Central Serous Retinopathy


Healthy Living – January 24, 2017
Michael Johnson, MD
In Central Serous Retinopathy (sometimes called Central Serous Choroidopathy), fluid builds up under the retina and distorts vision. Fluid leakage is believed to come from a tissue layer with blood vessels under the retina, called the choroid. Another layer of cells called the retinal pigment epithelium (RPE) is responsible for preventing fluid from leaking from the choroid under the retina. When, for unknown reasons, tiny areas of the RPE become defective, fluid builds up and accumulates under the RPE, much as liquid in a blister collects under the skin. As a result, a small detachment forms under the retina, causing vision to become distorted. 
Central serous choroidopathy usually affects just one eye at a time, but it is possible that both eyes may be affected at the same time.
Men are more likely to develop central serous choroidopathy than women, particularly in their 30’s-50’s. Stress is a major risk factor. Some studies suggest that people with aggressive, “type A” personalities who are under a lot of stress may be more likely to develop central serous retinopathy. 
Other factors that may increase your risk for Central Serous Choriodopathy are: 
  1.  Use of steroids (by mouth, through a vein or even inhaled)
  2. Caffeine
  3. Hypertension (high blood pressure)
If you have central serous retinopathy, your central vision will be distorted. In addition to distorted central vision, your vision may also appear blurred or dim. You may have a blind spot in your central vision. You may also notice a distortion of straight lines in your affected eye, or objects may appear smaller or further away than they actually are. When you look at a white object, it may appear to have a brownish tinge or appear duller in color. 
Most cases of Central Serous Retinopathy clear up in one or two months without any treatment. During this time your eye doctor will monitor your eye to see if the liquid is being reabsorbed. If you have severe vision loss, or if the leakage is sever or does not go away, you may be helped by laser treatment or photodynamic therapy to seal the leak and restore vision. 
Most people with Central Serous Retinopathy regain good vision even without treatment; however, vision may not be as good as it was before the condition appeared. About half of patients who have had central serous retinopathy will have it return, so it is important to have regular, thorough follow-up exams with your eye doctor since long-term fluid accumulation can lead to permanent vision loss.