An association between central serous chorioretinopathy and gastroesophageal reflux disease

Am J Ophthalmol. 2004 Jun;137(6):1096-100. doi: 10.1016/j.ajo.2004.01.054.

Abstract

Purpose: To explore a clinically observed association between central serous chorioretinopathy (CSC) and gastroesophageal reflux disease (GERD) DESIGN: A retrospective case-control study.

Participants and controls: Sixty-nine consecutive patients diagnosed with CSC were compared with a control group of 55 non-CSC patients.

Methods: The records of 69 patients with CSC were retrospectively reviewed and compared with the records of 55 controls. All patients and controls were examined in a referral setting.

Results: Patients with CSC were significantly more likely to have GERD compared with controls (odds ratio 6.05; 95% confidence interval 2.14-17.11; P =.0003). Central serous chorioretinopathy patients were also more likely than controls to have used oral corticosteroid medications (odds ratio 16.30; 95% confidence interval 2.09-127.33; P =.0006) and antacid/antireflux medications (odds ratio 15.00; 95% confidence interval 1.91-117.58; P =.001).

Conclusions: This study identifies an association between CSC and GERD. There are biochemical factors common to both diseases that support this association, giving further insight into the pathogenesis of CSC.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antacids / therapeutic use
  • Case-Control Studies
  • Choroid Diseases / complications*
  • Choroid Diseases / physiopathology
  • Female
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / drug therapy
  • Gastroesophageal Reflux / physiopathology
  • Glucocorticoids / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Retinal Diseases / complications*
  • Retinal Diseases / physiopathology
  • Retrospective Studies

Substances

  • Antacids
  • Glucocorticoids