Diagnosis and treatment of central serous chorioretinopathy
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Abstract
Central serous chorioretinopathy (CSC, CSCR) may lead to visual impairment, mostly in men between 20–55 years of age. It presents as a typical serous neurosensory retinal detachment and accumulation of subretinal fluid in the centre of the macula. Type A personality, high-stress occupations and corticosteroid therapy have been associated with CSC prevalence. Fluorescein angiography, optical coherence tomography or indocyanine green angiography have been used for diagnosis. Central serous chorioretinopathy is typically a self-limited disease, but about 20% of the cases may be affected by the persistent form of CSC. Central serous chorioretinopathy is successfully treated with laser therapy or anti-VEGF inhibitors. Oral therapies offer a very promising approach, but further prospective randomized trials are required to provide more data.
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