Central Serous Choroidopathy (central serous retinopathy)

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Central Serous Choroidopathy (CSC) (also referred to as "Central Serous Retinopathy") is most often seen in young men, aged 20-50. Symptoms may include a fairly sudden onset of blurry vision in one eye, dimmer colors, images seem in miniature or a blind spot in the center of vision. The disorder is characterized by fluid leaking from tissues behind the retina into mostly the central macula area, resulting in detaching the macula from the tissue that supports it. The leakage comes mostly from the choroid layer due to small breaks in the retinal pigment layer (RPE). CSC/CSR patients typically have vision in the 20/20 to 20/100 range and a serous. Sometimes a fluorescein angiogram is used to confirm the diagnosis.

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  • A blurry, dim blind spot in the vision center
  • Objects appearing in miniature with the affected eye
  • Distortion of straight lines, as similar to macular degeneration's distortions


  • Stress. Most patients are young men (20-45) with aggressive "type A" personalities. Stress or trauma - both physical and emotional - appears to be an important risk factor
  • Stimulants Steroid drug use, smoking, caffeine and other stimulants may be a cause.
  • Cortisol. The condition is also associated with high levels of the hormone cortisol, secreted by the adrenal cortex, that helps the body cope with stress. High levels of cortisol characterize Cushing's syndrome, and research has found that 5% of Cushing's patients have CSR.
  • Steroids. Extensive research has indicated that corticosteroids, such as cortisone, which is prescribed for inflammation, skin conditions, allergies and sometimes eye problems can trigger CSC, make it worse, and/or cause relapses.
  • Helicobacter pylori. There is evidence that this bacteria, a naturally occurringoccurring bacteria in the body, but prevalent in cases of gastritis plays a role.
  • Kidney disease/ Patients with type II kidney disease (MPGN) can develop a variety of retina problems including CSR due to the same accumulated deposits that damaged the kidney membranes.
  • The cause of the condition is unproven, but the above are some likely candidates.

Conventional Treatment

Most cases clear up without treatment in 1 or 2 months. Patients with more severe leakage and more severe visual loss or longer persistence of disease may be helped by laser treatment to seal the leak.

Patients who are using steroid drugs (for example, to treat autoimmune diseases) should discontinue their use if medically feasible. Any change in steroid drug use in these conditions MUST be under the supervision of a physician.

A small number of patients will have complications of laser treatment (laser photocoagulation or hot laser) which impair central vision, which is why most patients will be allowed to recover without treatment.

Cold laser (transpupillary thermotherapy) is said to be a lower risk alternative to hot laser, and photodynamic therapy has also shown some promise.

Complementary Treatment

Certain nutrients such as zeaxanthin, lutein, l-lysine, vinpocetine, specific vitamins & enzymes, and fish oil may help support remaining vision for those suffering from Central Serous Choroidopathy.

Our vision wellness recommendations. See these essential vision tips as the foundation for your good vision.

Daily juicing of vegetables and fruits (preferably organic). Our recipe for this condition is some combination of the following: ginger, garlic, leeks, parsley, beets, cabbage, carrots, celery, spinach, kale, collard greens, apples, grapes, raspberries, lemon, chlorophyll, wheat grasses - (not too much fruit). See more info on juicing.

Related Conditions

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Although the underlying physiological cause may be unique, there may be similarities in terms of nutritional, diet and lifestyle recommendations made by Dr. Grossman for eye conditions (such as macular degeneration) that result in similar vision symptoms.

See research for macular degeneration.

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