Central serous choroidopathy – also known as central serous retinopathy – describes a leakage of fluids between the choroid and retina. It’s called central because it occurs in the macula, the part of the retina responsible for your central (straight-ahead) vision. This leakage creates a pocket of fluid underneath the retina, which then distorts the light-sensitive nerve cells in the macula and may impair vision in the affected eye. A fluorescein angiogram may be necessary to confirm the diagnosis. Many cases resolve on their own, without treatment. However, it still needs to be watched because some cases will require treatment. The exact cause of central serous choroidopathy remains uncertain. It usually occurs in young healthy people, and is more common in males.
Who is at risk?
We don’t yet know what triggers central serous choroidopathy. But it does tend to strike young, healthy people – usually males experiencing significant stress in their lives.
The typical patient with central serous retinopathy does not require treatment. Most cases are self-limiting and resolve over a period of weeks or months. In some patients, however, the sub-retinal fluid persists longer, and treatment is recommended. If there is a persistent leak, photocoagulation may be performed to hasten the resorption of fluid.