Central serous chorioretinopathy associated with narcolepsy.
OBJECTIVE
The purpose of this study was to describe a case of central serous chorioretinopathy (CSC) associated with narcolepsy.


METHODS
Case report.


RESULTS
A 34-year-old man was followed for persistent CSC in his left eye for more than 11 months. He did not have any known risk factors for CSC, including obstructive sleep apnea. However, he experienced disrupted sleep because of narcolepsy, which was inadequately treated. After 2 weeks of adequate treatment for his narcolepsy, fundus examination and optic coherence tomography demonstrated complete resolution of his CSC.


CONCLUSIONS
As this case report suggests, overactivation of the hypothalamic-pituitary-adrenal axis and sympathetic nervous system, seen with disrupted and poor quality sleep, may contribute to the development of CSC. Risk factors for CSC should include sleep disorders that can lead to chronic sleep deprivation.
From the *Department of Ophthalmology and Vision Science, University of Arizona, Tucson, Arizona; and †Comprehensive Sleep Solutions, Tucson, Arizona.
Joan T
JT
Kim
Philip S
PS
Eichling
Mingwu
M
Wang