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Chapter-10 Central Serous Chorioretinopathy

BOOK TITLE: Retina: Medical and Surgical Management

Author
1. Kumar Atul
2. Ravani Raghav
3. Markan Ashish
4. Bansal Mayank
5. Garg Itika
ISBN
9789352702947
DOI
10.5005/jp/books/18054_11
Edition
1/e
Publishing Year
2018
Pages
13
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Women’s Health Center; Anil Nursing Home, Jaipur, Rajasthan, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Jaipur, Rajasthan, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Anil Hospital, Jaipur, India, All India Institute of Medical Sciences New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Dr. RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
4. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
5. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Central serous chorioretinopathy, CSCR, retinal pigment epithelium, RPE, chronic CSCR, optical coherence tomography, fundus autofluorescence, oral mineralocorticoid receptor, photodynamic therapy

Abstract

This chapter gives an overview on central serous chorioretinopathy (CSCR). CSCR is a chorioretinal disease with multifactorial etiology, and a complex pathogenesis. According to recent literature, CSCR has been identified as a disorder of choroidal vasculature primarily. Increased permeability of the choriocapillaris leads to focal or diffuse dysfunction of the retinal pigment epithelium (RPE) causing neurosensory detachment. The exact etiology of CSCR is not fully understood. CSCR has been associated with patients having high levels of endogenous corticosteroids as well as in patients with secondary hypercortisolism. Optical coherence tomography, fluorescein angiography, fundus autofluorescence, indocyanine green angiography, and optical coherence tomography angiography are various investigations options for CSCR. Medical treatment, oral mineralocorticoid receptor antagonists, and laser treatment are different treatment options of CSCR, which are discussed in detail. 18 clinical figures are also provided in this chapter.

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