Laser therapy in chronic central serous chorioretinopathy

Chronic central serous chorioretinopathy (cCSC) is something we run into all the time in practice. Acute CSC resolves without intervention in about 84% of cases within 6 months. What should we do in those that don’t resolve?

“However, the disease has a strong tendency to become chronic manifesting in frequent recurrence or persistent subretinal fluid which can then lead to sight-threatening long-term complications such as progressive damage of the outer retina, disruptions of the retinal pigment epithelium and secondary choroidal neovascularization”

The paper Subthreshold laser therapy with a standardized macular treatment pattern in chronic central serous chorioretinopathy outlines an interesting method using titrated laser treatments to resolve the subretinal fluid. It seems to be very successful at not only doing that but improving visual function significantly.