Lajmi H, Hmaied W, Ben Jalel W, Akremi A, El Fekih L
Service d'ophtalmologie hôpital des FSI, La Marsa, Tunis, Tunisia.
Service d'ophtalmologie hôpital des FSI, La Marsa, Tunis, Tunisia.
J Fr Ophtalmol. 2018 Oct;41(8):739-743. doi: 10.1016/j.jfo.2017.12.012. Epub 2018 Sep 11.
To describe the relationship between central serous chorioretinopathy (CSCR) and stress in addition to the transient and permanent professional repercussions of this condition among security forces agents.
This is a retrospective, descriptive study of 22 CSCR patients. All patients were interviewed to establish their job status, a stressful triggering event, the number of consultations, absenteeism, the duration of episodes, the number of days off, exemption from certain activities and professional reclassification. All of our patients underwent a complete ophthalmological examination and ancillary testing (OCT optical coherence tomography, fluorescein retinal angiography) to establish the positive diagnosis and to determine the clinical form.
During their daily activity, all patients were armed and worked night security duty. They all reported a stressful event just before the onset of the disease. The average visual acuity was 4/10 P6 all forms combined; with a visual acuity between 1 and 2/10 for the chronic form. Visual impairment was associated with absenteeism (mean length of time off was 1.13 months per episode), exemptions from carrying arms or night duty in 36.36% of cases, with professional reclassification in 22.7% of patients.
CSCR affects psychology and alters the quality of life of patients who are generally young and professionally active. This can interfere with work performance and cause temporary or permanent disability.
描述中心性浆液性脉络膜视网膜病变(CSCR)与压力之间的关系,以及这种疾病在安全部队人员中造成的短暂和永久性职业影响。
这是一项对22例CSCR患者的回顾性描述性研究。对所有患者进行访谈,以确定他们的工作状态、压力触发事件、就诊次数、旷工情况、发作持续时间、休假天数、某些活动豁免情况以及职业重新分类。所有患者均接受了全面的眼科检查和辅助检查(光学相干断层扫描、荧光素视网膜血管造影)以确诊并确定临床类型。
在日常活动中,所有患者都携带武器并执行夜间安保任务。他们均报告在疾病发作前有压力事件。所有类型综合起来的平均视力为4/10 P6;慢性型的视力在1/10至2/10之间。视力损害与旷工相关(每次发作平均休假时长为1.13个月),36.36%的病例被豁免携带武器或夜间执勤,22.7%的患者职业被重新分类。
CSCR会影响心理状态并改变通常年轻且职业活跃的患者的生活质量。这可能会干扰工作表现并导致暂时或永久性残疾。