Green R P, Carlson D W, Dieckert J P, Tredici T J
Ophthalmology Branch, USAF School of Aerospace Medicine, Brooks AFB, TX.
Aviat Space Environ Med. 1988 Dec;59(12):1170-5.
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 AFB, TX. 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.
特发性中心性浆液性脉络膜视网膜病变（ICSC）是一种罕见疾病，有可能导致视力丧失、色觉减退和深度知觉下降。这些视力变化可能会变成永久性的，需要让飞行员停飞。本研究回顾了47名患有ICSC的美国空军飞行员的55只眼睛，这些眼睛在美国德克萨斯州布鲁克斯空军基地的美国空军航空航天医学院（USAFSAM）接受了检查。研究了初次及随访眼科检查时的临床和航空医学检查结果。97%在医学上符合条件的飞行员最终恢复了飞行状态。总体而言，51%有复发情况，17%患有双侧疾病，13%接受了激光光凝治疗。视力与活动性疾病相关，随着视力恶化，立体视有变差趋势，色觉也有减退趋势。86%的患者最终视力达到20/20或更好。在最终检查时，90%的患者立体视正常，87%的患者色觉正常，49%的患者中心视野正常。复发疾病的眼睛往往最终视力、立体视、色觉和中心视野都会下降。单次发作的ICSC的视力和航空医学预后通常较好，但反复发可导致视力功能显著下降，这可能会危及飞行状态。
