1 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) In general terms, what is the pathophysiology of CSC? 2 Q/A Central Serous Chorioretinopathy/Choroidopathy (CSC) In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinalthree words detachment visual dysfunction (not yet) Answer this one first--what directly causes visual dysfunction in CSC? 3 Q/A Central Serous Chorioretinopathy/Choroidopathy (CSC) In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction (not yet) 4 Central Serous Chorioretinopathy/Choroidopathy (CSC) CSC: Serous RD 5 Q/A Central Serous Chorioretinopathy/Choroidopathy (CSC) In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeabilitytwo words serous retinal detachment visual dysfunction + four words and an abb. Now this one--what causes the serous RD? 6 A Central Serous Chorioretinopathy/Choroidopathy (CSC) In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 7 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia Scotomata Altered color vision In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 8 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia Scotomata Altered color vision In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 9 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 10 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 11 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 12 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 13 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 14 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 15 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye, thus rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 16 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Is the loss of Snellen acuity usually mild, or severe? Specific visual complaintsMild in CSC : What is the typical range of Snellen acuity, and the typical value? Decreased VA The range is 20/20 - 20/200; the typical value is 20/30 or better Metamorphopsia A refractive shift may contribute to the decreased VA. If present, what sort of refractive shift is typical? Micropsia A hyperopic shift Scotomata Why a hyperopic shift? Because the submacular fluid elevates the fovea, shortening the Altered color visioneffective axial length of the eye and rendering it more hyperopic In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 17 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia What do the terms metamorphopsia and micropsia mean? Scotomata Metamorphopsia refers to a distortion in the shape of an object’s visual image. Micropsia occurs when an object Altered color visionappears to be smaller than its actual size. In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 18 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia What do the terms metamorphopsia and micropsia mean? Scotomata Metamorphopsia refers to a distortion in the shape of an object’s visual image. Micropsia occurs when an object Altered color visionappears to be smaller than its actual size. In general terms, what is the pathophysiology of CSC? Choroidal hyperpermeability serous retinal detachment visual dysfunction + leakage at level of RPE 19 Q Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia Scotomata Altered color vision Classic CSC demographics: Sex: 20 A Central Serous Chorioretinopathy/Choroidopathy (CSC) Specific visual complaints in CSC: Decreased VA Metamorphopsia Micropsia Scotomata Altered color vision Classic CSC