What is central serous chorioretinopathy?

Central serous chorioretinopathy is a disease that occurs when the serosal fluid of the retina of the eye that senses the nerve is detached due to the vascular network of the eye leaking fluid through the retinal pigment epithelium. Central serous chorioretinopathy usually develops over a period of time and resolves spontaneously in about 4-6 months.

Central serous chorioretinopathy is a disease that occurs when there is a detachment of the serosal fluid of the retina of the eye, due to the leakage of fluid through the retinal pigment epithelium.
Some other causes of retinal pigment epithelial fistula, such as inflammation, neovascularization, or neoplasms, require differential diagnosis. Central serous chorioretinopathy can be divided into two different clinical manifestations.
Classic chorioretinal chorioretinopathy caused by one or more isolated isolated leaks at the level of the retinal pigment epithelium. Chorioretinopathy may occur with diffuse pigment epithelial dysfunction (eg, diffuse retinal pigment epithelium, decompensated retinal pigment epithelium, central chorioretinopathy). chronic seborrhea) and is characterized by detachment of the neurosensory retina over the site of retinal pigment epithelium atrophy and pigment spotting. The doctor may look at the fluorescein angiogram for one or more small leaks.

Patients with blurred vision, not exactly the same, and often reduced to 5/10 to 6/10 if the disease recurs many times, vision can be only 1/10 to 2/10. Patients with chorioretinopathy when looking at objects see distortions, distortions, and curves. Sometimes when looking at the color, the most changes are pale, light and yellow, patients often see a black shadow covering their eyes.
Central serous chorioretinopathy presents with relative central or semi-central opacities, which can be detected by Amsler plots. Patients sometimes have headaches, eye pain.

Central serous chorioretinopathy is a disease related to vasomotor processes, disorders of the blood barrier in the retina and often the cause of the disease is unknown.
Patients with the disease can be found all over the world but are common in Asian countries such as Vietnam, China, Japan... 20 and up. Men are more common than women and less common in the elderly and young children. Central serous chorioretinopathy is common in one eye and is relapsing in nature (many authors report a recurrence rate of up to 30% within two years).
Central serous chorioretinopathy usually occurs in people with psychological factors that are easily affected, stress, emotional people,... People with special conditions or a long history of smoking, having a systemic illness, insomnia or anxiety, ... is also very easy to get.

Diagnosis of central serous chorioretinopathy by examining the fundus, the doctor will find that the patient's eyes have a dark macula, reduced or lost central light. The area of ​​the eye lesions is highly convex with reflective margins, sometimes the whole circle, or sometimes just a part of the circle, can detect deposits usually after 4 weeks of disease, yellow color, small round like a needle, scattered in the affected area, these dots do not merge, persist for many months and resolve very slowly.
When conducting eye examination by biomicroscopy, the doctor will see that the first time the retina of the eye is divided into two parts:
Inner part: There are transparent blood vessels and protrusion towards the vitreous chamber. Outer part: Is a layer of pigmented epithelium and in the middle is a fluid that collects under the retina of the eye. Sedimentation is usually present after 3-4 weeks. Diagnosis of central serous chorioretinopathy by examination, ophthalmoscopy. Diagnosis and follow-up are mainly by retinal tomography. If chorioretinopathy persists or recurs many times, fluorescein angiography can be performed.

Central serous chorioretinopathy usually progresses for a while, then resolves on its own within 4-6 months. Therefore, it can be said that chorioretinopathy is not too dangerous. However, this disease has severe forms, prolonged disease progression, and can become chronic, causing changes in the retina of the eye, causing retinal atrophy and loss of function of the retina. ... Actually, according to scientific studies, there are about 15% cases of recurrent chorioretinopathy.
Treatment of central serous chorioretinopathy because the cause is unknown, causing vasomotor, capillary, choroidal and pigmented epithelium disorders, so the direction of treatment is supportive and supportive to the disease heals faster. Using photocoagulation - laser burns at the leak site two diameters from the macula. Many doctors report good results, the disease is less likely to recur. However, retinal laser has associated complications, so it is necessary to consider applying it to patients, usually only for long-term or recurrent disease.
Besides, combined with the treatment of central serous chorioretinopathy by vasodilators, reducing edema and enhancing nutrition. Patients with serous central chorioretinopathy should pay attention to reasonable living, rest, avoid adverse factors such as: Alcohol, beer, tobacco, nervous stress, insomnia, ..
The prognosis of the disease is generally benign, the patient should not be too worried about this disease, because the disease is benign and almost cured with medication.
In summary, central serous chorioretinopathy is a disease that occurs when the serosa of the neurosensory retina is detached due to the vascular network of the eye with fluid leaking from the retinal pigment epithelium. .
Central serous chorioretinopathy usually develops over a period of time and resolves spontaneously in about 4-6 months. However, the disease can progress seriously and cause changes in the retina of the eye, causing retinal atrophy and loss of function of the retina,... Therefore, when the patient has abnormal symptoms and signs often need to immediately go to a medical facility for examination and treatment.
Eye specialties at Vinmec International General Hospital are the leading medical facilities in the country in the examination and treatment of eye-related diseases, with comprehensive quality in both expertise and medical services.
Eye specialist at Vinmec has comprehensive vision and eye health care functions for children, adults and the elderly including: Checking for refractive errors, laser treatment and surgery. In addition, the department also has the task of coordinating with other clinical departments in the treatment of pathological complications and eye injuries caused by accidents.
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