Chorioretinitis centralis

In general

Chorioretinitis serosa centralis affects young adults, particularly men, and occurs most frequently in people who are very active. Treatment by cortisone may be harmful. The causes are not known.

Diagnosis

The patient’s vision deteriorates and is accompanied by metamorphopsia (= distorted images).
Examination of the eye fundus reveals a blister-like swelling of the macula. Fluoresceine-angiography can identify the place where leakage occurs and causes the swelling.

Prognosis

In most cases scarring appears at the point of leakage and the vision returns to normal after two months. Sometimes the disease is chronic, causing significant deterioration of vision.

Treatment

Preventive measures or treatments are of no avail. In most cases spontaneous healing has to be awaited, but laser treatment of the leaking point may sometimes hasten recovery.

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