{"id":3779,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/centralserousretinopathy-csr\/"},"modified":"2026-01-28T11:12:59","modified_gmt":"2026-01-28T11:12:59","slug":"centralserousretinopathy-csr","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ophthalmology\/acutevisionloss\/centralserousretinopathy-csr\/","title":{"rendered":"Central Serous Retinopathy &#8211; CSR"},"content":{"rendered":"\n<p><strong>Central serous retinopathy (CSR)<\/strong><\/p>\n\n\n\n<p>This is where fluid develops under the retinal layers at the macula. The typical history is of a blurred patch in the central vision in one eye. This may cause distortion (straight lines appear wavy\/distorted\/curved) and affects both near and distance vision. Peripheral vision is retained. It is typically unilateral and affects young males 20-40. There is some evidence it can be associated with steroid use and to anxiety and high stress. However, despite these associations with type A personalities there is no evidence that reducing stress levels will prevent its recurrence. It resolves spontaneously over a few weeks to months. Many only have one episode however a small number go on to develop a chronic retinopathy with recurrent episodes which can also be bilateral. <\/p>\n\n\n\n<p>JC &amp; BC 28\/1\/26<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-Lothian-GP-and-Optometry-Ophthalmology-Referral-Pathway.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-Lothian-GP-and-Optometry-Ophthalmology-Referral-Pathway.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Please see Lothian GP and optometry ophthalmology referral pathway<\/a>.<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Urgency-of-the-condition.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Urgency-of-the-condition.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Urgency of the condition<\/a>&nbsp;for details on how soon patients should receive an appointment.<\/p>\n\n\n\n<p>Please see condition specific information for descriptions and management of many common ophthalmological conditions.<\/p>\n\n\n\n<p>Patients who present with a problem with their only seeing eye should be advised to see an optician\/ophthalmologist for review.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>Amaurosis fugax \u2013 please refer to the neurovascular clinic. Please assess vascular risk factors including blood pressure, cholesterol and diabetes.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p><strong>We require a referral letter for EVERY patient<\/strong>.<\/p>\n\n\n\n<p>The preferred referral process is via SCI Gateway. If sending\/forwarding a referral via SCI gateway please include past medical history, allergies and medications<\/p>\n\n\n\n<p>If you do not have access to fax or SCI Gateway e.g. if you have arranged an appointment out of hours please send a written referral letter with the patient to bring to their appointment.<\/p>\n\n\n\n<p>Only if SCI Gateway is unavailable should a letter be typed or handwritten. Please write legibly and include your examination findings.<\/p>\n\n\n\n<p>If you have arranged an appointment in the acute referral clinic and you are referring from within another hospital in Lothian please use TRAK to type the referral letter.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Central serous retinopathy (CSR) This is where fluid develops under the retinal layers at the macula. The typical history is of a blurred patch in the central vision in one eye. This may cause distortion (straight lines appear wavy\/distorted\/curved) and affects both near and distance vision. Peripheral vision is retained. It is typically unilateral and<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3678,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[462],"class_list":["post-3779","page","type-page","status-publish","hentry","category-centralserousretinopathy-csr"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/ophthalmology\/acutevisionloss\/centralserousretinopathy-csr\/\" rel=\"tag\">Central Serous Retinopathy - CSR<\/a>","rttpg_excerpt":"Central serous retinopathy (CSR) This is where fluid develops under the retinal layers at the macula. The typical history is of a blurred patch in the central vision in one eye. This may cause distortion (straight lines appear wavy\/distorted\/curved) and affects both near and distance vision. Peripheral vision is retained. It is typically unilateral and","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3779"}],"version-history":[{"count":11,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3779\/revisions"}],"predecessor-version":[{"id":26338,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3779\/revisions\/26338"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3678"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}