today eye test, reports, chat gpt report

 

today i visited eye doctor, due to my left eye vision partially not good, i can not read small font, little colour vision down, last month i visited doctor, that time i could read small font 90%, , this time 50%, doctor said, report as attached. she said , some fluid accumulated, find right reason, how to solve natuarally, ( she said, this might taking medicine steriod for skin treatment, asthama monteck or stress). by reading attachments provide right reason, how to solve ?

ChatGPT said:

Thank you for sharing the images and detailed background. Here's a breakdown of your current eye condition based on the attached Sankar Foundation report and OCT scan:

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🔍 Diagnosis from Report

• Right Eye: Presbyopia (HS24.1) – age-related near vision difficulty (normal for 43 years).

• Left Eye: Central Serous Chorioretinopathy (CSCR, ICD 9B75.2) – fluid accumulation under the retina, affecting central vision.

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📊 Symptoms Noticed (Left Eye - LE)

• Blurring vision, worsened over a month.

• Difficulty reading small fonts.

• Decreased color sensitivity.

• Vision:

  • Distance: 6/12 (Left Eye, less than normal).

  • Near: N12 (blurred for small text).

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🧠 What is CSCR (Central Serous Chorioretinopathy)?

• Fluid builds under the retina due to leakage from the choroid.

• Causes central vision distortion, blurred reading, and color changes.

• Common causes include:

  • Stress (cortisol elevation).

  • Steroid use (oral/topical for asthma, skin issues).

  • Certain medications (like Montelukast – Monteck).

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🧬 Most Likely Cause (in your case):

From the history and doctor's note:

• Likely caused by steroid medication or Monteck, used for asthma or skin issues.

• Stress could be a compounding factor.

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🧘‍♂️ Natural Remedies and Management

(Always under doctor's supervision; this does not replace medical treatment.)

✅ Do's:

1. Stop/Limit steroids: Only after consulting your physician. Avoid over-the-counter steroid creams.

2. Reduce stress:

   • Practice meditation, yoga, breathing exercises.

   • Sleep well (7–8 hrs).

3. Diet:

   • Antioxidant-rich foods (green leafy vegetables, carrots, berries).

   • Omega-3 (flaxseeds, walnuts, or fish).

   • Avoid caffeine and alcohol (they may worsen CSCR).

4. Blue light protection: Use anti-glare or blue-light filter glasses.

5. Hydration: Drink enough water to maintain eye health.

❌ Avoid:

• Unmonitored asthma/steroid medications.

• Smoking and excessive screen time.

• Stress-inducing environments.

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🩺 Follow-up and Treatment (If CSCR worsens):

• Most cases resolve in 1–3 months naturally.

• If fluid persists or worsens:

  • OCT monitoring every 4–6 weeks.

  • Treatment options: PDT (Photodynamic Therapy) or Anti-VEGF injections.

  • Retina specialist may suggest eplerenone (a medication to reduce fluid, off-label use).

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🔁 Plan of Care in Report:

“Retina referral” – Important to visit a retina specialist soon.

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📌 Summary

• Your symptoms align with CSCR in the left eye, likely due to stress or steroid use.

• Most cases are self-limiting. Natural resolution is possible by avoiding steroids and reducing stress.

• A retinal specialist should review the OCT and monitor fluid levels.

• Take it seriously, but don't panic. With the right care, vision can improve.

• --------------------

for the above, any medicine to use, CSCR? check history, how it was treated

ChatGPT said:

Yes, there are medications and treatment options for Central Serous Chorioretinopathy (CSCR) — especially when it does not resolve on its own or recurs frequently.

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🔬 History and Common Treatments for CSCR

🟢 1. Observation (Most Common First Step)

• Most acute cases resolve on their own within 1–3 months.

• No medication initially, but regular OCT scans every 4–6 weeks to monitor.

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💊 2. Medications Used in History of CSCR

Used when condition persists beyond 3 months or vision is severely affected.

🔹 A. Eplerenone (25–50 mg/day)

• Aldosterone antagonist – reduces fluid under the retina.

• Used off-label for CSCR.

• Studies show moderate improvement in fluid absorption.

• Caution: Requires kidney monitoring; avoid in those with high potassium.

🔹 B. Spironolactone

• Similar to Eplerenone; slightly more side effects (gynecomastia in men).

• Also used in persistent CSCR cases.

🔹 C. Acetazolamide

• A diuretic that reduces retinal edema.

• Some doctors use it for short-term CSCR with caution.

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💡 Other Non-Medical Interventions

🔹 D. Photodynamic Therapy (PDT)

• Most effective for chronic CSCR.

• Uses verteporfin (a dye) and laser to seal leaking vessels.

• Preferred when medication fails or in long-term/recurrent CSCR.

🔹 E. Anti-VEGF Injections (e.g., Avastin, Eylea)

• Not first-line for classic CSCR, but used if secondary CNV (choroidal neovascularization) develops.

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❌ What NOT to Use

• Steroids: Worsen CSCR.

• Montelukast (Monteck): May aggravate CSCR in sensitive individuals.

• Unmonitored supplements or eye drops: Especially those with steroids or unverified ingredients.

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✅ What to Ask Your Retina Specialist

1. Is my CSCR acute or chronic?

2. Do I need OCT monitoring or should I start medication?

3. Can I start Eplerenone safely?

4. Is my case eligible for photodynamic therapy?

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🌱 Natural Support (Complement to Medical Treatment)

• Turmeric (Curcumin): Anti-inflammatory (consult doctor before use).

• Bilberry Extract: Supports retinal health.

• Omega-3: For anti-inflammatory eye support.

• No-stress routine: Essential for healing.

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📌 Conclusion

• Your case seems acute CSCR, possibly steroid- or stress-induced.

• Initial step is observation and stopping steroids (if applicable).

• If vision does not improve in 4–6 weeks, your retina doctor may consider Eplerenone or PDT.

• Never self-medicate; these treatments require blood tests and regular follow-up.