본문 바로가기
KERD
논문KCI 등재

Comparison of Serum Cortisol and Testosterone Levels in Acute and Chronic Central Serous Chorioretinopathy

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류안과학

초록

Purpose: To compare the levels of serum cortisol and testosterone in acute and chronic central serous chorioretinopathy(CSC). Methods: Serum cortisol and testosterone levels in 30 patients with either acute or chronic CSC were evaluatedusing chemiluminescent immunoassay. Results: The mean age was 42.43 ± 6.37 years (range, 32 to 56 years). The mean 8:00 to 9.00 a.m. serum cortisollevel was 12.61 ± 4.74 μg/dL (range, 6.58 to 27.42 μg/dL). The mean serum testosterone level was 5.88± 1.57 ng/dL (range, 2.81 to 9.94 ng/dL). The mean visual acuity was 20 / 65.07 ± 40.56 (range, 20 / 25 to 20/ 200). There was no statistically significant difference in the mean levels of serum cortisol and testosteronebetween the acute and chronic cases (p > 0.05), but there was a statistically significant difference in the meanpresenting visual acuity in the two groups (p < 0.05). Conclusions: All except one patient in the acute group had normal levels of serum cortisol. Testosterone levelswere within the normal range in both the acute and chronic cases of CSC. There is unlikely to be any statisticallysignificant difference in the mean levels of serum cortisol and testosterone between the acute and chroniccases, but there may be a statistically significant difference in the mean presenting visual acuity in thesegroups.

Abstract

Purpose: To compare the levels of serum cortisol and testosterone in acute and chronic central serous chorioretinopathy(CSC). Methods: Serum cortisol and testosterone levels in 30 patients with either acute or chronic CSC were evaluatedusing chemiluminescent immunoassay. Results: The mean age was 42.43 ± 6.37 years (range, 32 to 56 years). The mean 8:00 to 9.00 a.m. serum cortisollevel was 12.61 ± 4.74 μg/dL (range, 6.58 to 27.42 μg/dL). The mean serum testosterone level was 5.88± 1.57 ng/dL (range, 2.81 to 9.94 ng/dL). The mean visual acuity was 20 / 65.07 ± 40.56 (range, 20 / 25 to 20/ 200). There was no statistically significant difference in the mean levels of serum cortisol and testosteronebetween the acute and chronic cases (p > 0.05), but there was a statistically significant difference in the meanpresenting visual acuity in the two groups (p < 0.05). Conclusions: All except one patient in the acute group had normal levels of serum cortisol. Testosterone levelswere within the normal range in both the acute and chronic cases of CSC. There is unlikely to be any statisticallysignificant difference in the mean levels of serum cortisol and testosterone between the acute and chroniccases, but there may be a statistically significant difference in the mean presenting visual acuity in thesegroups.

참고문헌 (30)

  1. Meyerle CB, "Albert & Jakobiec’s principles and practice of ophthalmology", pp.1871~1880 (2008), Saunders Elsevier
  2. Klais CM, "Retina", pp.1135~1161 (2006), Elsevier Mosby
  3. Garg SP, "Endogenous cortisol profile in patients with central serous chorioretinopathy", Br J Ophthalmol, 81, pp.962~964 (1997)
  4. Pastor-Idoate S, "Adrenocortical adenoma and central serous chorioretinopathy: a rare association?", Case Rep Ophthalmol, 2, pp.327~332 (2011)
  5. Zakir SM, "Serum cortisol and testosterone levels in idiopathic central serous chorioretinopathy", Indian J Ophthalmol, 57, pp.419~422 (2009)
  6. Thoelen AM, "Central serous chorioretinopathy associated with a carcinoma of the adrenal cortex", Retina, 20, pp.98~99 (2000)
  7. Chalisgaonkar C, "Central serous chorioretinopathy and endogenous cortisol: is there an association?", Indian J Ophthalmol, 58, pp.449~450 (2010)
  8. Tufan HA, "Serum cortisol and testosterone levels in chronic central serous chorioretinopathy", Graefes Arch Clin Exp Ophthalmol, 251, pp.677~680 (2013)
  9. Rocha EM, "Identification of androgen receptor protein and 5alpha-reductase mRNA in human ocular tissues", Br J Ophthalmol, 84, pp.76~84 (2000)
  10. Ahad MA, "Central serous chorioretinopathy associated with testosterone therapy", Eye (Lond), 20, pp.503~505 (2006)
  11. Grieshaber MC, "The potential role of testosterone in central serous chorioretinopathy", Br J Ophthalmol, 91, pp.118~119 (2007)
  12. Yannuzzi LA, "Type A behavior and central serous chorioretinopathy", Trans Am Ophthalmol Soc, 84, pp.799~845 (1986)
  13. Bouzas EA, "Central serous chorioretinopathy and glucocorticoids", Surv Ophthalmol, 47, pp.431~448 (2002)
  14. Carvalho-Recchia CA, "Corticosteroids and central serous chorioretinopathy", Ophthalmology, 109, pp.1834~1837 (2002)
  15. Iida T, "Central serous chorioretinopathy after epidural corticosteroid injection", Am J Ophthalmol, 132, pp.423~425 (2001)
  16. Spaide RF, "Central serous chorioretinopathy in younger and older adults", Ophthalmology, 103, pp.2070~2079 (1996)
  17. Spahn C, "Psychosomatic aspects in patients with central serous chorioretinopathy", Br J Ophthalmol, 87, pp.704~708 (2003)
  18. Cunningham ET Jr, "Central serous chorioretinopathy in patients with systemic lupus erythematosus", Ophthalmology, 103, pp.2081~2090 (1996)
  19. Carpenter MT, "Choroiditis in systemic lupus erythematosus", Am J Ophthalmol, 117, pp.535~536 (1994)
  20. Chumbley LC, "Central serous retinopathy and pregnancy", Am J Ophthalmol, 77, pp.158~160 (1974)
  21. Said-Ahmed K, "Incidence and natural course of symptomatic central serous chorioretinopathy in pregnant women in a maternity hospital in Kuwait", Middle East Afr J Ophthalmol, 19, pp.273~276 (2012)
  22. Haimovici R, "Risk factors for central serous chorioretinopathy: a case-control study", Ophthalmology, 111, pp.244~249 (2004)
  23. Tittl MK, "Systemic findings associated with central serous chorioretinopathy", Am J Ophthalmol, 128, pp.63~68 (1999)
  24. Lee CS, "Central serous chorioretinopathy after renal transplantation", Retina, 31, pp.1896~1903 (2011)
  25. Basu S, "Serous retinal detachment and multiple retinal pigment epithelial detachments, following hemodialysis for multi-organ failure", Indian J Ophthalmol, 58, pp.261~262 (2010)
  26. Hussain D, "Idiopathic central serous chorioretinopathy", Indian J Ophthalmol, 46, pp.131~137 (1998)
  27. Liu DT, "An update on the diagnosis and management of central serous chorioretinopathy", Asia Pac J Ophthalmol (Phila), 1, pp.296~302 (2012)
  28. Gilbert CM, "Long-term follow-up of central serous chorioretinopathy", Br J Ophthalmol, 68, pp.815~820 (1984)
  29. Kapetanios AD, "Serous central chorioretinopathy and endogenous hypercortisolemia", Klin Monbl Augenheilkd, 212, pp.343~344 (1998)
  30. Haimovici R, "Endocrine abnormalities in patients with central serous chorioretinopathy", Ophthalmology, 110, pp.698~703 (2003)

관련 논문AI추천

이 간행물의 다른 논문 (13건)