Retinal Conditions - Central Serous Retinopathy

A common disorder of the macula that causes a change in the quality of the central vision such as image size, color, or clarity is central serous retinopathy or CSR.

It most often strikes people in the age range of 25 to 50 and can be commonly confused with macular degeneration or other inflammatory eye diseases. It’s caused by a pinpoint leak in the barrier layer that lies beneath the retina, called the RPE. This leak leads to fluid accumulation and displacement of the macula which then alters the vision. Fortunately, central serous usually corrects itself within 4 to 6 months with little or no permanent loss in vision. Laser can speed the recovery of vision by a few months but is only advised under some circumstances. The fine quality of the vision can be affected long-term but this is rarely noticeable. Your retina specialist will use an angiogram study to analyze the blood vessels and architecture of the macula in order to confirm the diagnosis and to guide therapy. Rarely persons are affected in both eyes and for long periods of time (chronic CSR). Chronic cases require more attention to prevent permanent vision loss.