central serous retinopathy

Dr. Hagan, I believe I have the after effects of central serous retinopathy.  Can this be overlooked by a few dialated eye exams over the years?  I believe I have the symptoms of once having central serous retinopathy.  When I visit the opthamologist next, and am concerned that he may have overlooked a problem, should I ask if he can check with an fluorescein angiography?  Or does a dialated exam usually rule out any central serous retinopathy.

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

Although CSR usually gets better: 1. it doesn't always get better 2. if the macula 'drys up' it can often leave reduced vision and distortion due to macular damage.

You should be seeing a eye MD ophthalmologist. If you feel there is a change then a macular OCT would be helpful, less expensive and uncomfortable than a FA.

JCH MD

[Diggitty]

I have already had an OCT for complaints of spots on an amsler grid.  I have been seeing an opthamologist for a few years now and in March had an OCT by a Retinal Specialist who said my macula looked fine.  I was just wondering if old CSR spots that have cleared up could be overlooked?

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

IF the exam done by looking in the eye and the macular OCT are normal its not likely that a FA is needed or that there is signicant residual damage.
JCH MD

[leedz]

sorry could you ellaborate on the macula being "dried up".....

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

in CSR fluid seeps under the retina like a blister blurring the vision. Either by treatment or by spontaneous resolution, again like a blister, the fluid goes away and the vision gets better.  In some people the fluid stays and stay and stays and in others the fluid goes away but leaves the retina surface in varying degrees of disarray causing distortion or less than perfect vision.

JCH MD