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Related Experiment Video

Updated: Feb 18, 2026

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Operating room central serous chorioretinopathy.

Ahmad M Mansour1,2, Rola Hamam1

  • 1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.

SAGE Open Medical Case Reports
|November 18, 2017
PubMed
Summary
This summary is machine-generated.

Operating room stress can trigger central serous chorioretinopathy (CSCR) in surgeons. Stress management effectively resolved CSCR, preventing recurrence for five years.

Keywords:
Ophthalmologysurgery

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Surgical Stress

Background:

  • The operating room environment presents significant physical and cognitive demands on surgical personnel.
  • Surgical stress has been implicated as a potential trigger for central serous chorioretinopathy (CSCR).

Observation:

  • A retina surgeon experienced recurrent CSCR episodes linked to stressful operating room conditions, particularly with complex cases under local anesthesia.
  • Optical coherence tomography (OCT) documented subretinal fluid accumulation preceding CSCR onset.
  • Recurrences were noted 1-2 days post-stressful surgical procedures.

Findings:

  • Stress management interventions led to the resolution of subretinal fluid within 3-4 weeks.
  • Following stress management, no further CSCR recurrences were observed via OCT for five years.
  • Complex surgeries under unassisted topical anesthesia induced greater cognitive stress compared to assisted local or general anesthesia.

Implications:

  • This case highlights the link between operating room stress and CSCR in surgeons, offering OCT evidence of resolution.
  • Surgeons with Type A personalities may be more susceptible to burnout and stress-induced CSCR.
  • Effective stress management strategies are crucial for preventing recurrent CSCR in high-stress surgical environments.