ما هو العلاج الأول لاعتلال الشبكية والمشيمية المصلي المركزي؟

References

DOI: 10.1111/ceo.14201

• In all patients with CSC, avoidance of modifiable risk factors should first be emphasised, both at the time of presentation and lifelong.
• Most commonly, this involves cessation or avoidance of corticosteroids.
• There may be a role in treating systemic hypertension, psychological stress, obstructive sleep apnoea, Helicobacter pylori infection, and ceasing phosphodiesterase-6 inhibitors, but such risk factor modification is yet to be well studied.
• Although not verified with high quality evidence, an observation period of 3–4 months is generally accepted in patients presenting with their first episode of acute CSC.
• The period of observation may be shorter in cases of bullous or recurrent CSC, or if the patient has high visual demands (including commercial drivers or airline pilots).
• Most cases of CSC are acute, with spontaneous resolution of SRF within 3–6 months.