Central Serous Chorioretinopathy Diagnosis and Treatment
Your ophthalmologist dilates (widens) your eye with dilating eye drops to look at your retina.
He or she will then take special photographs of your eye and possibly fluorescein angiography. During fluorescein angiography, a dye is injected into a vein in your arm. The dye travels throughout the body, including your eyes. Your doctor takes photographs of your eye as the dye passes through the retinal blood vessels. The orange dye will show abnormal areas in your eye. This can help find areas with central serous chorioretinopathy.
Optical coherence tomography (OCT) also helps your doctor look at the retina. A machine scans the back of the eye and provides detailed three-dimensional pictures of the retina. This helps measure retinal thickness and find swelling of the retina.
Central serous chorioretinopathy treatment
Most cases of central serous chorioretinopathy clear up in one or two months without any treatment. During this time, your ophthalmologist will look at your eye to see if the liquid is going away. Sometimes there is severe vision loss or the leakage does not go away. In these cases, laser treatment, photodynamic therapy, or oral medications may be used. These treatments can seal the leak and restore vision.
Most people with central serous chorioretinopathy regain good vision even without treatment. But vision may not be as good as it was before the condition. About half of patients who have had central serous chorioretinopathy will have it return. It is important to have regular follow-up exams with your ophthalmologist. This is because long-term fluid accumulation can lead to permanent vision loss.