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OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 3:33 pm
by 2flamingos
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.

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 3:47 pm
by MaxDarkside
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?

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 5:14 pm
by chunkyfrog
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.

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 5:30 pm
by avi123
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

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 7:04 pm
by Julie
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.

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Wed Aug 01, 2012 7:30 pm
by Ken Davidson
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

Re: OT - anyone else here have Central serous chorioretinopathy

Posted: Thu Aug 02, 2012 11:52 am
by 2flamingos
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.