What Cause CSR to Worsen: 7 Factors

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1. Chronic Stress

Chronic stress serves as one of the most common triggers for Central Serous Retinopathy (CSR). High-stress environments and emotional turmoil significantly raise cortisol levels, which have been linked to fluid leakage in the retina. Consequently, this can lead to CSR flare-ups.

2. Corticosteroid Use

Additionally, the use of corticosteroids—whether taken orally, applied topically, or inhaled—can heighten the risk of CSR flare-ups. These steroids disrupt fluid balance in the eye, resulting in the accumulation of fluid beneath the retina.

3. Sleep Deprivation or Poor Sleep Quality

Moreover, insufficient sleep or poor sleep quality often correlates with increased stress levels, further exacerbating CSR. In particular, sleep apnea has been associated with a higher risk of CSR recurrence.

4. High Blood Pressure (Hypertension)

High blood pressure, or hypertension, contributes to elevated pressure in blood vessels, including those in the eye. This increased pressure can lead to fluid leakage under the retina, thereby triggering CSR flare-ups.

5. Use of Stimulants (Caffeine and Energy Drinks)

Furthermore, excessive consumption of caffeine or energy drinks can boost stress hormones and elevate blood pressure. Both factors may aggravate CSR symptoms. Therefore, it’s crucial to manage your intake of stimulants to prevent triggering flare-ups.

6. Emotional or Mental Stress

Emotional stress, such as anxiety or depression, can also elevate cortisol levels and contribute to CSR recurrences. Engaging in mindfulness practices, meditation, or other stress-reducing activities can effectively minimize these flare-ups.

7. Eye Strain from Excessive Screen Time

Finally, spending long hours in front of screens can lead to eye strain and fatigue, potentially worsening CSR symptoms. Additionally, blue light exposure from screens can contribute to general eye discomfort and further aggravate CSR.

By being aware of these triggers, individuals living with CSR can take proactive measures to manage their condition and reduce the likelihood of flare-ups.

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