Central serous choroidopathy or choroiditis

Choroiditis usually affects only one eye, it is more common in men than in women and usually occurs between 25 and 50 years old.

Central serous choroidopathy It is one of the most common diseases of the retina, Together with Macular degeneration associated with age Diabetic retinopathy and venous occlusions.

Although this condition is usually brief and in most cases it heals on its own, it is important to go to the ophthalmologist whenever any type of vision impairment occurs.

Central serous choroidopathy or choroiditis

Choroiditis usually affects only one eye, it is more common in men than in women and usually occurs between 25 and 50 years old.

Central serous choroidopathy It is one of the most common diseases of the retina, Together with Macular degeneration associated with age Diabetic retinopathy and venous occlusions.

Although this condition is usually brief and in most cases it heals on its own, it is important to go to the ophthalmologist whenever any type of vision impairment occurs.

What is central serous chorioretinopathy?

The definition of central serous chorioretinopathy explains that this condition develops by the accumulation of fluid in the sensory part of the retina, known as the macula, with or without pigment epithelial detachment.

The fluid that causes the accumulation comes from a tissue behind the retina called the choroid.

In most cases, central serous choroidopathy occurs in only one eye, although it can affect both eye structures at the same time. 

Sometimes it happens that the pigmentary epithelium does not work properly and allows the accumulation of fluid under it, thus causing a slight retinal detachment It causes blurred vision. However, as mentioned earlier, choroiditis is not always associated with epithelial detachment. 

Causes that cause central serous choroidopathy

Choroiditis is a disease that affects more men than women and age is a determining factor, as it usually manifests itself between the 25 and 50 years of age.

Stress is one of the main causes that triggers central serous choroidopathy, as well as high blood pressure and the use of systemic corticosteroid medications. 

Other causes that can cause central serous chorioretinopathy are:

  • Steroid use in any of its different routes of administration. 
  • Helicobacter Pylori infection.
  • Immune system disease.
  • Sleep disorders, insomnia or sleep apnea.
  • Type A personality that characterizes people with aggressive and competitive behavior.
  • Uncontrolled blood pressure 

symptom

Choroiditis can affect the ocular structure in a recurrent, chronic and acute manner.

The symptoms of central serous retinopathy are:

  • Dimmed or blurred central vision.
  • Dark zone in the campor visual
  • Observe straight bent, irregular and / or crooked lines when observed with the sick eye.
  • Objects can be seen closer or further than normal.
  • White objects may look dull or brown.

Types of choroiditis

There are different types of central serous choroidopathy that affect people differently, let's see:

  • Acute choroiditis: It is the most frequent and is usually cured without the need for treatment. This condition can cause permanent loss of contrast sensitivity.
  • Recurrent choroiditis: the disease causes deficiency of visual acuity and alters the way in which colors are appreciated.
  • Chronic choroiditis: This is a choroiditis that has lasted between 3 and 6 months and is associated with atrophy of photoreceptor cells. This type of choroidopathy is characterized by persistent visual disturbance.

Diagnosis

To diagnose choroiditis it is necessary to attend an ophthalmologic consultation so that the specialist examines the fundus.

To perform this medical examination, the ophthalmologist will dilate the pupil and, observing the internal part of the ocular structure, may observe the lifting of the macula, an indisputable symptom of central serous retinopathy.

It is also possible for the ophthalmologist to request the performance of other exploratory tests and optical coherence tomography, an instrument that allows you to measure the amount of fluid that is accumulated under the retina.

An fluorescein angiography is also usually done to identify where the fluid leak has occurred.  

como curar coroidopatía serosa central

Transmission

Central serous chorioretinopathy usually develops with a good prognosis and after one or two months it is cured by itself. This fact does not mean that, as long as the person remains affected by retinopathy, he must attend medical evaluations so that the ophthalmologist checks if the fluid is draining properly or not.

When the pathology is chronic or recurrent, the need to perform a laser technology treatment such as selective laser therapy or the application of micropulsed diode laser.

In these cases, the goal of treatment is to seal the fluid leak to preserve the patient's visual acuity and prevent recurrent choroidopathy. 

Anyone with this disease should stop taking medications with systemic corticosteroids.

Approximately half of the people affected with this condition have it again, therefore, the periodic visit to the ophthalmologist is essential to keep track and prevent permanent vision loss.

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¿Qué es la coroidopatía serosa central o coroiditis? Diagnóstico y tratamiento  
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What is central serous choroidopathy or choroiditis? Diagnosis and treatment  
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Central serous choroidopathy or choroiditis is a sporadic disease that causes annoying symptoms to the sufferer. Discover your symptoms and treatment.
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Área Oftalmológica Avanzada
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