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Central serous chorioretinitis
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Central serous chorioretinitis

Central serous chorioretinitis is a relatively frequent eye disease which traditionally occurs in a young man with a tendency to hyperactivity and stress.

What are the symptoms?

Central serous chorioretinitis leads to a drop in visual acuity and perceiving deformed images (metamorphosias).

Who is affected?

It is a clearly male predominant disease (90%) affecting essentially hyperactive and/or stressed young men.

What are the causes?

The drop in visual acuity inherent to central serous chorioretinitis is caused by fluid accumulation on the posterior pole of the retina, detaching this over a confined area.

The disease’s physiopathology is still widely unknown. Recently, corticoids have been associated with the development, prolonging and exacerbation of central serous chorioretinitis.

What is the evolution?

The disease’s development is most often favourable with a spontaneous resolution of the outbreak and recovery of visual acuity. Relapses are however possible. Sometimes, development progresses towards a chronic state, which may lead to a more severe drop of visual acuity.

How is it diagnosed?

An examination of the back of the eye shows a lifting of the retina on the macula. By doing a fluorescein angiography, the leak spot which leads to this detachment bubble can be seen.

A fluorescein angiography shows up leak point or points with a “vapour jet” or “stain” spread, sometimes associated with alterations of the pigmentary epithelium.

An indocyanine green angiography reveals a choroidal hyperpermeability.

How can it be prevented?

No preventive measure or medical treatment has shown to be effective. In certain chronic cases treatment by argon laser focused on the leak spot may stop the leak.

how to treat it?

    Introduction

    Treatment 1

    Treatment 2

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