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Central Serous Retinopathy – What is CSR


Central Serous Retinopathy is a disease that causes fluid to build up under the retina. The fluid leaks from the blood vessel layer under the retina called the choroid.

Central Serous Retinopathy causes blurred or distorted vision (metamorphopsia). A blurred or gray or greenish spot in the central visual field is common with this disease.

The cause of this condition isn’t  known, however, men are affected more often than women, and the condition is most common at around age 45, but anyone at any age can be affected. Studies have shown that stress is likely a risk factor. However, the condition can also occur as a complication of steroid drug use.

The prognosis for Central Serous Retinopathy is generally very good. Over 90% of patients regain 20/30 vision or better within 6 months. However, some visual abnormalities can remain even if visual acuity is measured at 20/20. Lasting problems can include decreased night vision, color discrimination problems, and some distortion. Long term complications can include subretinal neovascularization and pigment epitheliopathy.

Although laser treatment has been used to treat Central Serous Retinopathy, if the fluid leak is near the center of vision, laser treatment may be undesirable as a scar will likely remain noticeable to the patient. Beta blockers have been prescribed to some patients in an effort to treat and prevent Central Serous Retinopathy, although studies have yet to show conclusive evidence that beta blockers are an effective treatment. Most doctors will recommend that patients find ways to relieve stress as a treatment.



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