Accession Number : ADA195697

Title :   Central Serous Chorioretinopathy in USAF Aviators: A Review.

Descriptive Note : Final rept. Dec 86-Dec 87,

Corporate Author : SCHOOL OF AEROSPACE MEDICINE BROOKS AFB TX

Personal Author(s) : Green, Robert P , Jr ; Carlson, Dean W ; Dieckert, J P ; Tredici, Thomas J

PDF Url : ADA195697

Report Date : Mar 1988

Pagination or Media Count : 20

Abstract : Idiopathic central serous chorioretinopathy (ICSC) is an uncommon disease with the potential to cause loss of visual acuity, decreased color vision, and decreased depth perception. These visual changes may become permanent and require removal of aviators from flight status. This study reviews 55 eyes of 47 USAF aviators with ICSC examined at the United States Air Force School of Aerospace Medicine (USAFSAM), Brooks Air Force Base, Texas. Clinical and aeromedical findings, both on initial and on follow-up ophthalmic examination were studied. Ninety-seven percent of aviators otherwise medically qualified were ultimately returned to flight status. Overall, 51% had recurrent episodes, 17% had bilateral disease, and 13% underwent laser photocoagulation. Visual acuity correlated with active disease, and there was a trend toward poor stereopsis and diminished color vision with worsening visual acuity. Eighty-six percent attained a final visual acuity of 20/20 or better. On final examination, 90% had normal stereopsis, 87% had normal color vision, and 49% had a normal central visual field. Eyes with recurrent disease tended to have degraded final visual acuity, stereopsis, color vision, and central visual field. The visual and aeromedical prognosis from a single attack of ICSC is generally favorable, but repeated attacks can lead to a significant decrease in visual functions that may jeopardize flying status. Keywords: Central serous chorioretinopathy, Central serous retinopathy, Maculopathy, Laser photocoagulation, Stereopsis, Depth perception, Amsler grid, Fluorescein angiography. (KT)

Descriptors :   *PILOTS, *EYE DISEASES, *CHORIORETINAL BURNS, AEROMEDICAL EVACUATION, AEROSPACE MEDICINE, AIR FORCE FACILITIES, ATTACK, CLINICAL MEDICINE, COLOR VISION, DISEASES, EYE, FUNCTIONS, GRIDS, LOSSES, OPTICAL IMAGES, PREDICTIONS, REMOVAL, SPACE PERCEPTION, STEREOSCOPES, TEXAS, VISION, VISUAL ACUITY

Subject Categories : Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE