Free previewYou're reading the free part of this topic. The rest is included with Clinical.See what's included
Central serous chorioretinopathy
Retina & Vitreous
Key Points
- •CSC causes serous macular detachment due to choroidal hyperpermeability and RPE leakage - most common in men aged 20–55; corticosteroids are the strongest modifiable risk factor
- •FFA shows inkblot (most common) or smokestack pattern; ICGA reveals underlying choroidal hyperpermeability and is essential for PDT planning
- •Acute CSC resolves spontaneously in ~80–90% within 3–4 months; chronic CSC (>6 months) requires treatment to prevent permanent photoreceptor loss
- •Half-dose PDT is the gold standard for chronic CSC - PLACE trial: 67% vs 29% complete SRF resolution at 7–8 months
- •Part of the pachychoroid spectrum: PPE → CSC → PNV → PCV - all share thick choroid with dilated Haller layer pachyvessels
Free preview ends here
Keep reading Central serous chorioretinopathy
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations