Central Serous Retinopathy
I'm a 46 year old male, and last week, following a fluorescein angiography, was told I had Central Serous Retinopathy in my right eye. The symptoms were an oval field of vision (yellowish brown in color) within which my vision is blurred or distorted.
This has not got any better, and five days ago, I started seeing flashing lights in the same eye, which come and go, but sometimes are quite strong (Have headaches too). I'm concerned that this might be something more serious (i.e. retinal detachment?) or could this just be a symptom of the CSR condition?
I wear glasses all the time, as I am shortsighted, but have not had any previous problems with my eyes.
Thanks for your Question
Central Serous Retinopathy is a localized detachment of neurosensory retina in the macular area due to defects in Retinal Pigment Epithelial Cells. This space between separated retina and underlying layer is filled with fluid.
You can consider it as a mild and localized form of retinal detachment. flashes of light or what we call it Photopsia occur due to stimulation of photoreceptors during separation of neurosensory retina from the underlying layers. It can be associated with it. In case the intensity if photopsia increases and associated with severe loss of vision, you should visit your doctor as soon as possible.
Another symptoms of it are blurred vision, alteration in color and contrast sensitivity, metamorphopsia (Distorted Vision) and micropsia (smaller image than actual size).
This disease is self-limited, which means it will go by itself and usually it lasts from 3-6 months but sometimes can stay for a year.
Complete recovery can occur with vision returns to its normal status but sometimes mild color and contrast defects can persist.
Laser photocoagulation can be used to speed the recovery time and also to decrease the incidence of recurrence but it has no effects on the final visual outcomes. We usually wait for 4 months before we start laser treatment.