Risk factors for central serous chorioretinopathy - A case-control study

被引:320
作者
Haimovici, R
Koh, S
Gagnon, DR
Lehrfeld, T
Wellik, S
机构
[1] Boston Univ, Sch Med, Dept Ophthalmol, Boston, MA 02118 USA
[2] Boston Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Boston, MA USA
[3] MAVERIC, Boston, MA USA
关键词
D O I
10.1016/j.ophtha.2003.09.024
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To identify systemic factors associated with the development of central serous chorioretinopathy(CSCR). Design: Retrospective, case-control study. Participants and controls: 312 cases and 312 controls. Results: By use of a multivariate analysis, the previously described risk factors, systemic steroid use (odds ratio [OR], 37.1; 95% confidence interval [CI], 6.2-221.8), and pregnancy (OR, 7.1; 95% CI, 1.0-50.7), were strongly associated with CSCR. Additional risk factors identified by this study include antibiotic use (OR, 6.2; 95% CI, 1.0-37.9), alcohol use (OR, 4.9; 95% CI, 1.5-16.3), untreated hypertension (OR, 3.3; 95% CI, 1.3-8.5), and allergic respiratory disease (OR, 2.5; 95% CI, 1.2-5.1). Conclusions: A wide variety of systemic factors are associated with CSCR. Prospective studies are warranted to evaluate the nature and significance of these associations further. (C) 2004 by the American Academy of Ophthalmology.
引用
收藏
页码:244 / 249
页数:6
相关论文
共 44 条
[1]   Adverse childhood experiences and smoking during adolescence and adulthood [J].
Anda, RF ;
Croft, JB ;
Felitti, VJ ;
Nordenberg, D ;
Giles, WH ;
Williamson, DF ;
Giovino, GA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (17) :1652-1658
[2]  
BENNETT G, 1955, Br J Ophthalmol, V39, P605, DOI 10.1136/bjo.39.10.605
[3]   Effects of smoking on activation markers, Fas expression and apoptosis of peripheral blood lymphocytes [J].
Bijl, M ;
Horst, G ;
Limburg, PC ;
Kallenberg, CGM .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2001, 31 (06) :550-553
[4]   CENTRAL SEROUS CHORIORETINOPATHY IN ENDOGENOUS HYPERCORTISOLISM [J].
BOUZAS, EA ;
SCOTT, MH ;
MASTORAKOS, G ;
CHROUSOS, GP ;
KAISERKUPFER, MI .
ARCHIVES OF OPHTHALMOLOGY, 1993, 111 (09) :1229-1233
[5]   CENTRAL SEROUS RETINOPATHY IN SYSTEMIC LUPUS-ERYTHEMATOSUS - A MANIFESTATION OF THE DISEASE OR OF ITS TREATMENT [J].
BOUZAS, EA ;
MASTORAKOS, G .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1994, 78 (05) :420-421
[6]   Stress and substance use among military women and men [J].
Bray, RM ;
Fairbank, JA ;
Marsden, ME .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1999, 25 (02) :239-256
[7]   CENTRAL SEROUS CHORIORETINOPATHY - A SEASONAL-VARIATION [J].
CASSEL, GH ;
BROWN, GC ;
ANNESLEY, WH .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1984, 68 (10) :724-726
[8]   Nicotine impairs endothelium-dependent dilatation in human veins in vivo [J].
Chalon, S ;
Moreno, H ;
Benowitz, NL ;
Hoffman, BB ;
Blaschke, TF .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2000, 67 (04) :391-397
[9]   Ethanol impairs major histocompatibility complex (MHC) class II molecule-mediated but not MHC class I molecule-mediated T cell response in alcohol-consuming mice [J].
Chang, MP ;
Norman, DC .
IMMUNOPHARMACOLOGY AND IMMUNOTOXICOLOGY, 1999, 21 (01) :65-87
[10]   CENTRAL SEROUS RETINOPATHY AND PREGNANCY [J].
CHUMBLEY, LC ;
FRANK, RN .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1974, 77 (02) :158-160