Central Serous Retinopathy

Central serous retinopathy (CSR) is a retinal disorder that affects the macula. CSR occurs when a small break forms in the pigment layer of the retina, allowing fluid to collect under the retina. The leakage causes a small detachment of the layers under the retina. CSR usually occurs in one eye, but may involve both eyes. The exact cause of this process is unknown.

Signs and Symptoms

  • Distortion.
  • Objects appear smaller than their actual size.
  • Objects may appear discolored.


There is no treatment for CSR. In many cases, CSR can “burn” itself out, with little damage to the retina. It is most common in type A personalities, especially in young males, and we encourage our patients to modify their lifestyles in order to lessen the influence of stress on the body.

In advanced, long standing cases of CSR laser photocoagulation may provide an approach to seal off the detached layer of the retina, preventing the fluid from spreading and causing further vision loss.