Psychiatric Evaluation in Patients With Central Serous Chorioretinopathy Presenting to a Tertiary Care Hospital

Central serous chorioretinopathy (CSCR) is a common ocular disease characterized by decompensation of the retinal pigment epithelium (RPE), which results in neurosensory retinal detachment and RPE atrophy. CSCR is one of the ophthalmic diseases with a strong psychological association, and its management involves evaluating and treating stress and related psychological components. This cross-sectional study was conducted over six months from November 2022 to April 2023 in a tertiary care teaching hospital in North India after obtaining clearance from the Institutional Ethics Committee for patients diagnosed with CSCR. The participants underwent routine eye examinations and were also subjected to psychiatric evaluation by a qualied psychiatrist. In the study, various rating scales were used to evaluate depression and Anxiety symptoms. The collected data was compiled and analyzed using SPSS-23. The mean age of the study participants was 42.9±13.7 years with 63.6% of the study subjects having Acute CSCR and 32.7% having recurrent CSCR. In psychiatric evaluation, it was found that 18.18% of participants had Type A personality, anxiety disorder was seen in 40% and major depression disorder in about 23.6% of participants. The present study demonstrated the role of type of personality, anxiety, and depression in patients with CSCR.Psychiatric evaluation and focus on propagating education and awareness regarding psychological health in such patients would be of great benet in better evaluation and management of CSCR as well as associated psychiatric morbidity