Please enable JavaScript.
Coggle requires JavaScript to display documents.
Central serous chorioretinopathy (Treatment (Conservative Measures…
Central serous chorioretinopathy
Spontaneous serous detachment of neurosensory retina in Macular Region
Male > Female
Adults
Type A Personality
Steroid Intake
Emotionally stress
Hypertension
Pregnancy (3rd Trimester)
Cushing's Disease
Sympathomimetic & corticosteroids
Alter the Choroidal vascular permeability by affecting Autoregulation
⬆Tissue Hydrostatic Pressure
Pigment Epithelial Defect
Breach in Outer Blood retinal barrier
Development of Localised serous detachment
Sudden Painless loss of Vision (6/9-6/24)
Relative positive scotoma
Micropsia
Metamorphopsia
Mild elevation of Macular area - Circular Ring Reflex
Small yellow gray elevation
Absent foveal reflex
Subretinal deposits
Multifocal Pigmentary changes (Chronicity)
Clinical Course
Acute classic CSCR
Short clinical Course
Spontaneous resolution (Within 3-6 Months )
Chronic CSCR
DIFFUSE RETINAL Pigment Epitheliopathy
Progressive RPE Atrophy
Permanent Visual impairment
In Elderly ( >50 years of age)
Bullous CSCR
Larger & numerous serous detachment
Confused with bullous retinal Detachment
Fundus Flourescein angiography
Ink Blot Pattern
Small Hyperflourescent Spot
Smoke Stack Pattern
Hyperflourescent Spot ascens vertically like smoke-stack & spreads laterally
Mushroom/Umbrella Configuration
ICG
Multiple area of Hyperflourescence
OCT
Retinal Detachment
Differential diagnosis
Optic pit
Macular hole with serous detachment
Choroidal tumors
Pigment Epithelial Defect
Treatment
Conservative Measures
Reassurance
Discontinuation of steroids
Lifestyle changes to reduce stress
Laser Photocoagulation in
Long standing cases
Recurrent CSR
Permanent loss of Vision in other eye due to CSR
Contraindications ➡ FAZ Leak
Photodynamic Therapy
Severe disease with Foveal - Leak
Anti-VEGF
For CNV