Central serous chorioretinopathy (aka. central serous retinopathy or CSR) is a condition that affects the macula. Because the macula is affected, central vision is impaired. In this condition, a clear fluid accumulates under the macula which forces the retina up and forms a large blister under the retina. The blister, in effect, causes a detachment of the retina from its supporting layers.
Early symptoms of CSR include a dim and blurred blind spot in the central vision, objects appearing smaller or farther away with the affected eye and/or distortion of straight lines with the affected eye. Visual acuity in dim light may also be impaired by a gray or brown oval shape in the central vision.
In most cases, the fluid under the macula reabsorbs with little or no long term damage. During the reabsorbtion process, vision can fluctuate a greal deal over hours and/or days. Recurrence is quite common and damage can accumulate over time.
CSR is associated with stress. It primarily affects men more than women and patents are usually between 20 and 45 years old.
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