Abstract

BackgroundTo compare vision-related quality of life (VRQOL) between acute and chronic Central serous chorioretinopathy (CSC) and correlate this with Cohen’s Perceived Stress Scale (PSS) questionnaire.MethodsPatients who were diagnosed with both acute and chronic CSC were recruited in this study. Vision-related quality of life (VRQOL) was assessed with Rasch revised National Eye Institute Visual Functioning Questionnaire 25 (NEI-VFQ25) and perceived stress with Cohen’s PSS questionnaire in 118 subjects with either acute or chronic CSC. The quality of life score was compared between patients with acute and chronic CSC. Correlations between the functional score and visual acuity (VA), stage of CSC, and stress were studied.ResultsThere was no significant difference in VRQOL between Acute and Chronic CSC. In Acute CSC, affected eye VA correlated significantly with near vision question of the visual function subscale. Better eye VA correlated significantly with distance vision, social function, role limitation and dependency of the socioeconomic subscale. In chronic CSC, affected eye VA correlated with social function question of the socioemotional subscale and the better eye VA correlated with driving and distance vision of the visual function subscale. No other significant correlations with VA were noted. No correlations were observed between outcome of Cohen’s PSS questionnaire and NEI-VFQ25 scores of acute and chronic CSC.ConclusionThe VRQOL is similar between acute and chronic CSC. Perceived stress was not found to influence the VRQOL in CSC.

Highlights

  • To compare vision-related quality of life (VRQOL) between acute and chronic Central serous chorioretinopathy (CSC) and correlate this with Cohen’s Perceived Stress Scale (PSS) questionnaire

  • Central serous chorioretinopathy (CSC) is a self-limiting disease with spontaneous resolution of serous retinal detachment (SRD) in a noteworthy percentage of patients, and in these cases usually associated with recovery of good vision [1]

  • The diagnosis of CSC was established by the retinal specialist based on comprehensive ophthalmic examination including best-corrected visual acuity (VA), slit lamp examination, fundus examination, and features based on optical coherence tomography (OCT), fluorescein angiography (FA), and if deemed necessary indocyanine green angiography (ICGA)

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Summary

Introduction

To compare vision-related quality of life (VRQOL) between acute and chronic Central serous chorioretinopathy (CSC) and correlate this with Cohen’s Perceived Stress Scale (PSS) questionnaire. In recurrent and chronic cases of CSC, vision may be compromised due to damage to the photoreceptors [1, 2] .Vision-related quality of life (VRQOL) can be assessed using the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ25). The association between psychological stress in CSC and VRQOL has investigated [11] multiple occasions, the quality of life and the perceived stress in these patients has not been explored. The aim of the present study is to compare the VRQOL in acute Vs Chronic CSC and to correlate these scores to perceived stress as determined by Cohen’s perceived stress scale (PSS)

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