2Prof. Dr., Akdeniz Üniversitesi, Göz Hastalıkları, Antalya, Türkiye Purpose: Our aim in this study is to evaluate the prevalence of comorbid conditions in acute CSCR patients and to investigate changes in visual acuity and central macular thickness.
Materials and methods: We analyzed retrospectively the records of patients diagnosed with CSCR who were followed and treated at Akdeniz University Faculty of Medicine, Ophthalmology Department between April 2010 and January 2016. Sixty-nine eyes of 59 patients who were diagnosed with acute CSCR were included in the study.The demographic characteristics (age, sex, systemic diseases, drugs used, etc.), examination findings, pre- and post-treatment examinations and OCT findings were recorded. Initial and fi nal best corrected visual acuities (BCVA) and central macular thickness (CMT) of patients were recorded and analyzed.
Results: The mean ages of 59 cases of acute CSCR were 42.49 ± 8.92 (23-73) and there were 46 (78%) men, 13 (22 %) women. The highest rates of systemic disease association hypertension (HT) (16.9%) (n = 10) and diabetes mellitus (DM) (n = 10) were seen. 12 patients had a history of steroid use (20,3%). As a result of psychiatric consultation 52 patients (88,1%) had type A personality disorder and stress. Smoking (50,8%) and alcohol (15.3%) were higher in patients with CSCR were seen. At the beginning the mean CMT and BCVA was 336.89±17,57, 0,24±0,03 logMar and at the end of the treatment it was regressed to 298,61±15,97, 0,06±0,02 logMar, respectively.
Conclusion: According to the results of our study there is a strong relationship between acute CSCR with type A personality structure and stress. There is a slightly weaker relationship between acute CSCR with steroid, smoking and alcohol use as well as diseases affecting vascular functions such as HT and DM and in this patients a high rate of improvement with medical treatment was observed.
Keywords : Central Serous Chorioretinopathy, Fluorescein Angiography, Optical Coherence Tomography, Demography