms persist or worsen.

Diagnosis:
CSCR is usually diagnosed through a clinical examination, with confirmation often provided by Optical Coherence Tomography (OCT). In certain cases, the doctor may also perform fluorescein angiography (IVFA), which involves injecting a dye into a vein in the arm. As the dye circulates to the eye, retinal images are captured to assess the condition.

Cause:
The exact cause of CSCR is not fully understood. However, the condition is often associated with stress, the use of corticosteroid medications, and certain systemic diseases.

Treatment:
The goal of treatment for central serous chorioretinopathy (CSCR) is to accelerate recovery and stabilize vision. However, it cannot improve vision beyond the potential for natural recovery.

Laser Photocoagulation:
Laser therapy is applied to the retina to stimulate the reabsorption of subretinal fluid. This treatment can help seal areas of leakage and promote the resolution of fluid accumulation in the retina, aiding in the stabilization of vision.

Photodynamic Therapy (PDT):
Photodynamic therapy involves injecting a photosensitive dye (Visudyne) into the bloodstream, followed by the application of "cold" laser light to the macula. The laser helps to shrink leaky blood vessels beneath the retina. After treatment, due to the photosensitive nature of the dye, patients must avoid direct sunlight and wear protective clothing and sunglasses.

In some cases, treatment may need to be repeated, as symptoms can recur even after successful treatment. If further treatment is required, your doctor will discuss the best options, including risks, benefits, and alternatives.

If you have any further questions or concerns, please speak with your doctor.