International ophthalmology · 2026
Ocular surface disease and psychological distress in central serous chorioretinopathy.
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Eröz Pınar, Özer Ömer, Doğan Levent, Baysal Zeki
Аннотация
PURPOSE: To evaluate ocular surface parameters and psychological status in patients with central serous chorioretinopathy (CSCR) and to investigate the relationship between tear film dysfunction and psychological distress.
METHODS: This prospective case-control study included 55 patients with CSCR and 50 age- and sex-matched healthy controls. Ocular surface assessment comprised the Ocular Surface Disease Index (OSDI), non-invasive tear break-up time (NIBUT) measured with Sirius (CSO, Italy), Schirmer I test, and corneal fluorescein staining graded by the Oxford scale. Psychological status was evaluated using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI).
RESULTS: Patients with CSCR demonstrated significantly higher OSDI, BAI and BDI scores, and significantly lower NIBUT and Schirmer values compared with controls (all, p < 0.001). Oxford staining scores were significantly higher in the CSCR group (p < 0.001). OSDI scores were positively correlated with anxiety and depression scores, while NIBUT and Schirmer values were negatively correlated with psychological parameters (all, p < 0.001).
CONCLUSION: CSCR is associated with impaired ocular surface parameters and increased psychological distress. The observed correlations suggest a potential interaction between tear film instability and psychological factors, emphasizing the importance of comprehensive clinical evaluation in patients with CSCR.
METHODS: This prospective case-control study included 55 patients with CSCR and 50 age- and sex-matched healthy controls. Ocular surface assessment comprised the Ocular Surface Disease Index (OSDI), non-invasive tear break-up time (NIBUT) measured with Sirius (CSO, Italy), Schirmer I test, and corneal fluorescein staining graded by the Oxford scale. Psychological status was evaluated using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI).
RESULTS: Patients with CSCR demonstrated significantly higher OSDI, BAI and BDI scores, and significantly lower NIBUT and Schirmer values compared with controls (all, p < 0.001). Oxford staining scores were significantly higher in the CSCR group (p < 0.001). OSDI scores were positively correlated with anxiety and depression scores, while NIBUT and Schirmer values were negatively correlated with psychological parameters (all, p < 0.001).
CONCLUSION: CSCR is associated with impaired ocular surface parameters and increased psychological distress. The observed correlations suggest a potential interaction between tear film instability and psychological factors, emphasizing the importance of comprehensive clinical evaluation in patients with CSCR.