Locations Main Campus: Chesterfield, MO 63017   |   Locations
314-434-1500 314-434-1500   |   Contact Us

Multimedia Encyclopedia


 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

Central serous choroidopathy

Central serous retinopathy

 

Central serous choroidopathy is a disease that causes fluid to build up under the retina. This is the back part of the inner eye that sends sight information to the brain. The fluid leaks from the blood vessel layer under the retina. This area is called the choroid.

Causes

 

The cause of this condition is unknown.

Men are affected more often than women, and the condition is most common at around age 45. However, anyone can be affected.

Stress appears to be a risk factor. Early studies found that people with aggressive, "type A" personalities who are under a lot of stress may be more likely to develop central serous choroidopathy.

The condition can also occur as a complication of steroid drug use.

 

Symptoms

 

Symptoms may include:

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

 

Exams and Tests

 

Your health care provider can most often diagnose central serous choroidopathy by dilating the eye and performing an eye exam. Fluorescein angiography confirms the diagnosis.

This condition may also be diagnosed with a noninvasive test called ocular coherence tomography (OCT).

 

Treatment

 

Most cases clear up without treatment in 1 or 2 months. Laser treatment or photodynamic therapy to seal the leak may help restore vision in people with more severe leakage and vision loss, or in those who have had the disease for a long time.

People who are using steroid drugs (for example, to treat autoimmune diseases) should stop using these drugs, if possible. DO NOT stop taking these medicines without first talking to your provider.

 

Outlook (Prognosis)

 

Most people recover good vision without treatment. However, vision is often not as good as it was before the condition occurred.

The disease returns in about half of all people. Even when the disease returns, it has a good outlook. Rarely, people develop permanent scars that damage their central vision.

 

Possible Complications

 

A small number of people will have complications from laser treatment that impair their central vision. That is why most people will be allowed to recover without treatment, if possible.

 

When to Contact a Medical Professional

 

Call your provider if your vision gets worse.

 

Prevention

 

There is no known prevention. Although there is a clear association with stress, there is no evidence that reducing stress can help prevent or treat central serous choroidopathy.

 

 

References

Pulido JS, Kitzmann AS, Wirostko WJ. Central serous chorioretinopathy. In: Yanoff M, Duker JS, eds. Ophthalmology. 4th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 6.30.

Roddy GW, Rosa RH, Jr. Pathology of the retina. In: Tasman W, Jaeger EA, eds. Duane's Foundations of Clinical Ophthalmology. Vol. 3. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:chap 13.

 
  • Retina

    Retina - illustration

    The retina is the internal layer of the eye that receives and transmits focused images. The retina is normally red due to its rich blood supply.

    Retina

    illustration

    • Retina

      Retina - illustration

      The retina is the internal layer of the eye that receives and transmits focused images. The retina is normally red due to its rich blood supply.

      Retina

      illustration

    Self Care

     

      Tests for Central serous choroidopathy

       

         

        Review Date: 8/20/2016

        Reviewed By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

        The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
        adam.com

         
         
         

         

         

        A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.



        Content is best viewed in IE9 or above, Firefox and Google Chrome browser.