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Case Reports
. 2017 Nov 1:5:2050313X17740052.
doi: 10.1177/2050313X17740052. eCollection 2017.

Operating room central serous chorioretinopathy

Ahmad M Mansour  1   2 , Rola Hamam  1
Affiliations
Case Reports

Operating room central serous chorioretinopathy

Ahmad M Mansour et al. SAGE Open Med Case Rep. .

Abstract

Objectives: The operating room is a place of surgical intervention with its accompanying bodily and cognitive strain on the performers. Stress in the operating room may lead to the onset of central serous chorioretinopathy as reported hereby in a retina surgeon and is labeled as operating room central serous chorioretinopathy.

Methods: The same operator performed the optical coherence tomography scans on one retina surgeon. A masked observer estimated the maximal height of the subretinal fluid.

Results: Central serous chorioretinopathy recurred four times over a 1-year period 1 -2 days after a stressful day in the operating room, especially when cases were done under topical or subtenon anesthesia for cataract surgery, vitreous surgery or combined surgeries with complex ocular and medical problems and inability for anesthesia team to intervene. Stress management allowed resolution of subretinal fluid between 3 and 4 weeks. Adopting this strategy, no further attacks were documented by optical coherence tomography for 5 years.

Conclusions: (1) This is one of a few optical coherence tomography documentation of resolution of central serous chorioretinopathy within 3-4 weeks of its occurrence and its recurrence induced by stress in the operating room; (2) Unassisted topical anesthesia required in patients with complex medical and ocular problems causes more cognitive stress than when surgery is carried under assisted local or general anesthesia (partly due to unexpected ocular or bodily movements); and (3) the available evidence suggests that those overcommitted surgeons (type A personality) may very well be most susceptible to burnout and central serous chorioretinopathy.

Keywords: Ophthalmology; surgery.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
CSCR of the left eye at initial visit and 6-year follow-up OCT scans. Resolution of subretinal fluid 4 weeks later. Four recurrences within 1 year. Resolution of central serous fluid 4 weeks after each attack. No recurrences noted 5 years after the last recurrence.
See this image and copyright information in PMC

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