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General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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2flamingos
 
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OT - anyone else here have Central serous chorioretinopathy

Postby 2flamingos on Wed Aug 01, 2012 3:33 pm

Does anyone else here have Central serous chorioretinopathy? If so, how do you deal with it? My CSCR, unfortunately, has not self resolved as many do. I have had my blind spot for several years now, and it is becoming more and more bothersome.

I have seen several reports on line that say CSCR and OSA may be related, but my opthalmologist has not made any such association - and he knows I have OSA.

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MaxDarkside
 
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Re: OT - anyone else here have Central serous chorioretinopathy

Postby MaxDarkside on Wed Aug 01, 2012 3:47 pm

The closest thing I have is high and uneven ocular pressures and perhaps a touch of glaucoma. I don't know if it's from high blood pressure, or OSA. Maybe OSA->High BP->Glaucoma. Who knows?

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Re: OT - anyone else here have Central serous chorioretinopathy

Postby chunkyfrog on Wed Aug 01, 2012 5:14 pm

My glaucoma has been well-controlled, with no change for 20 years;
the last two on CPAP with a slight improvement.
Probably no connection at all.

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Re: OT - anyone else here have Central serous chorioretinopathy

Postby avi123 on Wed Aug 01, 2012 5:30 pm

An hypothetical situation could be that the tear ducts from the eyes to the nose could retrograde transfer H. Pylori bacterium from the nose to the eye b/c of CPAP pressure.

Cotticelli et al showed an association between Helicobacter pylori infection and CSCR.[7] The prevalence of H pylori infection was 78% in patients with CSCR compared with a prevalence of 43.5% in the control group. The authors proposed that H pylori infection may represent a risk factor in CSCR, though no further studies have substantiated this claim.

Source:

http://emedicine.medscape.com/article/1 ... view#a0104


Demonstration of retrograde flow in nasolacrimal duct:

Image

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Last edited by avi123 on Thu Aug 02, 2012 2:27 pm, edited 1 time in total.

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Julie
 
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Re: OT - anyone else here have Central serous chorioretinopathy

Postby Julie on Wed Aug 01, 2012 7:04 pm

Glaucoma is a definite potential problem for anyone with apnea and we must get our eyes checked regularly. I'm not otherwise familiar with your condition, but I suggest you beg borrow or steal a referral to a good ophthalmologist because the doctor who's treating you doesn't sound very helpful.

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Ken Davidson
 
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Re: OT - anyone else here have Central serous chorioretinopathy

Postby Ken Davidson on Wed Aug 01, 2012 7:30 pm

2flamingos wrote:Does anyone else here have Central serous chorioretinopathy? If so, how do you deal with it? My CSCR, unfortunately, has not self resolved as many do. I have had my blind spot for several years now, and it is becoming more and more bothersome.

I have seen several reports on line that say CSCR and OSA may be related, but my opthalmologist has not made any such association - and he knows I have OSA.

I hear you. I've had multiple CSR leaks since around 1996 and have permanent fovea damage, though not blindness. I have reduced central vision which is especially bothersome at night. I also get some distortion when fluid is present. Fortunately it's only ever been in one eye. Mine is almost always stress related.

I was diagnosed with OSA around 2000 and have used a CPAP ever since. I also have type 2 diabetes, but that shouldn't be related.

I've seen a handful of similar reports that link the two, but I'm also not convinced. The way I found this thread was through an automated Google search I have set up which constantly scans the Internet for new CSR references. I'm watching for any new theories or discoveries related to cause and treatment. Nothing remarkable so far.

Ken

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2flamingos
 
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Re: OT - anyone else here have Central serous chorioretinopathy

Postby 2flamingos on Thu Aug 02, 2012 11:52 am

Ken,

Wow, sounds so familiar. My first dx was in the late 90's - had laser surgery to seal the leak because it kept recurring. Everything was great until about 3-4 years ago when I went in for my annual eye exam and could not see the right half of the chart. Dr and tech were surprised at how calm I was (I think they did not believe me at first because I was so calm). My CSCR had recurred. So, for the next year or so I was going every three months to see if there had been any change. Two flourescein (sp) angiograms and 3 Visual Field Studies later I was referred to my second retina specialist. luckily, like you, it effects only one eye (my right - dominant - eye). Unfortunately, I do have a blind spot (just to the right and below central vision) and then an area of distortion around that. Heaven forbid I have to cover/wipe my left eye while driving - I lose part of what is in front of me.

I was dx with severe OSA in 2008 and then Type II Diabetes in 2011. Also have controlled hypertension, low T and low Vitamin D.

I don't know if mine is completely stress related or not - I don;t think so because it should have been much worse when each of my parents passed away. Whatever it is, it is giving me fits lately. There are days I want to just put on a patch and not use that eye.

Thanks for your response - I have not had much chance to "talk" with anyone who also has CSCR.

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