Subject(s)
Macular Edema , Remission, Spontaneous , Retinal Vessels , Subretinal Fluid , Humans , Macular Edema/diagnosis , Macular Edema/complications , Macular Edema/etiology , Retinal Vessels/pathology , Retinal Vessels/abnormalities , Retinal Vessels/diagnostic imaging , Tomography, Optical Coherence , Male , Female , Fluorescein AngiographyABSTRACT
The central serous chorioretinopathy (CSCR) is characterized by serous retinal detachments SRD associated with one or several retinal pigment epithelium detachments/irregularities (PEDs). The choroid is thickened with dilated choroidal veins and choroidal hyperpermeability suggesting an underlying choroidopathy. CSCR belongs to the pachychoroid spectrum. CSCR affects mostly middle-aged men and the main risk factor is the corticosteroid intake. In most cases, the subretinal detachment resolves spontaneously with a good visual prognosis. However, recurrent or chronic form of the disease can lead to irreversible retinal damage and decreased visual acuity. Laser on an extra foveal leak point or half dose/half fluence photodynamic therapy are the first-line treatment options.
