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:

TreatmentHow it WorksNotes
Eplerenone or SpironolactoneReduces fluid under retina by blocking mineralocorticoid receptorsUsed under supervision, may affect potassium and kidney function
Rifampicin (Rifampin)Helps fluid absorption by affecting cortisol metabolismOff-label; may affect liver
AcetazolamideSometimes used to reduce fluidMild benefit; limited evidence
Anti-VEGF injections (e.g. Avastin, Eylea)Reduce leakageMore 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.


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