Central Serous Retinopathy (CSR) usually effects only one eye and occurs from fluid leakage under the macula. Visual acuity can be effected and patient often complain of a smudged gray spot in their central vision. CSR typically effects males between 20 and 50 years old and can be associated with higher cortisol levels (such as occurs in Cushing's Syndrome) or stress.
CSR usually resolves between 3 to 6 months and visual acuity often returns to normal, although there can be some subjective vision loss and subtle macular scarring seen on ophthalmoscopy.
There have been some proposed treatments in the attempt to shorten the duration of symptoms or prevent possible recurrence with somewhat limited results. The condition usually resolves spontaneously over a period of a few months.
