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Central Serous Retinopathy (CSR)
Central Serous Retinopathy (CSR) is most commonly seen in middle-aged type A (stressed) males. CSR usually cause a moderate
loss of vision (20/40 - 20/80) although more severe vision loss may be seen. Some patients complain of a central blind spot
(scotoma) or waviness to straight lines (metamorphopsia). The diagosis is definitvely made with fluorescein angiography.
In most case vision returns to close to normal after 3-6 months. Few cases may go on to developing abnormal vessels
(choroidal neovascularization) which may require laser treatment.
Patients often want to know if there is any treatment to make the vision return faster. Light laser treatment to the area
of leakage may lead to faster recovery but no improvement in final outcome. Similarly use of the oral drug acetazolamide
(Diamox) may return vision a little faster but does not affect the final outcome. Steroid treatment is contraindicated.
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