Central Serous Choroidal Retinopathy

“Central serous chorioretinopathy (CSCR) is the fourth most common retinopathy after age-related macular degeneration, diabetic retinopathy and branch retinal vein occlusion.^[1] CSCR typically occurs in males in their 20s to 50s who exhibit acute or sub-acute central vision loss or distortion. Other common complaints include micropsia, metamorphopsia, hyperopic (most common) or myopic shift, central scotoma, and reduced contrast sensitivity and color saturation.^[2] No underlying pathophysiologic mechanisms have been proven, but CSCR is thought to occur due to hyper-permeable choroidal capillaries, which, in association with retinal pigment dysfunction, cause a serous detachment of the neurosensory retina. Recurrence occurs in about 31% patients with CSCR,^[3] though the recurrence rate has been quoted to be up to 50% in most texts”.

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“The disease was first recognized by Albrecht von Graefe in 1866 and was named central recurrent retinitis. Since then it has been reported under a variety of names such as idiopathic flat detachment of the macula by Walsh et al, central angiospastic retinopathy by Gifford et al, and central serous retinopathy by Straatsma et al. The condition was named Idiopathic central serous chorioretinopathy by Gass et al in 1967”.

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Contents

• 1 Disease Entity
  • 1.1 Disease
  • 1.2 Differential Diagnosis
  • 1.3 Etiology
  • 1.4 Epidemiology and Risk Factors
  • 1.5 Pathophysiology
• 2 Diagnosis
  • 2.1 History
  • 2.2 Clinical Diagnosis
  • 2.3 Diagnostic Procedures and Tests
  • 2.4 Natural Progression and Prognosis
• 3 Management
  • 3.1 Overview of Treatment
  • 3.2 Medical Therapy
    • 3.2.1 Anti-corticosteroid therapy
    • 3.2.2 Aspirin
    • 3.2.3 Helicobacter pylori treatment
    • 3.2.4 Anti-adrenergic agents
    • 3.2.5 Intravitreal anti-VEGF therapy
  • 3.3 Surgical Management
    • 3.3.1 Laser Photocoagulation
    • 3.3.2 Photodynamic therapy
    • 3.3.3 Subthreshold Micropulse Laser Photocoagulation
    • 3.3.4 Scleral resection
• 4 Summary
• 5 Additional Resources
• 6 References

 

References

1. https://eyewiki.org/Central_Serous_Chorioretinopathy

 

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