The ophthalmologist or eye doctor at the hospital will make the diagnosis of CSR. The ophthalmologist will examine your eyes using a microscope called a slit lamp. In order to examine the retina and macular area more easily, your pupils will be dilated with eye drops that take about 30 minutes to work; the effect of the drops usually wears off in about 6 hours. Often further testing will be required to confirm the diagnosis of central serous retinopathy including fluorescein angiography and / or optical coherence tomography (OCT) imaging.
Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.