Vitreous & Retina




















Macular Diseases
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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