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Central serous choroidopathy
Alternative namesCentral serous retinopathy
DefinitionCentral serous choroidopathy is a disease involving fluid accumulation under the retina caused by leakage from the choroid (blood vessel layer under the retina).
Causes, incidence, and risk factors
The cause of this condition is unknown. Most patients are young men with aggressive, "type A" personalities, but anyone can be affected.
Stress appears to be a risk factor. The condition can also occur as a complication of steroid drug use.
Signs and tests
Your health care provider can usually diagnose central serous choroidopathy can with a dilated examination of the retina. Fluorescein angiography , a test that photographically images the retinal circulation after a dye has been injected into the bloodstream, will confirm the diagnosis.
Most cases clear up without treatment in 1 or 2 months. Patients with more severe leakage and more severe visual loss or longer persistence of disease may be helped by laser treatment to seal the leak.
Patients who are using steroid drugs (for example, to treat autoimmune diseases) should discontinue their use if medically feasible. Any change in steroid drug use in these conditions MUST be under the supervision of a physician.
Most patients recover normal vision without treatment. Recurrences occur in about half of all patients and have a similarly good prognosis. Rarely, patients develop permanent scars that impair central vision.
A small number of patients will have complications of laser treatment which impair central vision, which is why most patients will be allowed to recover without treatment.
Calling your health care provider
If visual symptoms worsen.
There are no known preventive measures. Although there is a clear association with stress, there is no evidence that tranquilizer drugs have any benefit in preventing or treating central serous choroidopathy.
Update Date: 11/5/2002Raymond S. Douglas M.D., Ph.D. Department of Ophthalmology, UCLA Medical Center, Los Angeles, CA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT