Retina-Vitreous
2010 , Vol 18 , Num 4
Central Serous Chorioretinopathy
1Uludağ Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Bursa, Prof. Dr.2Uludağ Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Bursa, Uzm. Dr.
3Uludağ Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Bursa, Doç. Dr. Central serous chorioretinopathy (CSC) is a disease characterized with blurred vision, micropsia and metamorphopsia. CSC occurs most frequently in mid-life and usually in men. The classic clinical picture is serous detachment of the neurosensory retina secondary to lesions of the retinal pigment epithelium (RPE). Funduscopic signs of CSC are prominent elevation of the neurosensory retina or shallow detachments overlying depigmented RPE. Several diagnostic techniques, either invasive or non-invasive, can be used in the diagnosis.
CSC usually presents as an idiopthic disease however, several risk factors have been shown to contribute in the aetiology. A careful and complete history of all possible etiological factors should be questioned, and investigated if necessary, while making a differential diagnosis. CSC is a benign disease; however, one should keep in mind that in some cases may end up with serious visual loss.
Medical treatment includes asetazolamide, betablockers and anti-histaminics, but none of those mentioned drugs have been shown to be superior than the others. Thermal and photodynamic laser , and anti-VEGF treatment strategies can be applied in selected cases. Keywords : Central serous chorioretinopathy, retinal pigment epithelium