Influence of Professional Status and Psychological State in Development of Central Serous Chorioretinopathy, and it’s Response to Treatment Outcome

Abstract

Purpose: To study the influence of the professional and current psychological state in developing Central serous chorioretinopathy (CSCR) and its correlation with outcome. Methods: A prospective non-randomized case-control study on 49 patients with various CSCRs underwent Spectral-Domain Optical Coherence Tomography (SD-OCT) at baseline and six months and Fundus fluorescein angiography (FFA) to all non-resolving recurrent cases. Profession profile was assessed by categorized into blue-collar, white-collar jobholders, self-employed, and others. The patient’s current psychological state was assessed by a general health questionnaire (GHQ12). Two sets of similar questionnaires were given to cases, and controls (age/ gender-matched with problems other than CSCR) and non-professionals were given a single questionnaire to assess their psychological state in two different environments. Results: High prevalence of CSCR was observed in blue collars (63%) followed by white-collar (14%) jobholders, self-employed (4%), and others (19%). Recent psychological stress scores were significantly higher in cases compared to controls (t=5.147, p