Central Serous Choroidoretinopathy and Primary Inflammatory Foci – Preliminary Report
str. 96 – 98
Autorzy: Paweł Baczyński 1 , Lidia Puchalska-Niedbał 2
1 SSNZOZ C. Turostowski w Szczecinie
Kierownik: dr n. med. Cezary Turostowski
2 II Katedra i Klinika Okulistyki Pomorskiego Uniwersytetu Medycznego w Szczecinie
Kierownik: prof. dr hab. n. med. FEBO Wojciech Lubiński
Purpose: Examination of patients with central serous choroidoretinopathy to find potential primary infection in the oral cavity.
Material and Methods: The study involved 15 people aged 31 to 46 years (13 men and 2 women) with central serous choroidoretinopathy. Main disease was diagnosed on the basis of the following studies: fluorescein angiography and optical coherence tomography. Dental examination – anamnesis questionnaires, evaluation of teeth, periodontal and oral mucosa. Additional tests were carried out: cone beam computerized tomography of the mandible and maxilla, swab from gingival pockets and the serological test for Helicobacter pylori.
Results: 69 pathological changes were detected in the mouth. The majority (36 changes) were periapical lesions most frequently the teeth with incomplete root canal fillings. Lesion in periodontium (33 changes) consisted mainly of teeth with pathological pockets in the (12 changes) partially erupted third molars. From pockets bred numerous anaerobic bacteria (Actinomyces naeslundii, Actinomyces israelii, Anaerococcus prevotii). In 8 respondents, foci of inflammation within the maxillary sinuses were confirmed. Helicobacter pylori positive test result was obtained in 2 patients, 6 remaining patients have received Helicobacter pylori eradication treatments in the past.
1. The presence of inflammatory lesions in the mouth in all patients with central serous choroidoretinopathy may suggest their impact on the occurrence of the disease.
2. Elimination of primary foci in the oral cavity should be included in the central serous choroidoretinopathy treatment algorithm.
3. In case of Helicobacter pylori infection detection in patients with central serous choroidoretinopathy, periodontal treatment should be included in the eradication scheme.