On refractive exam, best corrected visual acuity (BCVA) can range from 20/20 to 20/ Visual loss can partly be attributed to a hyperopic shift caused by the anterior displacement of the macular photoreceptors. Folk recorded that patients with CSCR can have minimal afferent pupillary defects and reduced critical flicker-fusion thresholds, both of which are the first to improve with resolution of the CSCR episode.  Ophthalmoscopy typically discloses a round or oval serous macular detachment without hemorrhage, with small, yellow sub-retinal deposits in the area of neurosensory detachment.  At times, the sub-retinal fluid may contain grey-white serofibrinous exudate.  A RPE detachment may be seen on OCT in up to 63% of eyes  and if it encircles the detachment, a “halo” may be seen around the detachment.  Macular RPE mottling can be found in cases of recurrent or chronic CSCR. Ophthalmoscopy may show a range from mono- or paucifocal RPE lesions with prominent elevation of the neurosensory retina by clear fluid - typical of cases of recent onset - to shallow detachments overlying large patches of irregularly depigmented RPE.
At a higher level of abstraction are what have been called psychological scotomas , in which a person's self-perception of his or her own personality is judged by others to have a gap in perceptive ability. Thus, in psychology , scotoma can refer to a person's inability to perceive personality traits in themselves that are obvious to others. And at the highest abstraction level are what have been called intellectual scotomas , in which a person cannot perceive distortions in their world view that are obvious to others. Thus, in philosophy or politics, a person's thoughts or beliefs might be shaped by an inability to appreciate aspects of social interaction or institutional structure.