Central Serous Chorioretinopathy: Symptoms, Tests, Treatments, & Prevention

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What is Central Serous Chorioretinopathy (CSCR)?

It is an eye condition that accumulates the fluid underneath the retina (the light-sensitive tissue at the back of the eye), which results in retina detachment.

Although the exact cause is not fully understood yet, the complications in retinal pigment epithelium and fluid regulation might be the significant causes for this issue. This condition is majorly common in males aged 20-50.

Regular eye checkups and stress regulation are essential for CSCR patients to prevent recurrence and monitor potential long-term complications.

Symptoms of Central Serous Chorioretinopathy(CSCR)

Look out for the issues people constantly face if they suffer from CSCR.

Some of the CSCR eye symptoms are:

  • Blurred or distorted central vision
  • Decreased color perception
  • Dark spots or blind spots in vision
  • Micropsia (objects appearing smaller than they are)
  • Increased sensitivity to light
  • Eye discomfort or irritation
  • Visual changes in one or both eyes

Tests Available for Diagnosing Central Serous Chorioretinopathy(CSCR)?

There are several diagnostic tests to evaluate Central Serous Chorioretinopathy (CSCR). These tests can be done from the best hospital, and help confirm the diagnosis and assess the extent and severity of the condition. Some commonly used diagnostic tests for CSCR include:

  • Dilated Fundus Examination: This is a comprehensive eye examination where the back of the eye (retina and the choroid) are tested.
  • Optical Coherence Tomography (OCT): A non-invasive imaging test that provides cross-sectional retina images. It can help visualize and measure the amount of fluid beneath the retina, detect any structural changes, and monitor the response to treatment.
  • Fluorescein Angiography (FA): In this test, a fluorescent dye injects into a vein in the arm, and as the dye circulates in the blood vessels of the retina, photographs click. It helps in identifying any leakage or abnormalities in the blood vessels.
  • Indocyanine Green Angiography (ICGA): Examines the choroidal blood vessels more profoundly than the retinal blood vessels. It provides additional information about choroidal abnormalities and blood flow.
  • Multifocal Electroretinography (mfERG): This test measures the electrical responses of different areas of the retina to light stimulation.

Treating Central Serous Chorioretinopathy (CSCR)

The CSCR eye treatment depends on the severity, duration, and impact of the condition on an individual's vision and quality of life. Here are some of the best treatments options:

  • Photodynamic Therapy (PDT): It uses a special dye and laser technology to selectively target and close off abnormal blood vessels in the choroid. It reduces leakage and fluid accumulation beneath the retina.
  • Anti-VEGF Injections: In some cases, intravitreal injections of anti-vascular endothelial growth factor (anti-VEGF) medications may reduce fluid leakage and promote fluid absorption from the retina.
  • Laser Photocoagulation: This is considered in specific cases, such as if a persistent leakage point is identified during fluorescein angiography. It seals the leaking blood vessels and reduces fluid accumulation.

What Experts Say?

Anshul Goyal

Dr. Anshul Goyal

Retina Surgeon (CEO)

“CSCR is usually self-limiting and the visual disturbance resolves in 6 weeks in 90% of patients. Avoid stress and steroids in any form is the key to treating CSCR.”

What Causes Central Serous Chorioretinopathy(CSCR)?

The exact cause of Central Serous Chorioretinopathy (CSCR) is not fully understood. However, several factors, such as Retinal Pigment Epithelium (RPE) Dysfunction, hormonal changes, blood abnormalities, and genetic predisposition, are associated with its development.

Complications of Central serous chorioretinopathy (CSCR)

  • Retinal Detachment: Fluid accumulation for a longer duration can cause the retina to detach from the underlying tissue. This condition requires immediate medical attention and can result in permanent vision loss if not treated promptly.
  • Choroidal Neovascularization (CNV): CNV is an abnormal growth of blood vessels in the choroid layer of the eye, which can occur as a complication of CSCR. These new blood vessels can leak fluid or bleed, leading to further vision impairment.
  • Persistent Retinal Pigment Epitheliopathy (RPE) Changes: Central serous chorioretinopathy causes a change in the retinal pigment epithelium (RPE), which supports the retina's health.

Prevention from CSCR

Here are specific preventive measures may help reduce the risk of developing or exacerbating the condition:

  • Regular Eye Checkups
  • Stress Management
  • Lifestyle Modifications
  • Limiting Corticosteroid Usage

FAQs for CSCR

In many cases, it resolves on its own within the first 3 months, leading to restored vision. But, some individuals might experience recurrent episodes or longer-lasting effects, which could potentially lead to permanent vision changes in rare cases.
It is rare but CSCR can affect both eyes simultaneously. Each eye might be affected independently, leading to vision disturbances and other symptoms in both eyes.
It is more common in males, individuals ages 20-50 years, type A personalities, corticosteroid consumers, & pregnant women.
Yes, CSCR can recur even after treatment. The complications might stay for more than 6 months. Some individuals might experience multiple episodes of CSCR over time, with periods of resolution followed by recurrence. Proper management, lifestyle adjustments, and regular follow-ups for the next 3-6 months with an eye care professional are important to monitor and minimize the risk of recurrence.
Currently, there is limited evidence to support the use of specific nutritional supplements for managing CSCR. Some studies show certain supplements like antioxidants and omega-3 fatty acids might have potential benefits for retinal health.
In many cases, CSCR resolves on its own within 3 to 6 months, and vision returns to normal. However, some individuals might experience longer-lasting effects, recurrent episodes, or even chronic forms of the condition that can persist for years.

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