Comment on “Vigorous Physical Activity as a Risk Factor for Central Serous Chorioretinopathy”

Abstract

The recently published manuscript by Piccolino and associates 1 Piccolino FC Fruttini D Eandi C et al. Vigorous physical activity as a risk factor for central serous chorioretinopathy. Am J Ophthalmol. 2022; 244: 30-37 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar reports a relationship between self-reported intense exercise and central serous chorioretinopathy (CSCR). They found that patients with active CSCR performed more vigorous exercise at moderate/high intensity compared to age-matched controls without CSCR. The relationship is plausible, and the authors make compelling arguments, but several points within their manuscript deserve clarification. Vigorous Physical Activity as a Risk Factor for Central Serous ChorioretinopathyAmerican Journal of OphthalmologyVol. 244PreviewTo evaluate whether frequent vigorous physical activity (PA) is significantly associated with active central serous chorioretinopathy (CSCR) and may represent a risk factor for CSCR. Full-Text PDF Reply to Comment on Vigorous Physical Activity as a Risk factor for Central Serous ChorioretinopathyAmerican Journal of OphthalmologyPreviewWe wish to thank Dr. Stewart for his interest in our paper. He states that “high intensity isometric exercise is brief and does not contribute to chronic systemic arterial hypertension”, on the contrary the “exercise lowers blood pressure”. Although, in the discussion of our results we have not called into question the long-term and resting hypertensive effects of exercise. Instead we assumed that the repetitive hypertensive episodes produced by a frequent vigorous physical activity could in themselves progressively lead to choroidal vascular dysfunction and CSCR. Full-Text PDF