Central serous retinopathy is a condition where fluid builds up under the retina, causing blurred or distorted central vision. It often improves on its own, but some cases require treatment.
Central serous retinopathy (CSR), also called central serous chorioretinopathy, occurs when fluid leaks from the layer beneath the retina (the choroid) and collects under the macula. This causes the retina to detach slightly, distorting central vision.
CSR often resolves on its own, but in some cases it can recur or become chronic, requiring medical intervention.
Common symptoms of central serous include:
CSR can occur in anyone but is more common in:
Tests used to diagnose CSR may include:
Reveals swelling or detachment in the macula.
Produces detailed images showing fluid under the retina.
Identifies the exact source of fluid leakage.
Many cases of CSR resolve on their own within a few months. Treatment may be recommended for persistent or recurrent cases:
Regular monitoring until fluid clears.
Seals areas of leakage in chronic cases.
Reducing or stopping steroid medications if possible.
In select cases, injections may help reduce fluid buildup.
Since CSR can return, ongoing care may include:
If you experience sudden central vision changes such as distortion, blurriness, or a dark spot, speak with your current eye care provider. If central serous retinopathy is suspected, they can coordinate specialized care with our team.
