Central Serous Retinopathy Laser Treatment, Symptoms, Prevention, Causes

Central Retinopathy Disorder

Central retinopathy is a condition where there is a collection of fluid beneath the center of the retina. The retina is the nerve tissue that lines the back wall of the eye. Our ability to read and to see fine detail depends upon the health of the macula. The collection of fluid beneath the macula can interfere with its function. The definite cause is unknown, but the onset of symptoms occurs at a time of unusual emotional stress. Central retinopathy normally affects healthy young and middle-aged males between the ages 20 and 45.

The main symptoms of central serous retinopathy are blurry vision in the affected eye, as well as distorted vision and/or seeing things smaller than they really are. There is a tendency that this condition can recur, which is why patients have to inform their doctor about any multiple episodes of blurry vision in the last weeks to months.

There is currently no proven effective treatment for serous retinopathy, but one promising treatment is the use of laser photocoagulation. Studies have shown that using direct photocoagulation on the leakage point helps lower the possibility of recurring infection as well as shorten the painful stages of the disease.

Laser Treatment for Central Retinopathy:

  • The laser photocoagulation helps in the closure of leaking capillaries and micro-aneurysms as well as in the endothelial repair. This decreases the passive leakage in the damaged blood-retinal barrier.
  • Patients with macular edema might have a similar long term effect on the active transport owing to a proliferation of the retinal pigment epithelium cells causing an increase in the pumping capacity.
  • This outpatient procedure is performed with the use of a local or topical anesthetic applied on the eye. You do not have to stay overnight in a hospital.
  • Your vision may be blurry and your eye may hurt a little for a day or two only after the treatment.

Prevention of Central Retinopathy:

Serous retinopathy cannot be prevented because the cause remains unknown. What you can do to detect the signs of retinopathy is to regularly have complete eye examinations. You need to have more frequent eye exams if you are on certain medications. You should have thorough periodic eye exams if you have diabetes, especially if you notice the early signs of visual impairment. You should contact your ophthalmologist if you experience floating spots, flashes of light, decrease in visual field or vision, and a sudden loss of vision. In order to help prevent central retinopathy, you need to have the proper medical treatment for any of the systemic diseases, which are known to cause damage to the retina. You should stop smoking and eat properly if you want to speed up the retinopathy treatment.


  1. T E said:

    I have had CSR for about 5 weeks. I was told that Laser is a last resort. If this fluid goes away does the whole heal up on its own? I have been experiencing a lot of pain due to my job. Will it go away on its own if I keep stressing it out?

    February 15, 2010
    • Salina said:

      Understanding central serous retinopathy

      Central Serous Retinopathy is a condition in which, deterioration of the retina occurs, and is usually caused by damage / injury to the blood vessels or due to an over production of the blood vessels in the retina.

      The disorder is characterized by a slight collection of serous (water like, transparent) fluid in the macular region of the eye, within the retina.
      As a result, a relative central area of reduced vision or depressed vision or lost vision occurs, within the visual field, surrounded by an area of normal vision, but this usually resolves on its own accord within a period of few months.
      When left alone, central serous retinopathy heals by itself, recovery occurs, within 4 weeks to 8 weeks, with a complete improvement of the depressed vision.

      A visit to the ophthalmologist is advocated, to understand the extent of damage, medications to be taken, and to practice eye exercises.

      However, there is a strong chance of there being a relapse or recurrence of the disorder.

      February 22, 2010
  2. FD said:

    What is a safe amount of time to wait before having laser treatment? If you have nothing done and it doesn’t heal itself and you do not have lasered will your sight probably get worse or remain the same? Is there a sensitivity to the laser treatment?

    February 20, 2011

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