Pathologies and Treatments

Central serous chorioretinopathy

COROIDEOPATIA SEROSA CENTRAL

Central serous chorioretinopathy (CSC) is a relatively common ocular condition. It affects both healthy young and adult individuals.

It is characterized by a focal alteration in the permeability of the retinal pigment epithelium. This alteration causes fluid leakage from the choroid. The choroid is the layer of blood vessels beneath the retina. The fluid moves toward the subretinal space. This causes a detachment of the neurosensory retina. Usually, but not always, it affects the macular and foveal region. The detachment prevents the photoreceptors from being properly nourished. This causes them to stop functioning correctly.

Several risk factors have been associated with the onset of central serous chorioretinopathy. Some of these factors include the administration of certain medications, especially corticosteroids by any route, or stressful situations.

Symptoms

Several symptoms have been described: a blurred and dark blind spot in the center of vision, distortion of straight lines from the affected eye, or even objects appearing smaller or farther away from the perception of the affected eye.

Treatments

A complete ophthalmologic examination is essential, including the following tests: a retinography, autofluorescence, optical coherence tomography, and fluorescein angiography with indocyanine green to detect the leakage point of the fluid.

In some cases, central serous chorioretinopathy (CSC) resolves spontaneously with little or no permanent visual loss. In others, especially those that do not resolve within a few weeks and present leakage points outside the fovea, laser treatment (micropulsed or photodynamic therapy) can be highly effective and decisive in cases of central serous chorioretinopathy.

It is advisable to avoid chronic accumulation of fluid inside or beneath the retinal layers. This accumulation can lead, in the medium or long term, to atrophy of the outer layers of the retina and severe and irreversible visual loss. This is due to cystoid macular degeneration or permanent decompensation of the retinal pigment epithelium in patients with central serous chorioretinopathy.

At the Institut de la Màcula we have a wide range of therapeutic options for cases of central serous chorioretinopathy. Apart from conventional argon laser, we have MicroPulse laser technology. This very low-intensity laser, with extremely brief and repetitive pulses, is a safe and effective method for the treatment of selected cases of central serous chorioretinopathy, as well as for some cases of macular edema from other causes.

Medicina regenerativa: Endoret

Con el tratamiento de medicina regenerativa Endoret propiciamos la reparación de la superficie ocular afectada por la sequedad ocular. Se trata de un plasma rico en factores de crecimiento para el tratamiento de las lesiones de la superficie ocular elaborado a partir de la sangre del mismo paciente. Con esta formulación individualizada se consigue una tolerancia completa y una efectividad óptima. Esta opción terapéutica revolucionaria es muy eficaz en casos de defectos epiteliales persistentes o úlceras corneales. Asimismo se puede aplicar después de una cirugía refractiva corneal, una cirugía ocular o en el Síndrome de Sjögren.

Procedures

Medicina regenerativa: Endoret

Con el tratamiento de medicina regenerativa Endoret propiciamos la reparación de la superficie ocular afectada por la sequedad ocular. Se trata de un plasma rico en factores de crecimiento para el tratamiento de las lesiones de la superficie ocular elaborado a partir de la sangre del mismo paciente. Con esta formulación individualizada se consigue una tolerancia completa y una efectividad óptima. Esta opción terapéutica revolucionaria es muy eficaz en casos de defectos epiteliales persistentes o úlceras corneales. Asimismo se puede aplicar después de una cirugía refractiva corneal, una cirugía ocular o en el Síndrome de Sjögren.

Dr. Jordi Monés,

M.D. PhD

Número de Col·legiat COMB: 22.838

Director. Doctor of Medicine and Surgery. Specialist in Ophthalmology. Specialist in Retina, Macula, and Vitreous.

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Last modified: 01/09/2025
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