PSYCHOLOGICAL PROFILE OF PATIENTS WITH CENTRAL SEROUS CHORIORETINOPATHY: ROLE OF PERSONALITY, ANXIETY AND DEPRESSION

PURPOSE: The collection of subretinal fluid in the macula is a characteristic of central serous chorioretinopathy (CSCR), a moderately frequent cause of vision impairment that is more prevalent in middle-aged men. The research has documented a number of risk factors, with psychological elements being mentioned as having a significant effect. Finding the prevalence and correlation of psychiatric variables in CSCR patients and comparing them to other non-chorioretinal ocular disorders were our goals. METHODS: 91 patients with CSCR and 91 individuals with other non-chorioretinal illnesses participated in a cross-sectional correlational study. Standardized instruments were used to examine their risk factors, clinical history, ocular examination, and mental health conditions. The groups were then compared based on how well they scored on the Framingham Type A scale (FTAS), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Rating Scale (HDRS). RESULT: The male to female ratio among CSCR patients was 8:1. In 15%, 20%, and 23% of patients, respectively, chronic, bilateral, and recurring illnesses were discovered. 40 percent of patients had anxiety disorder, and 24 percent had serious depression. These rates were much greater than those of patients without chorioretinal disease (odds ratios of 14.18 and 5.30, respectively). Additionally, because of the buildup of subretinal fluid, these mental illnesses were substantially linked to a general decrease in visual acuity and an increase in central macular thickness. CONCLUSION: Compared to patients with non-chorioretinal diseases, CSCR patients had a considerably higher prevalence of psychiatric comorbidities such as Type A personality trait, depression, and anxiety disorders. These individuals would undoubtedly benefit from a focus on psychological health in terms of improved management of both their mental morbidity and CSCR.