CSCR FOR MY LEFT EYE DOCTOR
2. Medical Treatment (If It Persists or Recurs)
If CSCR lasts more than 3 months or keeps coming back, doctors may recommend one of these:
Treatment | How it Works | Notes |
---|---|---|
Eplerenone or Spironolactone | Reduces fluid under retina by blocking mineralocorticoid receptors | Used under supervision, may affect potassium and kidney function |
Rifampicin (Rifampin) | Helps fluid absorption by affecting cortisol metabolism | Off-label; may affect liver |
Acetazolamide | Sometimes used to reduce fluid | Mild benefit; limited evidence |
Anti-VEGF injections (e.g. Avastin, Eylea) | Reduce leakage | More for chronic or severe cases |
💡 3. Laser / Photodynamic Therapy (PDT)
If the leakage point is clearly visible and fluid persists:
-
Focal Laser Photocoagulation: Laser seals the leaking area.
-
Photodynamic Therapy (PDT) with Verteporfin: Safer for the central retina; reduces leakage and recurrence.
-
Half-dose or half-fluence PDT is preferred — fewer side effects.
-
🩺 4. Lifestyle Modifications
-
Reduce stress (proven trigger).
-
Avoid steroids unless prescribed for essential medical reasons.
-
Good sleep hygiene (7–8 hours per night).
-
Control acid reflux (as some studies suggest a link).
-
Avoid caffeine and nicotine if possible.
🚨 5. When to Seek Immediate Medical Help
Go to your ophthalmologist immediately if:
-
You notice sudden drop in vision.
-
You see dark spots or distortion (metamorphopsia).
-
Symptoms persist beyond 3 months.
-
It affects both eyes or recurs frequently.