ABSTRACT
Central serous retinopathy (CSR) also known as central serous chorioretinopathy, is a neurosensory retinal detachment attributed to fluid leakage at the level of the retinal pigment epithelium.
Problem
This diagnosis is easily missed if a careful history and detailed fundus examination are not performed (preferably with a 60D lens or a fundus contact lens). In particular it can be confused with optic neuritis if there is little subretinal fluid, as the patient will often notice colour desaturation and a central or paracentral scotoma. Other symptoms are blurred vision and metamorphopsia (which can suggest macular disease) and hence choroidal neovascularization (CNV) also needs to be excluded. The management of patients with CSR is still an area of some controversy. Laser treatment has a role only in selected cases and steroids should be avoided.
