Central serous retinopathy (CSR) is a rare condition associated with endogenous hypercortisolism, involving detachment of the sensory retina and typically affecting males aged 20–50 years. It is characterised by a central scotoma, reduced visual acuity and metamorphopsia. Here, we present the case of a patient with CSR who developed a computer programme to chart the course of his scotoma.

A 64-year-old man presented with reduced visual acuity, distortion, and a central positive scotoma in his right eye. These symptoms had worsened over the preceding month. Following investigations, including fundus fluorescein angiography which showed an ink-blot pattern, he was diagnosed with central serous retinopathy (CSR). CSR is a condition of uncertain aetiology, characterised by the detachment of the sensory retina due to fluid leakage from a hyperpermeable choriocapillaris.1

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