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Published on: September 3, 2020
Central serous chorioretinopathy associated with narcolepsy
Joan T Kim1, Philip S Eichling, Mingwu Wang
1From the *Department of Ophthalmology and Vision Science, University of Arizona, Tucson, Arizona; and †Comprehensive Sleep Solutions, Tucson, Arizona.
Central serous chorioretinopathy (CSC) resolved with narcolepsy treatment. Poor sleep quality may contribute to CSC development, highlighting sleep disorders as potential risk factors.
Area of Science:
- Ophthalmology
- Neurology
- Sleep Medicine
Background:
- Central serous chorioretinopathy (CSC) is a condition affecting vision.
- The exact causes and risk factors for CSC are not fully understood.
- Sleep disturbances have been anecdotally linked to various health issues.
Purpose of the Study:
- To report a case of central serous chorioretinopathy (CSC) in a patient with narcolepsy.
- To explore the potential association between narcolepsy and the development of CSC.
- To investigate the impact of treating narcolepsy on CSC resolution.
Main Methods:
- This study is a case report.
- A 34-year-old male patient with persistent CSC was monitored.
- Ophthalmic imaging (fundus examination, OCT) was used for assessment.
Main Results:
- The patient presented with persistent CSC in the left eye for over 11 months.
- He had narcolepsy with inadequately treated disrupted sleep but no other known CSC risk factors.
- Following two weeks of effective narcolepsy treatment, complete resolution of CSC was observed.
Conclusions:
- Disrupted sleep and poor sleep quality, potentially leading to hypothalamic-pituitary-adrenal axis and sympathetic nervous system overactivation, may contribute to CSC.
- Sleep disorders, including narcolepsy, should be considered as potential risk factors for developing CSC.
- Effective management of sleep disorders may aid in the resolution of CSC.
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