It is an idiopathic (of unknown etiology), usually one-sided disease with a relatively good prognosis that most often affects men (6 times more often than women) between 20 and 50 years of age. Patients with central serous over 50 years of age experience bilateral affection more often than younger patients.
Vision usually is only in one eye slightly impaired. At the same time many patients perceive the images deformed (metamorphopsia) or smaller in size (micropsia). Some perceive disturbance in color perception.
Cause factors include high levels of endogenous cortisol, steroid intake (even as inhalers), anxiety (type A personality)
The diagnosis is made through the clinical examination (fundoscopy) and the OCT imaging.
In 80% of cases vision returns to the previous levels at the latest of six months. If the condition persists beyond this time limit, it is a chronic form. But even in the acute form about 50% of patients relapse in the first year.
Treatment consists of stopping taking steroids when possible and reducing stress.