Central Serous Retinopathy (CSR) is a condition where fluid builds up under the retina, the light-sensitive layer of tissue at the back of the eye. This fluid accumulation can cause a small, round, shallow swelling known as a serous detachment. CSR primarily affects the macula, which is responsible for central vision.

Some people will not experience any symptoms while others may start to notice:

• Dark spots in central vision
• Straight lines look wavy
• Blurry vision in one eye
• Sudden or gradual vision loss
• Colors appear dull

Fluid builds up behind the central part of the retina, causing a retinal detachment in the area. This is more common in men age 30-50. This condition may resolve on its own, without medical treatment, if the fluid drains on its own.

• Stress: High levels of stress and a type-A personality are often linked to CSR.
• Steroid use: Both oral and topical steroids can increase the risk.
• Hormonal changes: Fluctuations in hormones, such as during pregnancy, may contribute.
• Sleep disorders: Poor sleep patterns or sleep apnea may increase susceptibility.
• Autoimmune diseases: Certain autoimmune conditions can be associated with CSR.

Proper diagnosis involves a few specialized tests to confirm the presence and extent of CSR.

• Comprehensive eye exam
• Optical Coherence Tomography (OCT): This imaging test uses light waves to take cross-section pictures of the retina.
• Fluorescein Angiography: A special dye is injected into a vein, and pictures of the retina are taken to observe blood flow and fluid leakage.

While many individuals recover good vision without treatment, some may experience recurrent episodes or permanent vision loss. Regular follow-up with an eye specialist is crucial to monitor the condition and manage any potential complications.