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Central serous chorioretinopathy (CSC or CSCR), also known as central serous retinopathy (CSR), is an eye disease that causes visual impairment, often temporary, usually in one eye. [ 1 ] [ 2 ] When the disorder is active it is characterized by leakage of fluid under the retina that has a propensity to accumulate under the central macula.
Verteporfin is also used off-label for the treatment of central serous retinopathy. [4] ... The 4 weeks of treatment resulted in mild extravascular hemolysis and ...
Treatment consists of three phases of immunotherapy: 1. Acute phase: IV steroids (methylprednisolone 1 mg/kg) for 3–5 days or plasmapheresis are given to restore visual function. [3] 2. Intermediate phase: Oral steroids (typically prednisone 1 mg/kg) with taper are given to stabilize vision. [3] 3.
Central serous chorioretinopathy (pachychoroid stage II) with subretinal fluid (black triangle in the middle) and a markedly thickened, congested choroid (white arrowheads). Pachychoroid disorders of the macula represent a group of diseases affecting the central part of the retina of the eye , the macula .
In many cases, only one eye is affected and the person may not be aware of the loss of color vision until the examiner asks them to cover the healthy eye. People may also engage in "eccentric viewing" using peripheral vision to compensate for central vision loss characteristic in genetic, toxic, or nutritional optic neuropathy.
Central or paracentral scotoma [2] [3] Vision loss due to solar retinopathy is typically reversible, [ 4 ] lasting for as short as one month [ 2 ] to over one year. [ 3 ] The fundus changes are variable and usually bilateral, mild cases often show no alteration and moderate to severe cases show a foveal yellow spot on the first days after exposure.
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Clinical and experimental evidence indicates that corticosteroids can cause permanent eye damage by inducing central serous retinopathy (CSR, also known as central serous chorioretinopathy, CSC). [34] This should be borne in mind when treating patients with optic neuritis.