The Effect of Obstructive Sleep Apnea on Absolute Risk of Central Serous Chorioretinopathy

2020 ◽  
Vol 218 ◽  
pp. 148-155
Author(s):  
Carolyn K. Pan ◽  
Daniel Vail ◽  
Jayanta Bhattacharya ◽  
Michelle Cao ◽  
Prithvi Mruthyunjaya
2020 ◽  
Vol 9 (8) ◽  
pp. 2490
Author(s):  
Fabio Scarinci ◽  
Francesca Romana Patacchioli ◽  
Cristina Mihaela Ghiciuc ◽  
Vittorio Pasquali ◽  
Raluca Mihaela Bercea ◽  
...  

Obstructive sleep apnea (OSA) and central serous chorioretinopathy (CSC) are in terms of nosography different pathologies, however they share a stress-related physio-pathogenetic component, not yet explored in depth. Therefore, the aim of the present study was to ascertain whether OSA and CSC share a common profile, specifically in cortisol production focusing on the cortisol awake response (CAR), the area under curve (AUCCAR) and the SLOPECAR compared with healthy matched controls. Furthermore, standardized self-administered questionnaires were used to identify mental health status related to depression, anxiety and subjective stress perception levels in the study populations. The results showed hypothalamus-pituitary-adrenal (HPA) axis activity anomalies, represented by a flattening CAR in the OSA group and a statistically significant increase in cortisol production in CSC patients at awakening. This disarrangement of the HPA axis activity associated with elevated distress and mental health scores, and its presence in both patients with OSA and patients with CSC, might represent the shared path explaining the stress-related component in these diseases. Further research is needed to investigate the psycho-neuro-endocrinological aspects of OSA and CSC to determine whether psychoeducation on effective stress coping strategies might be of value in improving the quality of life of OSA and CSC patients.


Retina ◽  
2015 ◽  
Vol 35 (2) ◽  
pp. 238-243 ◽  
Author(s):  
Frank L. Brodie ◽  
Emily S. Charlson ◽  
Tomas S. Aleman ◽  
Rebecca T. Salvo ◽  
Dina Y. Gewaily ◽  
...  

2021 ◽  
Vol 10 (7) ◽  
pp. 1521
Author(s):  
Fabio Scarinci ◽  
Francesca Romana Patacchioli ◽  
Mariacristina Parravano

This study addressed the following question: “Is it possible to highlight the link between obstructive sleep apnea (OSA) and central serous chorioretinopathy (CSC) through common biopsychosocial pathogenetic pathways?”. The study was conducted through electronic searches of the PubMed, Web of Science, and Scopus databases. All relevant selected human research studies published from January 2003 to December 2020 were included. The scientific literature search was performed through repeated use of the words “OSA” and/or “acute/chronic CSC” paired with “biomedical/biopsychosocial illness model”, “psychopathology”, “stress”, “personality characteristics”, “functional diseases”, “comorbidity”, and “quality of life” in different combinations. Our literature search identified 213 reports, of which 54 articles were ultimately reviewed in this paper. Taken together, the results indicate that there is a cross-link between OSA and CSC that can be classified among biopsychological disorders in which various major biological variables integrate with psychological-functional and sociological variables; many of these variables appear in both diseases. This concept can have important implications for improving patients’ quality of life, thus providing the necessary strategies to cope with challenging life events even through nonpharmacological approaches.


Retina ◽  
2018 ◽  
Vol 38 (9) ◽  
pp. 1642-1651 ◽  
Author(s):  
Chris Y. Wu ◽  
Tanawan Riangwiwat ◽  
Pattara Rattanawong ◽  
Brooke L. W. Nesmith ◽  
Avnish Deobhakta

2007 ◽  
Vol 11 (4) ◽  
pp. 253-257 ◽  
Author(s):  
Thellea K. Leveque ◽  
Le Yu ◽  
David C. Musch ◽  
Ronald D. Chervin ◽  
David N. Zacks

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