Central Serous Chorioretinopathy


The Central Serous Chorioretinopathy, CSCR is an ocular condition directly related to stress. It affects mainly men aged between 20 and 55 years having hyperactive, very competitive or aggressive personality or individuals exposed to long periods of stress conditions. Also particularly introvert individuals, who present alterations of the personality and have a tendency to isolate from social relations seem to be more likely to suffer from CSCR.


The CSCR can be treated with a Low Fluence Photodynamic Therapy, a technique that was further improved in the last decade, able to obtain today, in adequately selected cases, a very high percentage of success. It is important to be aware that this laser treatment can be repeated over time in the event of relapses.

A pharmacological therapy that uses mineralcorticoid antagonists was recently introduced with promising results and at the same time favorable results were presented, which were obtained through “cold lasers” of new generation that use “subtreshold” (2RT® and micropulse laser) treatments not subject to contraindications linked to effects of thermal nature.  

After treating the central serous chorioretinopathy through PDT, it is necessary to focus the patient’s attention on avoiding stress factors. Often the patients are advised to change their lifestyle, and where necessary a psychotherapy is recommended in order to identify any interpersonal problems and sometimes it is even suggested to change job. The purpose of the above is to reduce and possibly fully avoid any recurring stress factors, which act at a biochemical level and trigger the development of the CSCR. To such purpose all those activities are suggested, which can contribute to reducing stress, such physical exercise, meditation, yoga, etc.

Patients suffering from CSCR must avoid taking medicinal products containing cortisone, unless a real urgent need exists that justifies their use with a possible risk of relapses.

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