CENTRAL SEROUS CHORIORETINOPATHY

(CSCR) Accumulation of fluid under the retina

What is central serous chorioretinopathy?

Central serous chorioretinopathy (CSCR) is a disorder in which fluid accumulates under the retina, coming from the blood vessels of the layer just below, call the choroid.

It is linked to multiple factors, including stress, overuse of corticosteroids and certain medications. Patients can suffer recurring episodes of CSCR, leading to chronic damage to the photoreceptors in the retina.

Symptoms of chorioretinopathy

When the macula is affected, the central part of the retina with maximum vision, the most common symptoms include:

Reduction in visual acuity

with perhaps a black spot even appearing in the central area of vision (scotoma).

Distortion of objects

or seeing straight lines as wavy (metamorphopsia).

CSCR TREATMENT

Among the treatment options available when medical treatment is insufficient are:

  • Intravitreal injections: these are used when a neovascular membrane develops as a complication.
  • Laser photocoagulation: this makes it possible to block up the points where fluid is leaking and then accumulating under the layers of the retina. These are first identified using angiography.
  • Photodynamic therapy: this is reserved for cases showing resistance.

PIONEERS IN EYE SURGERY

At CLÍNICA RAHHAL, we have state-of-the-art technological equipment which, combined with our teamwork, ensures the best results.

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“I have been going to Rahhal for many years with my entire family because of the quality of the service and the family-friendly atmosphere that the whole team provides”.

Fernando Alcañiz. 

“Besides his professionalism, you can see that Dr Rahhal enjoys his work and is happy doing it. I went to him for an initial consultation and have never thought about going to another clinic. I am truly delighted”.

Lourdes García. 

“I have been a patient for some time and I am delighted with them. The staff are attentive and very professional, and the facilities are excellent. Highly recommended!”

Esther Herranz. 

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At CLÍNICA RAHHAL, we don’t want you to have to break the bank to be able to see; we want to ensure our patients can afford our treatments.

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FAQs

Select one of the following frequently-asked questions from our patients to show the answer. If you cannot find the answer to your question, please contact us using the form below.

Why is CSCR sometimes not “cured” after the right treatment?

Central serous chorioretinopathy is linked to certain anatomical variations in the eye, fundamentally to a choroid (the layer that surrounds and feeds the retina) that is thicker than normal (pachychoroid). This anatomical variation cannot essentially be modified and it predisposes patients to suffer CSCR, which is why even though CSCR can be treated, as the underlying condition remains, the disorder can often become chronic.

Does it tend to reoccur?

Yes. Since it is usually linked to specific ophthalmological characteristics that cannot be modified, patients who are susceptible to developing it may face it multiple times throughout life, and in some cases it becomes chronic.

Is there a definitive solution?

There are several treatments available, which could be used, depending on the patient’s characteristics: oral treatment, topical treatment (in drops), argon laser treatment, photodynamic therapy and intravitreal injections. In general, almost all patients respond to one of these therapies although there are some cases where relapses occur even after using all the treatments available to us.

Can it lead to permanent vision loss?

If it is not treated in time, CSCR and its complications, such as the development of neovascular membranes, can cause irreparable damage to the retinal nerve fibres leading to the long-term loss of visual acuity.

Should I have frequent check-ups with this?

All patients with a CSCR diagnosis should have regular check-ups due to the risk of relapse and future complications, such as the development of neovascular membranes, where early treatment is vital.

Initial consultation

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