Central Serous Retinopathy - Spontaneous Regression

In February of 2017 this 43-year-old patient presented with blurry vision in both eyes. He was in good health with a visual acuity of 20/20 in the right eye and 20/16 in the left. Examination and ancillary testing concluded he had subretinal fluid under the macula in his right eye (yellow arrow). His left eye was normal and the complaints in the eye were considered functional. He manifests a typical case of central serous retinopathy (CSR). The cause of CSR is unknown, however it is usually found in men in their 30s to 50s and is thought to be a result of high stress. Choroidal thickness in normal eyes has been specified to be between 272 to 448 micrometers. Those with CSR tend to have thicker choroids as his was measured to be on the higher end at 338 micrometers (doubled headed red arrow). In this case, the possible treatments included photodynamic therapy laser treatment or waiting with time. He opted for the latter and was asked to return in four months. At his follow-up in June, the subretinal fluid had resolved spontaneously. His OCT scan reflects this (blue arrow).