Abstract
Central serous chorioretinopathy (CSCR) is a common pachychoroid spectrum disorder characterized by serous detachment of the neurosensory retina due to choroidal hyperpermeability and dysfunction of the retinal pigment epithelium. We present a patient with one month of blurry vision and metamorphopsia in the left eye found to have subretinal fluid and a pigment epithelial detachment on optical coherence tomography with focal leakage on fluorescein angiography, consistent with CSCR. This presentation reviews the epidemiology, pathophysiology, clinical features, diagnostic imaging findings, and management strategies for CSCR, with emphasis on distinguishing CSCR from other causes of serous macular detachment and recognizing indications for treatment in persistent or chronic disease.
Presentation Date: 03/12/2026
Issue Date: 03/27/2026
