Central Serous Chorio-Retinopathy

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Central serous chorio-retinopathy (CSCR), also called central serous retinopathy (CSR) is a disease of the retina. The retina is a layer of light-sensing cells lining the back of your eye. This condition often damages a portion of the retina called the macula, which is located in the center of the retina and enables you to see fine details clearly. You rely on your macula whenever you read, drive, or do other activities that require you to focus on fine details.

CSCR is a small area of fluid build-up that develops behind the retina. The fluid build-up may reduce or distort vision, may cause blind spots, or may not cause any symptoms. The effects are often temporary. Vision usually recovers on its own within a few months. In the initial stages of CSCR, vision may suddenly become blurred and dim. If the macula (the area of the retina responsible for central vision) is not affected, there may be no obvious symptoms.

CSCR typically affects adults between the ages of 20 and 50. People with CSCR often find that their retinal swelling resolves without treatment and their original vision returns within six months of the onset of symptoms. Some people with frequent episodes may have some permanent vision loss.  

Recurrences are common and can affect one-quarter to one-half of people with CSCR. While the exact cause of CSCR is unknown, it seems to occur at times of personal or work-related stress.

Because CSCR usually resolves on its own, no treatment may be necessary. In cases of prolonged recover, sometimes laser surgery or treatment with medicines may be recommended to assist in reducing the fluid build-up. If retinal swelling persists for more than three or four months, or if an examination reveals early retinal degeneration, laser surgery may be helpful. Be sure to discuss your options with your eye doctor.