These areas of hyperfluorescence remain after the resolution of the serous detachment. They may also be seen outside the detachment and in the fellow eye. Diseases such as presumed ocular histoplasmosis syndrome and AMD, which are associated with choroidal neovascularization, must be excluded. There are other causes of serous retinal detachment that should be considered, also. Ocular diseases that may cause central serous detachments include optic nerve pit, Harada's disease, choroidal tumor located in the periphery, peripheral retinal breaks and choroidal or scleral inflammatory disease.
Systemic causes are usually evident from the history.
They include choroidal vascular disease associated with acute hypertension, collagen vascular disease or disseminated intravascular coagulation. The majority of patients with CSC recover spontaneously within several months of onset, and residual visual deficits can continue to improve for up to a year. The most common residual problems include decreased contrast sensitivity, scotomas, impaired color vision, metamorphopsia and nyctalopia. 12 Approximately 5 percent of patients have more serious complications. 14 Medical Treatment Physicians and researchers have attempted to use a variety of medical therapies directed at the relationship of stress and type-A personality characteristics to CSC, including barbiturates, tranquilizers and beta blockers.