12.1

Central Serous Chorioretinopathy

Introduction:

Central serous chorioretinopathy is characterized in the acute phase by serous detachment of the retina over one or more areas of leakage from the choroid through a defect in the RPE. It is usually self-resolving, but rarely can become chronic. Its chronic phase is marked by retinal thinning, cystic retinal degeneration, cystoid macular edema, and diffuse RPE loss. This condition occurs most commonly in men between 20–50 years of age. Predisposing factors are type A personality, stressful events, corticosteroid use and conditions associated with hypercortisolism such as pregnancy and Cushing’s disease.

Clinical Features:

Patients usually present with a unilateral decrease and distortion of central vision. Examination reveals a macular, well-circumscribed neurosensory retinal detachment often with one or more retinal pigment epithelial detachments. Often signs of CSCR can also be found in the contralateral eye (Fig. 12.1.1).

Figure 12.1.1

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