Corioretinopatia central serosa: estudo epidemiológicode 544 casos

Pimentel, Sérgio Luís Gianotti; Costa, Vital Paulino; Biral, Eduardo Lasarini; Nascimento, Cláudia; Abujamra, Suel

doi:10.5935/0004-2749.19950088

RESUMO

Os autores analisaram 544 casos de CCS, com o objetivo de discutir dados epidemiológicos desta patologia.

Observou-se: 1- média de idade de 40,6 anos; 2- predomínio do sexo masculino (81,9%); 3- diferença na distribuição etária de acordo com o sexo. Os homens apresentaram pico de incidência na terceira década com declínio acentuado na sexta década, enquanto que esta distribuição foi mais homogênea em mulheres, com predomínio relativo destas na sexta década; 4- distribuição semelhante entre olhos direito e esquerdo; bilateralidade em 12,4%; 5- pre-domínio acentuado dos casos na raça branca (87,8%); 6- não houve perfil sazonal na incidência da CCS.

Palavras-chave:
Corioretinopatia central serosa; Epidemiologia

SUMMARY .

The authors analyzed 544 cases of central serous chorioretinopathy to discuss its epidemiological data.

It was observed: 1- median age of 40.6y.; 2- predominance in males (81.9%); 3- difference on the age distribution according to the sex. Men presented the peak of incidence in the third decade, with sharp decline in the sixth decade, while this distribution was more uniform in women, with a relative predominance in the sixth decade; 4- equal distribution between right and left eyes; bilaterality in 12.4%; 5- accentuated predominance in white race (87.8%); 6- there was no significant seasonal variation related to CSC.

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REFERÊNCIAS BIBLIOGRÁFICAS

¹
CASSEL, D. H.; BROWN, G. C.; ANNESLEY, W. H. - Central serous choroidoretinopathy: a seasonal variation? Brit. J. Ophthalmol., 68: 724-726, 1984.
²
DELLAPORTA, A. - Central serous retinopathy. Trans. Am. Ophthalmol. Soc., 74: 144-153, 1976.
³
GASS, J.D.M. - Pathogenesis of disciforrn detachment of the neuroepithelium. II - Idiopatic central serous choroidopathy. Am. J. Ophthalmol., 63: 587-615, 1967.
⁴
GILBERT, C. M.; OWENS, S. L.; SMITH, P. D.; FINE, S. L. - Long-term follow-up of central serous choroidopathy. Brit. J. Ophthalmol., 68: 815-820, 1984.
⁵
KLEIN, M. L.; Van BUSKIRK, E. M.; FRIEDMAN, E.; GRAGOUDAS, E.; CHANDRAS, S. - Experience with non treatment of central serous choroidopathy. Arch. Ophthal., 91: 247-250, 1974.
⁶
LEA VER, P.; WILLIANS, C. - Argon laser photocoagulation in the treatment of central serous retinopathy. Brit. J. Ophthalmol., 63: 674-677, 1979.
⁷
LEVINE, R.; BRUCKER, A. J.; ROBINSON, F. Long-term follow-up of idiopathic central serous choroidopathy by angiography. Ophthalmology, 96: 854-859, 1989.
⁸
MUTLAK, J. A.; DUTTON, G. N.; ZEINI, M.; ALLAN, D.; WAIL, A. - Central visual function in patients with resolved central serous retinopathy - a long-term follow-up study. Acta Ophthalmol., 67: 532-536, 1989.
⁹
PEABODY, R. R.; ZWENG, H. C.; LITTLE, H. L. - Treatment of persistent central serous choroidopathy. Arch. Ophthalmol., 79: 166-169, 1968.
¹⁰
ROBERTSON, D. M.; ILSTRUP, D. - Direct, indirect and sham laser photocoagulation in the management of central serous choroidopathy. Am. J. Ophthalmol., 95: 457-466, 1983.
¹¹
SCHATZ, H.; YANUZZI, A.; GITTER, K. A. - Subretinal neovascularization following argon laser photocoagulation treatment for central serous chorioretinopathy: complication or misdiagnosis? Trans. Am. Acad. Ophthalmol-Otolaryngol., 83: 893-906, 1977.
¹²
STRAATSMA, B. R.; ALLEN, P. A.; PETTIT, T. H. - Central serous retinopathy. Trans. Pac. Coast Ophthalmol, Soc., 47: 107-125, 1966.
¹³
WATZKE, R. C. - Acquired macular disease. In DUANE T. D. (ed) Clinical Ophthalmology vol. 3, Harper and Row, Philadelphia, 1987.
¹⁴
WESSING, A. - Changing concepts of CSR and treatment. Symposium: the value of fluoresceinoangiography in the study of choroidal and pigment epithelial disease. Trans. Am. Acad. Ophthalmol-Otolaryngol., 77: 275-280, 1973.
¹⁵
SCHATZ, H.; MADEIRA, D.; JOHNSON, R. N.; McDONALD, R. - Central serous chorioretinopathy occuring in patients 60 years of age and older. Ophthalmology, 99: 63-67, 1992.
¹⁶
COSTA, V. P.; PIMENTEL, S. L. G.; WARREN, H. C.; ABUJAMRAS, S. - Fotocoagulação com laser de argônio no tratamento da retinopatia central serosa. Arq. Bras. Oftal., 54(5): 213-216, 1991.

Datas de Publicação

Publicação nesta coleção
Feb 1995

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[1] ¹
CASSEL, D. H.; BROWN, G. C.; ANNESLEY, W. H. - Central serous choroidoretinopathy: a seasonal variation? Brit. J. Ophthalmol., 68: 724-726, 1984.

[2] ²
DELLAPORTA, A. - Central serous retinopathy. Trans. Am. Ophthalmol. Soc., 74: 144-153, 1976.

[3] ³
GASS, J.D.M. - Pathogenesis of disciforrn detachment of the neuroepithelium. II - Idiopatic central serous choroidopathy. Am. J. Ophthalmol., 63: 587-615, 1967.

[4] ⁴
GILBERT, C. M.; OWENS, S. L.; SMITH, P. D.; FINE, S. L. - Long-term follow-up of central serous choroidopathy. Brit. J. Ophthalmol., 68: 815-820, 1984.

[5] ⁵
KLEIN, M. L.; Van BUSKIRK, E. M.; FRIEDMAN, E.; GRAGOUDAS, E.; CHANDRAS, S. - Experience with non treatment of central serous choroidopathy. Arch. Ophthal., 91: 247-250, 1974.

[6] ⁶
LEA VER, P.; WILLIANS, C. - Argon laser photocoagulation in the treatment of central serous retinopathy. Brit. J. Ophthalmol., 63: 674-677, 1979.

[7] ⁷
LEVINE, R.; BRUCKER, A. J.; ROBINSON, F. Long-term follow-up of idiopathic central serous choroidopathy by angiography. Ophthalmology, 96: 854-859, 1989.

[8] ⁸
MUTLAK, J. A.; DUTTON, G. N.; ZEINI, M.; ALLAN, D.; WAIL, A. - Central visual function in patients with resolved central serous retinopathy - a long-term follow-up study. Acta Ophthalmol., 67: 532-536, 1989.

[9] ⁹
PEABODY, R. R.; ZWENG, H. C.; LITTLE, H. L. - Treatment of persistent central serous choroidopathy. Arch. Ophthalmol., 79: 166-169, 1968.

[10] ¹⁰
ROBERTSON, D. M.; ILSTRUP, D. - Direct, indirect and sham laser photocoagulation in the management of central serous choroidopathy. Am. J. Ophthalmol., 95: 457-466, 1983.

[11] ¹¹
SCHATZ, H.; YANUZZI, A.; GITTER, K. A. - Subretinal neovascularization following argon laser photocoagulation treatment for central serous chorioretinopathy: complication or misdiagnosis? Trans. Am. Acad. Ophthalmol-Otolaryngol., 83: 893-906, 1977.

[12] ¹²
STRAATSMA, B. R.; ALLEN, P. A.; PETTIT, T. H. - Central serous retinopathy. Trans. Pac. Coast Ophthalmol, Soc., 47: 107-125, 1966.

[13] ¹³
WATZKE, R. C. - Acquired macular disease. In DUANE T. D. (ed) Clinical Ophthalmology vol. 3, Harper and Row, Philadelphia, 1987.

[14] ¹⁴
WESSING, A. - Changing concepts of CSR and treatment. Symposium: the value of fluoresceinoangiography in the study of choroidal and pigment epithelial disease. Trans. Am. Acad. Ophthalmol-Otolaryngol., 77: 275-280, 1973.

[15] ¹⁵
SCHATZ, H.; MADEIRA, D.; JOHNSON, R. N.; McDONALD, R. - Central serous chorioretinopathy occuring in patients 60 years of age and older. Ophthalmology, 99: 63-67, 1992.

[16] ¹⁶
COSTA, V. P.; PIMENTEL, S. L. G.; WARREN, H. C.; ABUJAMRAS, S. - Fotocoagulação com laser de argônio no tratamento da retinopatia central serosa. Arq. Bras. Oftal., 54(5): 213-216, 1991.

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