Fundus photograph and fluorescein angiogram of a central serous chorioretinopathy showing a characteristic "smoke-stack" hyperfluorescence.

Idiopathic. More common in males between the ages of 25 to 50. Has been associated with "Type A" personality. Clinical features: Symptoms: Maybe asymptomatic Blurred or decreased vision "Washed out colors" Central scotoma Metamorphopsia Micropsia (minification of objects) Signs: Localized shallow, round serous detachment of the neurosensory retina in the macular area Fluorescein angiogram demonstrates: Small leak from an RPE defect early in the transit phase which increases in size and intensity over the course of the study Rarely, characteristic "smoke-stack" hyperfluorescence Pooling of fluorescein dye in the subretinal space in the late phase Management: Usually resolves spontaneously over a period of 1 to 6 months. Consider laser photocoagulation treatment for persistent and unresolving CSCR.

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