Central serous chorioretinopathy
What is the eye telling us?
Central serous chorioretinopathy (CSC) has captured the attention of physicians for nearly 150 years. Psychic stress and behavioural traits were originally described as potential contributing factors in the development of this disorder by Horniker in 1927.1 Since that time, many others have attempted to better define this relation. Gelber and Schatz reported results of detailed psychiatric interviews (which included the gold standard structured interview) with CSC patients.2 Of the 33 patients studied, 91% described a disturbing psychological event immediately preceding their loss of vision. These patients had type A personality scores comparable to patients with myocardial infarction. In 1987, Yannuzzi reported a higher proportion of type A behaviour pattern as measured by the Jenkins Activity Survey in patients with CSC compared to control subjects with other forms of central vision loss.3 These two studies would …
