Bilateral chronic central serous retinopathy

I am a 46 year old female diagnosed 3 years ago with Bilateral Chronic CSR.  I have noticed deteriorating vision in my left eye for the past 5 years or so.  My left eye is considerably worse than my right.  Recently they tried PET in my left eye with a short temporal improvement.  I now have difficulty reading and writing.  I am a writer.  I live in Sydney Australia.  Do you have any suggestions?

[John C Hagan III, MD, FACS, FAAO]

This topic was discussed within the last 3 days. Use the search feature and read the discussion.

JCH MD

[alisean]

I had used the search feature.  So where the condition does not resolve (which is my case), Ithere is no other treatment you know of other than PDT when the damage is central?

[John C Hagan III, MD, FACS, FAAO]

PDT is not used unless there is neovascularization. Argon laser (hot laser) is used to cauterize the leaking hole in the retinal pigment epithelium.

JCH MD

[alisean]

They used PDT.   Damage is Nasal? to macular and all specialists (3) considered the risk (hot laser) associated with this treatment too great.  In Australia PDT for CSR is being trialled.  I was considered an appropriate patient for the trial

[John C Hagan III, MD, FACS, FAAO]

Hope it works.

JCH MD

[alisean]

As I said in my original posting (except with typo fixed) "Recently they tried PDT in my left eye with a short temporal improvement. ...  Do you have any [other] suggestions?"

[John C Hagan III, MD, FACS, FAAO]

No laser and steroids are the only RX I know of. There is an article in this months Archives of Ophthalmology that show that CSR is due to inflamation (inflammation) of the choroid which causes fluid to seep up into the eye and detach the inner layers.

JCH MD