Central Serous Chorioretinopathy

Central Serous Chorioretinopathy (CSCR) is a condition that affects the central part of the light-sensitive retina in the eye. This central area, known as the macula, is the most receptive to light. CSCR occurs when the layers of the retina separate due to the collection of fluid between them, as with a blister. This can cause temporary or permanent damage to vision.

Central Serous Chorioretinopathy

You may notice blurred or distorted central vision. An eye examination by an eye doctor can accurately diagnose the problem. Usually this is done through a clinical examination and optical coherence tomography (OCT) scan. Fluorescein and indocyanine green angiography may be recommended by your eye doctor to assess the severity of your condition and formulate a treatment plan.

This condition may be linked to systemic and topical steroid use. In some patients there may be a history of traditional medication use. However, many patients may not have any associated medication use. (See below).

There is a link to stress but this is often difficult to quantify or verify.

What causes CSCR?

It is not known what causes CSCR but the condition has been associated with stress, certain hormonal or endocrine disruptions and the use of steroid medications. Some traditional Chinese medicine and herbal medicine, especially those containing ginseng, may worsen the condition.

What puts me at risk of CSCR?

The risk factors of CSCR include:

• Gender: males are five to 10 times more likely to be affected
• Stress
• Steroid use

This is often a clinical diagnosis aided by tests like an OCT, fluorescein and indocyanine green angiogram.

Sometimes, CSCR can resolve on its own, particularly if the factors or medicines causing the problem can be identified and stopped. However, treatment may be offered if the problem continues or occurs frequently. Current treatment options include thermal laser treatment to 'seal' the leak and photodynamic therapy.