«Back to the glossary index
central serous choroidopathy

Central serous choroidopathy is the accumulation of fluid under the retina, specifically in the taint, which can occur with or without detachment of the pigmentary epithelium.

This condition is relatively common, occurs more often in men than in women, and usually occurs in only one eye. 

Central serous choroidopathy is a disease that commonly occurs after a retinal detachment.

En Área Oftalmológica Avanzada We explain below what central serous choroidopathy is and how it is treated. 

What is central serous choroidopathy?

The right definition for central serous choroidopathy It refers to a serous detachment that occurs when fluid accumulates behind the sensory retina, in the macula, an area responsible for central vision and the perception of details.

When choroiditis occurs, there may or may not be detachment of the pigment epithelium. 

Central serous choroidopathy affects more men than women, to the point that 8 out of 10 people who suffer from this disease are male.

This disease can leave significant sequelae in central vision, such as difficulty perceive the colors, visual disturbance and decreased visual acuity, among others.  

Types of central serous choroidopathy

There are three types of central serous choroidopathy, and they are as follows: 

  • Acute or classic central serous choroiditis: It is the most common form of choroiditis and is characterized by the fact that it usually heals without treatment and leaves minimal sequelae. People with this type of choroiditis may notice some loss of contrast sensitivity.
  • Recurrent central serous choroiditis: the prognosis of this heart disease is less encouraging, since there is a risk that the person suffers a decrease in visual acuity or their perception of colors is altered.
  • Chronic central serous choroiditis: choroidopathy is chronic when the condition persists for more than 3 months. In these cases there is a risk of photoreceptor atrophy and persistent visual disturbance.

Causes of choroiditis

Choroiditis is the fourth most common disease of the retina, after age-related macular degeneration, venous occlusions and Diabetic retinopathy.

This disease can be caused by the following factors: 

Symptom

The main symptoms of central serous choroidopathy are the following:

Diagnosis

To diagnose and cure central serous choroidopathy, the ophthalmologist must examine the fundus of the eye to detect the elevation of the center of the macula and other lesions, if any. 

To study the eye it will be necessary to perform a optical coherence tomography, OCT, in order to measure the fluid accumulated behind the retina.

It will also be necessary to make a angiography with fluorescein to determine where the fluid leak has occurred. 

Treatment to follow

Central serous choroidopathy usually resolves on its own over a few days.

In cases where the disease persists for weeks or months, it will be important to assess the need for laser photocoagulation to improve visual acuity and combat recurrence of choroiditis.

You can also choose to perform photodynamic therapy with the aim of sealing the areas where the fluid leak has occurred and thus be able to restore vision. 

En Área Oftalmológica Avanzada We have an excellent team of ophthalmologists specialized in the diagnosis and treatment of central serous choroidopathy. Do not hesitate to contact us if you present symptoms of this disease or need to have a routine check-up.

Summary
Central serous choroidopathy
Article name
Central serous choroidopathy 
Description
Central serous choroidopathy occurs due to the accumulation of fluid in the retina and we tell you why it is due.
Author
Name of the editor
Área Oftalmológica Avanzada
Editor's logo
«Back to the glossary index