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Central serous choroidopathy

Central serous choroidopathy is a disease that causes fluid to build up under the retina, the part of the eye that sends sight information to the brain. The fluid leaks from the blood vessel layer under the retina. This area is called the choroid.

  • Alternative Names

    Central serous retinopathy

  • Causes, incidence, and risk factors

    The cause of this condition is unknown. Most patients are young men with aggressive, "type A" personalities, but anyone can be affected.

    Stress appears to be a risk factor. The condition can also occur as a complication of steroid drug use.

  • Symptoms
    • Dim and blurred blind spot in the center of vision
    • Distortion of straight lines with the affected eye
    • Objects appearing smaller or farther away with the affected eye
  • Signs and tests

    Your health care provider can usually diagnose central serous choroidopathy by dilating the eye and performing an eye exam. Fluorescein angiography confirms the diagnosis.

  • Treatment

    Most cases clear up without treatment in 1 or 2 months. Patients with more severe leakage and more severe visual loss, or those in whom the disease lasts longer, 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 possible. Any change in steroid drug use in these conditions MUST be under the supervision of a physician.

  • Expectations (prognosis)

    Most patients recover good vision without treatment. The disease returns in about half of all patients, and has a similarly good outlook. Rarely, patients develop permanent scars that damage their central vision.

  • Complications

    A small number of patients will have complications of laser treatment that impair central vision. That is why most patients will be allowed to recover without treatment.

  • Calling your health care provider

    Call your health care provider if visual symptoms worsen.

  • Prevention

    There is no known prevention. Although there is a clear association with stress, there is no evidence that tranquilizer drugs have any benefit in preventing or treating central serous choroidopathy.

Review Date: 8/22/2008

Reviewed By: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2014 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Christie Clinic Christie Clinic at the Family Medical Center in Paris Photo Christie Clinic at the Family Medical Center in Paris
727 East Court Street Paris, IL 61944 Dermatology: 366-1248; Vein and Vascular: 366-2670
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101 West University Avenue Champaign, IL 61820 Main Phone: (217) 366-1200
Billing Services: (217) 366-1382
Toll Free: (888) 391-0412
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1801 West Windsor Road Champaign, IL 61822 (217) 366-8000
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1400 West Park Street Urbana, IL 61801 (217) 366-1200
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209 West Borman Drive Rantoul, IL 61866 (217) 892-9671
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1001 Commercial Drive Mahomet, IL 61853 Main Number: (217) 586-6600 Convenient Care: (217)366-8130
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300 North Main Street Tuscola, IL 61953 (217) 253-9258
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1207 South Mattis Avenue Champaign, IL 61821 (217) 355-1684
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109 West University Avenue Champaign, IL 61820 (217) 366-5180
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2901 West Kirby Avenue Champaign, IL 61821 (217) 366-8130
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1710 East Windsor Road Urbana, IL 61802 (217) 344-9440
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800 North Logan Avenue Danville, IL 61832 (217) 431-8930
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2110 Fox Drive, Suite B Champaign, IL 61820
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Gibson Area Hospital
1120 N Melvin Gibson City, IL 60936 (217) 784-2240
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105 B Professional Plaza Mattoon, IL 61938 (217) 345-3000
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1000 Health Center Drive Mattoon, IL 61938 (217) 258-2588
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1702 S. Mattis Avenue Champaign, IL 61821 (217) 326-2030
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611 West Park Street Urbana, IL 61801 (217) 383-3311
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200 E. Fairman Ave. Watseka, IL 60970 (815) 432-5841
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501 North Dunlap Avenue Savoy, IL 61874 Transformations: (217) 366-7460 Internal Medicine: (217) 366-5434 Ophthalmology: (217) 366-1250
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1405 West Park Street Urbana, IL 61801 217-366-1237
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107 West Main Street Monticello, IL 61856 217.762.3352
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100 South Water Street Suite 103 Decatur, IL 62523 217-362-0661- telephone
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3545 North Vermilion Street Danville, IL 61832 (217) 442-8611