Central Serous Chorioretinopathy (CSCR)
CSCR is a condition that causes fluid to accumulate in the center of the retina (Macula). Fluid leaks from the blood vessel layer under the retina called the choroid. It is more common in men and typically occurs between of 25 to 50 years.
Most patients have a blurred spot in the center of vision. Objects often appear distorted and miniature in size. Colors can appear washed out. Rarely vision gets severely affected. Most cases affect only one eye, but it can involve both.
The exact cause of CSCR is unknown. However, corticosteroid use in any form (oral, topical, inhaled, or injected) can precipitate or worsen an attack of CSCR. People who have a history of CSCR should preferably avoid the use of any steroid.
In most cases, the fluid under the retina resolves spontaneously over several months and the final visual outcome is usually good, although not always perfect. Given the favorable natural history of this condition, patients are usually followed without treatment. The condition can recur in 20% to 30% of patients. Some degree of permanent visual loss can occur in CSCR and this is more likely in recurrent or prolonged cases. Laser treatment can help to speed the resolution of subretinal fluid and improve vision faster in some cases. In general, treatment is usually reserved for certain circumstances, such as when there is persistence of subretinal fluid for four to six months or more, recurrence in an eye that sustained a permanent visual loss from a previous episode, or need for prompt visual restoration such as for occupational reasons. Alternative treatments include photodynamic therapy and an intraocular injection of Avastin. Other than avoiding corticosteroid use, there is no known prevention for CSCR.
Our patient care philosophy
At Narayana Nethralaya, “Quality of Care” and “Patient Safety” is our priority. Concern for our patients’ well being is at the core of what we do, and what drives us. All 4 units of Narayana Nethralaya are NABH Accredited – the highest national recognition for quality in patient care and safety. Our Retina team help patients make an informed treatment choice on the type of treatment and surgery that is best suited for their lifestyle. We have an exclusive counseling team to address any doubts or questions that people may have about Retina treatment options and procedures.