Ogul Uner, MD, invites Rehan M. Hussain, MD, to review a case of central serous chorioretinopathy (CSCR) in a 36-year-old man who presented with blurred central vision and distortion in his right eye with no associated pain or photophobia. The patient reported recent personal stress and use of intranasal fluticasone. OCT revealed serous retinal detachment with clear subretinal fluid and retinal pigment epithelium irregularity. Dr. Hussain describes the typical presentation of CSCR and reviews its major risk factors, which include high stress and steroid use. He also discusses acute versus chronic CSCR, where it fits in the pachychoroid spectrum of diseases, and how he would approach imaging and treatment.
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