Central Serous Choroidopathy

Central serous choroidopathy (CSR) presents most commonly in young men, 20 to 50 years of age, with a rather sudden onset of blurred vision in one eye, minification of images, reduced color vision, or a central "blind spot" in the involved eye. The exact cause of the condition is unknown, but the disorder is characterized by "leakage" of fluid in the central macula. Patients with CSR generally have vision in the 20/20 to 20/100 range and a serous (clear fluid) retinal detachment may be discovered by the examining ophthalmologist. A fluorescein angiogram may be utilized to confirm the diagnosis.

• A dim and blurred blind spot in the center of vision
• Objects appearing smaller or further away with the
affected eye
• Distortion of straight lines with the affected eye

The cause of this condition is unknown. Most patients are young men with aggressive, "type A" personalities, but anyone can be affected. Stress appears to be a risk factor. The condition can also occur as a complication of steroid drug use.

Most cases clear up without treatment in 1 or 2 months. Patients with more severe leakage and more severe visual loss or longer persistence of disease may be helped by laser treatment to seal the leak. Patients who are using steroid drugs (for example, to treat autoimmune diseases) should discontinue their use if medically feasible. Any change in steroid drug use in these conditions MUST be under the supervision of a physician. A small number of patients will have complications of laser treatment which impair central vision, which is why most patients will be allowed to recover without treatment.

Self Help:

Since we consider most eye conditions to be a reflection of the health of the whole body, lifestyle choices and diet can play a major factor in getting and maintaining good vision. Below are some recommendations: