Visual Disturbance During Pregnancy: A Case Report of Central Serous Chorioretinopathy

Central serous chorioretinopathy (CSCR) is defined as a fluid-filled detachment of the neurosensory retina due to focal leakage at the retinal pigment epithelium. Although CSCR is more common in men, it has a strong association with pregnancy, particularly in the later trimesters. We report the case of a 34-year-old woman at 32 weeks of gestation who presented with unilateral CSCR. The clinical manifestations included a central scotoma without pain or redness. Fundus examination and optical coherence tomography confirmed the diagnosis. The patient was managed conservatively with reassurance and lifestyle modifications. At five weeks postpartum, complete resolution of the subretinal fluid was documented without any intervention. Pregnancy-associated CSCR is linked to elevated cortisol levels and hemodynamic changes. It usually follows a benign course with spontaneous resolution postpartum, although chronic or recurrent disease can occur. Diagnostic modalities are limited by safety concerns, and treatment is generally avoided unless complications develop. This case highlights that CSCR can occur during pregnancy and is typically self-limiting. Educating pregnant women about possible visual disturbances and ensuring close follow-up are essential.