Central Serous Chorioretinopathy

Central serous chorioretinopathy (CSC) occurs when fluid collects between the photoreceptor layer and the pigment epithelial layer of the retina. The exact reason for the collection of fluid in the subretinal space is not well understood. It is known that most individuals who develop CSC are young adult males, and many live a high-stress lifestyle. This has lead researchers to believe that there may be a link between CSC and the stress hormones epinephrine and cortisol.
The accumulation of fluid under the retina causes blurriness and distortion in the center of vision. Often, the accumulation of fluid will cause a serous pigment epithelial detachment, causing even more fluid to leak into the subretinal space. Laser photocoagulation is sometimes used if there are areas that are allowing fluid to leak into the space, but it is a controversial treatment. Left untreated, CSC will often resolve itself, and most vision will be restored within six months. Central vision may remain slightly distorted, and night vision may be reduced. People who have experienced CSC should be aware that recurrences sometimes occur.

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