any alternative treatment to help recovery from CSR?

Question

Thank you both of u for your previous answers but Sorry to keep u bothering....I have few more doubts...Is there any alternative treatment.. like by taking some specific food - green vegi / carrots or by taking any precaution ? is there any chance of getting it worsens in my elder age??

Answer 1

I support there answers by your previous respondents.

Beyond the usual good diet, adequate antioxidants and vitamins, including from the dark green vegetables.
(I hate brocolli but love brussels sprouts) which should be recommended to everyone, (and obtained by supplementary pills if good eating comes hard) there is nothing specific for CSR.

In the long run, everything gets worse with age.
It's called getting old.
CSR does have some tendency to recur, but it's far from inevitable. I've had it in my right eye.

Since there is a definite (but not exclusive) connection between CSR and stress, the most positive preventative measure is a relaxed happy lifestyle.
Hmm. The world doesn't always make that easy.

(and my CSR did hit when I was very stressed)

Answer 2

There are three layers to the eyeball. The outer white part, which is clear in the front. The blue or brown...colored part with the hole (pupil) in it which is a vascular layer in the back (choroid), and the retina.

Between the retina and the choroid is a layer of pigment cells. This layer of pigment cells looks sort of like a large number of hexagonal tiles. The connections between these individual pigment cells is very tight. The connections are called tight junctions where the outer cell membrane merges with that of the next cell. This forms a barrier between the retina and the choroid.

The choroidal vessels leak. They leak fluid, not blood. This fluid washes through the choroidal vessels and is absorbed by lower pressure choroidal vessels or vessels with lower osmotic pressure, etc..

IF a pigment cell is sort of bumped off, it leaves a hole between the choroid and subretinal space. Fluid can then migrate from the choroidal space into the subretinal space where it accumulates and forms a blister.

This is Central Serous Retinopathy. Yes it's stress related, etc. But it's not really a just focal problem as there are other areas in the back of the eye that'll show defects that you've never been aware of. These will show up on an angiogram.

The treatment is to wait for the hole to seal itself, and if it doesn't, laser it so it'll scar and seal itself. Once that is sealed, the fluid will slowly absorb. May take a month or so.

There are now newer ways to treat this other than cooking the thing. The anti-VEGF drugs such as Lucentis and Avastin have been tried and appear to have some benefit.
There are also steroids injected next to the eyeball and injected INTO the eyeball that help. There will soon be on the market a steroid implant that will slowly release medication into the eyeball. These are placed in an operating room or clean office room and slowly release steroids or other medications (antivirals in those with HIV related diseases) into the vitreous cavity. Steroids are a loaded weapon. Yes the stop inflammation or slow it down, but they also affect the lens...people get foggy lenses or cataracts from the steroids, and they can get increases in ocular pressure (steroid glaucoma) which will have to be treated. One has to weigh the benefits from the risks and complications of any of these treatments, especially in a problem that is self limiting (most of the time) such as CSR.

So yes there are other treatments. Talk to your retina specialist. He'll know, or be aware of these alternate avenues.

Answer 3

nothing that will work. carrots/veggies will have zero effect. no "precaution" will work, either.