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Central Serous Chorioretinopathy

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Central serous chorioretinopathy (CSCR) is a condition where retinal fluid accumulates underneath the central retinal (the macula) and causes painless blurring of central vision or distortion.

What causes CSCR?
While the exact cause is unknown, CSCR is related to the failure of support tissues underlying the retina (retinal pigment epithelium and choroid) which normally keep fluid out of the space below the retina.  In some cases, CSCR can be triggered by the use of steroid medications (either in the form creams, ointments, nasal sprays, eye drops, or pills).   

How is CSCR treated?
Most cases (nearly 75%) resolve spontaneously without treatment over a few months.  Any steroids medications should be stopped if it is safe to do so.    

 

Further therapy is typically initiated for individuals with more chronic symptoms or subretinal fluid.  There are several treatment options, including oral medications and various types of laser (focal, micropulse, and photodynamic therapy).  

What are complications of CSCR?

For some patients, CSCR can develop multiple recurrences over time.  A small amount of patients can also develop a bleeding complication known as choroidal neovascularization which might require intravitreal injections to treat.   

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