Corticosteroids by any route, including skin creams, inhalers, nasal sprays, injections and some traditional remedies, are among the best-recognised triggers of central serous chorioretinopathy. A drug history is cheap and sometimes the most useful single step.
- List all steroid exposure, including over-the-counter creams and ayurvedic or herbal preparations of unknown content.
- Discuss stopping or reducing steroids with the prescriber where possible.
- Ask about sleep, stress and shift work.
- Explain that recurrences are common and that new visual distortion needs early review.
Why it matters
A removable trigger is easy to miss when attention goes to scans.
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