TRAFFIC ADVISORY:

President Trump is scheduled to be in Philadelphia on Tuesday, September 15, 2020 at The National Constitution Center (NCC) in the Independence Mall area. Increased police presence is anticipated in Center City throughout Tuesday afternoon and evening. Please allow extra time if you are going to Wills Eye. Please be advised of area street closures to vehicles beginning at 1:00PM on Tuesday 9/15. Pedestrian access will also be limited in the area. This is subject to change and area restrictions, which could widen, will be lifted once the President departs the NCC. There are also demonstrations planned for Tuesday 9/15 around Independence Mall as well as City Avenue.

Central Serous Chorioretinopathy (CSCR)

Central serous chorioretinopathy (CSCR) is a condition that causes fluid to build up underneath the center of the retina (Macula). Fluid leaks from the blood vessel layer under the retina called the choroid. It is more common in men and typically occurs between the ages of 25 to 50 years.

What are the symptoms?

Most patients have a blurred spot in the center of vision. Objects often appear distorted and miniature in size, sometimes appearing farther away in the involved eye. Colors can appear washed out. Rarely is vision severely affected. Most cases affect only one eye, but it can involve both.

What causes it?

The exact cause of CSCR is unknown. However, corticosteroid use in any form (oral, topical, inhaled, or injected) can precipitate or worsen an attack of CSCR. This is true even if the steroid use is remote from the eye, such as an injection into the knee. People who have a history of CSCR should avoid any steroid use if possible.

What is the follow-up and treatment?

In most cases, the fluid under the retina resolves spontaneously over several months and the final visual outcome is usually good, although not always perfect. Given the favorable natural history of this condition, patients are usually followed without treatment. The condition recurs in 20% to 30% of patients. Some degree of permanent visual loss can occur in CSCR and this is more likely in recurrent or prolonged cases.

Request an Appointment TODAY

If you would like to speak with a Wills Eye representative for help finding a retina physician

CALL 215-928-3444

or click here to make an appointment online.

Central Serous Chorioretinopathy (CSCR) Photos

Laser treatment can help to speed the resolution of subretinal fluid and improve vision faster in some cases. In general, treatment is usually reserved for certain circumstances, such as when there is persistence of subretinal fluid for four to six months or more, recurrence in an eye that sustained a permanent visual loss from a previous episode, or need for prompt visual restoration such as for occupational reasons. Alternative treatments include photodynamic therapy and an intraocular injection of Avastin.

Is there any prevention?

Other than avoiding corticosteroid use, there is no known prevention for CSCR.

 

FOR MORE INFORMATION ON CENTRAL SEROUS CHRIORETINOPATHY or TO SEE A RETINA SPECIALIST AT WILLS EYE HOSPITAL,
PLEASE CALL US AT 215-928-3300 OR FILL OUT OUR MAKE AN APPOINTMENT FORM.

Wills Eye Retina Doctors

 

JULIA A. HALLER, MD
Ophthalmologist-in-Chief

Julia A. Haller, MD - Ophthalmologist-in-Chief, Retina

CARL D. REGILLO, MD, FACS
Chief, Retina Service

Carl D. Regillo, MD, FACS, Retina, Chief

ARUNAN SIVALINGAM, MD
Co-Director, Retina Service
Director, Fellowship

Arunan Sivalingam, MD, Retina, Co-Director

DAVID H. FISCHER, MD
Co-Director, Retina Service

David H. Fischer, MD, Retina, Co-Director
Allen C. Ho, MD, Retina

ALLEN C. HO, MD
Director, Retina Research

RICHARD S. KAISER, MD
Co-Director, Retina Fellowship

SUNIR J. GARG, MD
Co-Director, Retina Research

JASON HSU, MD
Co-Director, Retina Research

Jason Hsu, MD, Retina

JAMES P. DUNN, MD
Director, Uveitis Unit

James P. Dunn, MD, Uveitis, Director

ALLEN CHIANG, MD

MICHAEL N. COHEN, MD

MITCHELL S. FINEMAN, MD

OMESH P. GUPTA, MD

M. ALI KHAN, MD

MICHAEL KLUFAS, MD

AJAY KURIYAN, MD

SONIA MEHTA, MD

Sonia Mehta, MD, Retina

CARL PARK, MD

MARC J. SPIRN, MD

Marc J. Spirn, MD, Retina

JAMES F. VANDER, MD

James F. Vander, MD, Retina

YOSHIHIRO YONEKAWA, MD

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