Abstract
CLINICAL SCENARIO OF CENTRAL SEROUS CHORIORETINOPATHY IN RURAL SETUP

Objective to determine the age and sex incidence, to identify the risk factors, to study incidence of multifocality and bilaterality of CSCR, to determine appropriate treatment modalities. Examination of visual acuity with Snellen’s chart, complete cycloplegic refraction, anterior segment using slit lamp, fundus by direct and indirect ophthalmoscopy, FFA at each visit done in all the cases suspected of central serous retinopathy. Incidence - The incidence of central serous chorioretinopathy was found to be 0.24 %. Age – All the cases of CSCR are between the age group of 20-70yrs with 70% between the age group of 30-50 yrs. SEX – CSCR has very high incidence in males compared to females. The high incidence in males can be due to high stress levels, high incidence of smoking, alcoholism, hypertension and diabetes in them. Risk Factors – Stress, hypertension, diabetes, smoking, steroids, pregnancy are associated risk factors. Laterality–Most of the cases of CSCR are unilateral at presentation. But in few cases it can be bilateral. On FFA– Ink-blot pattern is the most common pattern of leakage seen followed by smoke stack pattern. Prognosis – Most of the cases of CSCR show spontaneous resolution. In chronic or recurrent cases argon laser photocoagulation or PDT can be given depending on the leakage. Though CSCR being mostly idiopathic, stress, hypertension, diabetes, smoking, steroids, pregnancy are associated risk factors.