DISEASE
Message of common value
serous macular detachment because of stress
SEROSA CENTRALIS
ANOMALY
This condition is called central serous choroidopathy.
It is characterized by a bullous augmentation in the central part of the retina.
This grows following a leak in the pigment epithelium leaf (= insulating membrane under the retina).
CONSEQUENCE
The patient is more farsighted ("secondary hypermetropisation") and experiencing deformation (=" metamorphosis ") in the central part of the retina.
CAUSE
This disease is known because it occur in relatively young persons (20-50 years, mostly male) with a stressful occupation. Cortisone therapy can also trigger serosa. Some patients have a weak pigment epitelium leaf and can have frequenty a stroke.This is called DRPE: "diffuse pigment epiteliopathy".
TREATMENT
After several weeks, the leak usually disappear spontaneously and reduces the subretinal fluid. Thus, the patient is free of symptoms. So first we consider the injury a few weeks to conservative. In patients where spontaneous recovery is delayed (more than 6 weeks) the doctor can consider a lasercoagulation of the leaking point, when the location isn't too close to the fovea. This limits the duration of the stroke to 1 to 2 months, where normally there's 3 to 4 months duration. 90% of the patients recuperate to 6 / 10 or better.
LATER DEVELOPMENTS
Usually it involves a single disease. After a few months or years the central serous choroidopathie can relapse (estimated at 43%! - In 80% of the cases in the same eye), especially in patients where the pigment epitelium leaf shows elsewhere already defects.
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