Central Serous Retinopathy
Retina Specialist in Abu Dhabi - Dr Madhava Rao
What is central serous retinopathy (chorioretinopathy)?
Central serous retinopathy, also termed central serous chorioretinopathy or CSR eye, is a medical disorder in which fluid accumulates behind the retina of your eye.
The fluid can cause the retina to detach, resulting in visual issues or loss. The retina is a layer of tissue behind each eye. It detects light and converts it into visuals that your brain can recognize.
Who is prone to get a CSR eye?
Central serous retinopathy can affect anyone; however, it is more common in:
- Middle-aged men.
- Individuals with myopia (nearsightedness).
- Those taking specific drugs, particularly corticosteroids.
Causes of Central Serous Retinopathy
Central serous retinopathy (CSR) is a condition that affects the retina, leading to visual disturbances. The exact causes of CSR are not understood, but certain factors have been identified to contribute to its development:
- Stress and Cortisol: High stress levels can lead to the high production of cortisol, a hormone associated with inflammation and fluid leakage. Studies suggest that individuals experiencing high stress and those with inadequate coping mechanisms are at an elevated risk of developing CSR.
- Corticosteroid Use: Medications containing corticosteroids, which are used to reduce inflammation, have been linked to CSR.
These medications can be administered in different forms, including:
- Creams for dermatologic conditions
- Inhalers for asthma
- Injections for orthopedic issues
- Nasal sprays
- Oral tablets, such as prednisone
Other Risk Factors:
- Autoimmune diseases, like lupus and rheumatoid arthritis
- Cardiovascular issues, including heart disease and high blood pressure
- Infections, notably with the bacterium Helicobacter pylori
- Kidney diseases, such as glomerulonephritis
- Pregnancy
- Sleep disturbances, including sleep apnea and insomnia
- Certain medications, including those for nasal congestion and erectile dysfunction
Symptoms of Central Serous Retinopathy
CSR can manifest in one or both eyes, and the severity of symptoms can vary. Some individuals may experience significant visual impairment, while others may not notice any symptoms. Key symptoms include:
- Blurry vision, often described as a central smudge or blur
- A dark spot in the centre of one's field of vision
- Overall dimming of vision
- Perceived discolouration of white objects, which may appear dull or brownish
- Objects appearing smaller or further away than they are
- Straight lines appearing crooked or bent
Note: Not all individuals with CSR will experience noticeable symptoms, and the condition can be present without any apparent visual impairment.
Diagnosing chorioretinopathy
If your vision changes, consulting an ophthalmologist for a timely diagnosis opens avenues for possible treatments. They will evaluate your symptoms and may arrange specific retina tests:
- Fluorescein angiography (IVFA): During IVFA, a healthcare expert will inject dye into a vein in your arm. The dye travels throughout your body and into your retina. Then, a healthcare expert uses a specialized camera to detect leakage.
- Optical coherence tomography (OCT) scan: OCT primarily examines the back of the eye. It produces three-dimensional images of your retina, allowing your healthcare professional to evaluate retinal thickness, diagnose oedema, and detect serous retinal detachment.
Central serous retinopathy treatment in Abu Dhabi
Central serous retinopathy (CSR), often self-resolving within a few months, leads to a “watch and wait” management strategy. Healthcare providers may monitor the condition, advising patients to avoid certain medications and reduce stress to facilitate healing.
If improvement isn’t seen, treatment options include:
- Medications: Anti-vascular endothelial growth factor (anti-VEGF) to prevent new blood vessels and diuretics to reduce fluid.
- Photodynamic therapy (PDT): Involves injecting verteporfin, then activating it with a cold laser to seal leaks.
- Laser treatments: Including thermal laser therapy to seal leaks with heat and MicroPulse / sub threshold navigated (NAVILAS) laser therapy using brief, low-energy pulses.
How does Retinal laser treatment in Abu Dhabi help?
Retinal laser treatment in Abu Dhabi offers a promising solution for individuals suffering from Central Serous Retinopathy (CSR), leveraging advanced laser technology to precisely target and seal leaks in the retina.
This method significantly aids in reducing the accumulation of fluid beneath the retina, thus facilitating a quicker recovery and minimizing the risk of recurrence.
Book an appointment with Dr. Rao - a retina specialist in Abu Dhabi
Dr. Madhava Rao, a distinguished retina specialist in Abu Dhabi, provides top-tier care for those searching for expert guidance and treatment.
Dr. Madhava’s profound knowledge and specialized approach to treating retinal conditions make him a trusted choice for managing CSR effectively.
To safeguard your vision and explore treatment options for CSR, book an appointment with Burjeel eye doctor Dr. Madhava Rao.
