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Central serous chorioretinopathy - Case report and Discussion

Thirty-six years old female phakic optometrist presented to me with reduced vision. Her BCVA is 20/60 in her left eye, while in her right eye, the BCVA is 20/20; fundus examination showed no remarkable findings.


On clinical exam, there is subretinal fluid above and adjacent to a yellowish rounded elevation of RPE.


OCT shows central subretinal fluid with PED and visible Bruch's membrane featuring double-layered sign, along with elongation of photoreceptor cells and increased the thickness of choroid and dilated of Haller's.


OCT cross-section showing CSCR pre and post-treatment with subthreshold microsecond laser
OCT cross-section showing CSCR pre and post-treatment with subthreshold microsecond laser


Diagnosis: Acute central serous retinopathy


Management


The patient was managed with a subthreshold microsecond laser.


Discussion


Acute CSR can present as central serous retinal detachment, which features a fluid leak due to RPE pump defect, causing reduced RPE pumping function to keep the retina dry along with increased leakage due to choroidal vasculopathy.


Treating central serous retinopathy is a clinical challenge, but usually, it has a good prognosis; however, cases of acute CSCR are observed for spontaneous resolution within three months. If spontaneous resolution didn't occur, then half-dose PDT or subthreshold microsecond laser can be considered.

In chronic cases, then treatment with non-selective mineralocorticoids such as spironolactone should be considered.


However, potassium levels and liver enzyme levels should monitor under the supervision of an internist.


The patient was promptly managed with a subthreshold microsecond laser due to her high visual demands and showed significant resolution of subretinal fluids after 28 days and improved vision to 20/25.


Please tell me how you would manage this case in your clinical practice??!!!


Please check Clinical guidelines for central serous chorioretinopathy

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Comments

  1. Brook E MonkAugust 15, 2026 at 5:42 AM

    Excellent case presentation! The pre- and post-laser OCT images clearly show how effective subthreshold microsecond laser treatment is when quick resolution is needed. Case studies like this offer superb homework help online for anyone studying CSCR treatment strategies. Thanks for sharing such a detailed case!

    ReplyDelete
  2. Jessica MarkAugust 29, 2026 at 5:10 AM

    Central serous chorioretinopathy is an important topic in ophthalmology research. A case report can explain its symptoms, diagnosis, causes, and treatment clearly. It also helps students understand the condition through real clinical findings. The https://www.dissertationproposal.co.uk/dissertation-services/england/ service can provide useful academic support for students working on research projects. Overall, this topic offers valuable insight into retinal health and modern ophthalmic care.

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  3. alex432August 29, 2026 at 10:34 AM

    The case of a 36-year-old female phakic optometrist with reduced vision is interesting, especially with BCVA of 20/60 in the left eye and 20/20 in the right eye despite an unremarkable fundus examination. In a different context, Water Wave Wigs offer a natural appearance, versatility, and comfortable styling options.

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