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Central
serous retinopathy is a small, round, shallow swelling that develops
on the retina, the light sensitive nerve layer that lines the back
of the eye. Although the swelling reduces or distorts vision, the
effects are usually temporary. Vision generally recovers on its
own within a few months.
In
the initial stages of CSR, vision may suddenly become blurred and
dim. If the macula--the area of the retina responsible for acute
central vision--is not affected, there may be no obvious symptoms.
The
arrows outline a very subtle circular area of fluid accumulation.
Can you see it?
CSR
typically affects adults between the ages of 20 to 50. People with
CSR often lose their retinal swelling without treatment, and recover
their original vision within six months of the onset of symptoms.
Some people with frequent episodes may have some permanent vision
loss. Recurrences are common and can affect 20 to 50 percent of
people with CSR. While the cause of CSR is unknown, it seems to
occur at times of major personal or work related stress.
As
CSR usually resolves on its own, no treatment may be necessary.
Sometimes laser surgery can reduce the swelling sooner but there
is no evidence this improves the final visual outcome. If retinal
swelling persists for over three to four months or if an examination
reveals early retinal degeneration, laser surgery may be helpful.
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