central serous retinopathy
An acquired retinal disorder characterised by fluid accumulation in the subretinal region with loss of adherence of the retinal epithelial basement membrane to Bruch’s membrane.
Clinical findings Typically unilateral, often transient distortion of vision, which may persist despite fluid resorption, migrainelike headaches, psychiatric conditions
Aetiology Corticosteroid therapy, Crohn’s disease, fungal infection, leprosy, leukaemia, periarteritis nodosa, psychosocial stress, systemic lupus erythematosus, toxoplasmosis, thrombotic thrombocytopaenia, ulcerative colitis
Diagnosis Fundoscopy followed confirmation with optical coherence tomography, fluorescein angiography
Demographics More common in white males, age 20-50; distinctly less common in those of African descent.
Management Watchful waiting for up to 3 months; laser photocoagulation if no improvement
Prognosis Excellent; over 90% of patients recover vision
Synonyms Central serous chorioretinopathy, serous retinal detachment