Central Serous Chorioretinopathy (CSCR)
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- Central Serous Chorioretinopathy is the fourth most common retinopathy after age-related macular degeneration, diabetic retinopathy and branch retinal vein occlusion.
- It typically develops in young and middle-age adults in their 20s to 50s and is more commonly seen in male patients.
- Presenting comlpains are acute or sub-acute central vision blurring or distortion. Other complaints include micropsia, metamorphopsia, hyperopic (most common) or myopic shift, central scotoma, and reduced contrast sensitivity and color saturation.
- CSCR is thought to occur due to increased permeability of choroidal vessels and an associated retinal pigment dysfunction which cause a serous detachment of the neurosensory retina. Exogenous corticosteroids (in various forms, including oral, intra-articular, topical, etc) and endogenous corticosteroids (due to elevated levels of stress) have been implicated in the development of the condition.
- In many cases CSCR may resolve with observation and eliminating assocaited risk factors (i.e. exogenous steroid use; reducing levels of stress). Recurrences may occur in about one-third of cases and some patient develop chronic CSCR requiring treatment that may include PDT or micropulse laser.
- More information at Eyewiki page
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Acute CSCR in the left eye of a 35 year old female that resolved with a period of observation. Presenting BCVA 20/50.
OCT 3 months after the initial presentation: