Central Serous Retinopathy

Question 1

What are the risk factors for CSCR?

Answer 1

Its idiopathic but usually in males, stress and depression related, steroid use

Question 2

What is the pathogenesis of CSCR?

Answer 2

There is an increased permeability of capillaries causing a leakage of fluid due to the dysfunction of the pumping mechanism.

Question 3

What are 3 signs of CSCR?

Answer 3

Round/Oval dome shaped retinal elevation at macular.
Subretinal fluid + PED
VA reduced from 6/9 to 6/18

Question 4

What are 4 symptoms of CSCR?

Answer 4

1. Metamophopsia
2. Blurred Central Vision
3. Painless
4. Hyperopic Shift

Question 5

What are 4 investigations you would carry out to a patient with CSCR?

Answer 5

1. D/N Va
2. OCT
3. FFA
4. Amsler

Question 6

What is the management/referral for someone with CSCR?

Answer 6

• Urgent referral within 2 weeks

- Monitor and address causative factors such as stress and steroid use.

Question 7

What is the treatment for CSCR?

Answer 7

• For most cases it revolves within 6 months so just monitor.
• For persistant cases such as chronic CSCR (>4months): Argon laser photocoagulation to RPE leak, photodynamic therapy, Anti-VEGF.

Question 8

What are the two differential diagnosis for CSCR?

Answer 8

CNV and Wet AMD