ממצאים רפרקטיבים ועיניים באנשים עם דפוסי התנהגות מסוג Type-A לעומת Type-B בחולים עם CSR ובקבוצת ביקורת

במחקר הנוכחי רצינו לתאר ממצאים רפרקטיבים ועיניים באנשים עם דפוסי התנהגות מסוג Type-A לעומת Type-B בחולים עם CSR ובקבוצת ביקורת

שם המנחה: ד"ר הדס בן אלי

Introduction: Subjects with type A behavior pattern have an increased risk to develop Central Serous ChorioRetinopathy (CSR, Yannuzzi, 1987). This study aimed to compare refractive and ocular findings in subjects with Type-A vs. Type-B behavior patterns in CSR, diabetic retinopathy (DR) and controls.

Methods: Participants between 18-55 years, with minimum visual acuity (VA, Snellen) of 6/9-6/12 and normal binocular and accommodative functions, underwent the following exams: pupil size (CASIA), over refraction, IOP (Goldmann), anterior chamber angle size (ACD) and OCT imaging of patients with CSR, DR and healthy controls. Subjects filled out a questioner to determine personality type (type A/B). Kruskal-Wallis and Mann-Whitney and Chi-square tests were used to compare the results between groups.

Results: Study participants included 29 patients (8 CSR, 5 DR, 16 controls; 62.0% males) with mean age of 31.0±12.1 years. Age was different between study groups (CSR=37.2±11.4, DR= 44.0±7.7 controls=25.2±6.8; P<0.001), while DR was significantly older than control group (P<0.002). VA was different between study groups (CSR=0.6±0.3, DR=0.7±0.2, controls=0.9±0.0; P<0.05) while CSR had significant lower VA than control group (P<0.03). No difference in personality prevalence was found between groups (Type A prevalence: CSR 62%; DR 60%; controls 25%; P=0.13). No difference was found between Type A vs Type B for FCC, pupil size, ACD and IOP (P>0.05).

Conclusions: CSR group showed trend towards higher prevalence of type A personality. Increasing study cohort is necessary to further investigate the association between ocular parameters and personality type in different pathologies.