Central Serous Chorioretinopathy

Central Serous Chorioretinopathy

  • first described in 1866 by von Graefe
  • Maumenee first described RPE leak in 1965 using FA
  • increased permeability of choriocapillaris
  • this leads to focal or diffuse dysfunction of the RPE
  • this leads to detachment of the neurosensory retina
  • described in patients with high endogenous corticosteroids
  • the only non-infectious choroiditis worsened by steroids
  • foveal attenuation, chronic macular edema, foveal photoreceptor layer damage
  • photoreceptor damage typically occurs around 4 months
  • PDT with verteporfin recommended if not resolved by 4 months
  • micropulse diode laser photocoagulation is an alternative to PDT
  • stop steroids if possible


  • cscdrawing

cscoct