Central serous chorioretinopathy
Troubled by sudden onset blurred central vision with distortion? Though there are numerous causes; Central Serous Chorioretinopathy (CSCR) is among the most common reasons for such symptoms to develop in patients 20-50 years of age. Other conditions often responsible for such symptoms in patients older than 50 include macular edema, choroidal neovascularization, macular pucker, macular hole, vitreomacula traction.
What is CSCR?
CSCR is a condition where there is abnromal build up of fluid under the central retina or macula which causes images to appear blurred, diminished in size, and distorted. It affects men greater than women between 20-50 years of age. It is thought to result from high blood cortisol (steroid like hormone) levels which cause the vascular layer or its barrier under the retina to malfunction allowing fluid build up under the macula with resultant visual dysfunction.
Things that may precipitate CSCR development include increased emotional stress, supplemental steroids (orally, injected, inhaled, drops, ointment/creams), caffeine like stimulants, pregnancy, and hypertension.
Forms of CSCR
Acute CSCR is often times a self-limited condition with spontaneous resolution of fluid occurring over weeks to months with restoration of vision to near normal. Recurrences occur in upto 50% of patients within the first 1-2 years but oftentimes spontaneously resolve. Chronic CSCR is the persistence of fluid and symptoms beyond 3 months duration and may result in permanent vision changes if untreated.
Stress reduction, avoidance of steroids, and treatment of hypertension if present are some of the intial recommendations. Your doctor will likely observe your condition awaiting spontaenous resolution of fluid. If the fluid persists beyond 3 months treatments include thermal focal laser, cold PDT laser with Verteporfin, intraocular injections, or various oral medicines. If you or a loved one are potentially suffering with blurred vision please do not hestiate to contact us to schedule an appointment so we can readily diagnose, treat, and restore your vision.
Blog posted by Dr. David Levinson a board certified ophthalmologist and fellowship trained medical and surgical retina specialist. For more information on floaters, flashes, retinal detachment, or any of the services we offer, please contact us (203) 878-1236 at any of our 4 offices in Milford, Orange, Branford, or Shelton. We’re looking forward to hearing from you soon.