Central Serous Chorioretinopathy(CSCR)

Fundus photograph and fluorescein angiogram of a central serous chorioretinopathy showing a characteristic "smoke-stack" hyperfluorescence. 

  • Idiopathic.
  • More common in males between the ages of 25 to 50.
  • Has been associated with "Type A" personality.

Clinical features:

  • Symptoms:
    • Maybe asymptomatic
    • Blurred or decreased vision
    • "Washed out colors"
    • Central scotoma
    • Metamorphopsia
    • Micropsia (minification of objects)
  • Signs:
    • Localized shallow, round serous detachment of the neurosensory retina in the macular area
    • Fluorescein angiogram demonstrates:
      • Small leak from an RPE defect early in the transit phase which increases in size and intensity over the course of the study
      • Rarely, characteristic "smoke-stack" hyperfluorescence
      • Pooling of fluorescein dye in the subretinal space in the late phase

Management:

  • Usually resolves spontaneously over a period of 1 to 6 months.
  • Consider laser photocoagulation treatment for persistent and unresolving CSCR.