Central Serous Retinopathy; What is it? What can you do about it?

March 8, 2023 - EyeClarity Blog

Central serous retinopathy (CSR) is a relatively common eye condition that affects the retina, the light-sensitive tissue at the back of the eye that processes visual information. CSR occurs when fluid accumulates beneath the retina, causing a small blister or detachment that can lead to distorted or blurred vision in the affected eye.

The exact cause of CSR still needs to be fully understood. Still, it is thought to be related to the buildup of fluid in the choroid, a layer of blood vessels that lies beneath the retina. The increased fluid pressure can cause the outer layer of the retina to detach, leading to the characteristic symptoms of CSR.

Risk factors for CSR include stress, use of corticosteroids, and a history of the condition. Men are also more likely to develop CSR than women, which is more common in people over 30.

The most common symptoms of CSR include:

  • Blurred or distorted vision in the affected eye.
  • A blind spot in the central vision.
  • A decrease in color perception.

Some people with CSR may also experience a feeling of pressure in the eye or a reduction in contrast sensitivity.

In most cases, CSR resolves independently within a few months; no specific treatment is needed. However, some people may benefit from laser treatment or photodynamic therapy, which can help seal off the leaky blood vessels that cause fluid buildup. In rare cases, surgery may be necessary to repair a detached retina.

The Ketogenic Diet and Retina Eye Health

There has been some research on the effects of the ketogenic diet on retinal health. Although no specific studies have been on the ketogenic diet and CSR, other studies have shown the benefits of this diet on the retinal blood vessels. Before embarking on the ketogenic diet, consult your functional medicine doctor first.

Here is a brief summary of the current research:

Diabetic retinopathy: Diabetic retinopathy is a complication of diabetes that can cause damage to the blood vessels in the retina, leading to vision loss. Some animal studies have suggested that the ketogenic diet may help improve blood sugar control and reduce the risk of diabetic retinopathy. However, more research is needed to confirm these findings in humans.

Glaucoma: Glaucoma is a condition that causes damage to the optic nerve and can lead to vision loss. Animal studies have suggested that the ketogenic diet may have neuroprotective effects that could benefit people with glaucoma. However, more research is needed to confirm these findings in humans.

Macular degeneration: Macular degeneration is a condition that affects the central part of the retina and can cause vision loss. There is currently no research to support the use of the ketogenic diet to prevent or treat macular degeneration.

If you don’t want to investigate the ketogenic diet for central serous retinopathy, here are some general dietary guidelines: 

Maintaining a healthy diet and lifestyle can help promote overall eye retinal health and reduce the risk of other eye conditions.

A diet rich in fruits, vegetables, whole grains, and lean proteins can provide the essential vitamins and nutrients for maintaining healthy eyes. Some specific nutrients that have been associated with eye health include:

1. Omega-3 fatty acids: In fatty fish, such as salmon and tuna, and nuts and seeds, omega-3 fatty acids have been linked to a reduced risk of age-related macular degeneration, a common cause of vision loss in older adults.

2. Lutein and zeaxanthin: These antioxidants are found in dark leafy greens, such as spinach and kale, as well as in egg yolks and other foods. They have been shown to protect against cataracts and macular degeneration.

3. Vitamin C: Found in citrus fruits, berries, and vegetables such as peppers and broccoli, vitamin C has antioxidant properties that can help to protect the eyes from damage.

4. Zinc: Found in lean meats, seafood, and legumes, zinc is essential for maintaining healthy vision and may help to prevent macular degeneration.

Red light and Retinal Health

Red light therapy, also known as photobiomodulation, has been shown to have potential benefits for improving retina health. Here are some ways in which red light therapy may help enhance retina health:

Improved blood flow: Red light therapy has been shown to increase blood flow and circulation in the body, including the retina. This can deliver more oxygen and nutrients to the retina, which helps to support its overall health and function.

Reduced inflammation: Red light therapy has also been shown to have anti-inflammatory effects, which may help to reduce inflammation in the retina. Chronic inflammation can contribute to various eye conditions, including age-related macular degeneration and diabetic retinopathy.

Increased cellular energy production: Red light therapy has been shown to increase cellular energy production, which can help to support the function of the retina and other cells in the body. This can help to improve the overall health and part of the retina.

Protection from oxidative stress: Red light therapy has been shown to have antioxidant effects, which can help to protect the retina from damage caused by oxidative stress. Oxidative stress is a process that can lead to the formation of harmful free radicals that can damage cells and contribute to various health conditions.

Overall, while more research is needed to fully understand the potential benefits of red light therapy for improving retina health, the available evidence suggests that it may be a promising approach for supporting the health and function of the retina. Speaking with a qualified healthcare provider or eye specialist before using red light therapy or any other treatment for an eye condition is crucial.

In addition to a healthy diet, it’s also essential to maintain a healthy weight, exercise regularly, and avoid smoking, as these factors have been linked to an increased risk of vision loss and other eye conditions.

It’s important to note that making dietary changes alone is not a substitute for proper medical care. Suppose you have CSR or any other vision-related condition. In that case, seeking medical advice from a qualified healthcare provider is essential.