title: Acute Optic Neuropathy and Development of Posttraumatic Stress Disorder.
abstract: This study aimed to determine the prevalence and risk factors of posttraumatic stress disorder (PTSD) in 171 acute optic neuropathy (AON) patients, and to compare the findings to those previously reported on 366 rhegmatogenous retinal detachment (RRD) patients. PTSD positively screened AON patients underwent a structured psychiatric interview and a Visual Function Questionnaire (VFQ). Clinical measures were retrieved from medical records and compared between cohorts. None of the AON patients was diagnosed with PTSD, as opposed to 2.5% of RRD patients (P = 0.063). Of the AON cohort, 34% of patients were administered steroids, compared to none of the RRD patients, whereas all of the RRD patients underwent surgery, compared to none of the AON patients (P < 0.001). Clinical measures and VFQ scores were not found as risk factors for PTSD prediction. Results imply the potential role of surgery and of steroid treatment in developing PTSD in cases of ocular insults.
authors.affiliation: a The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors.forename: Ido D
authors.initials: ID
authors.lastname: Fabian
authors.affiliation: b The Division of Psychiatry, The Sheba Medical Center and The Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
authors.forename: Anat
authors.initials: A
authors.lastname: Abudi
authors.affiliation: a The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors.forename: Michael
authors.initials: M
authors.lastname: Kinori
authors.affiliation: a The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors.forename: Joseph
authors.initials: J
authors.lastname: Moisseiev
authors.affiliation: a The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors.forename: Anna
authors.initials: A
authors.lastname: Liashets-Peer
authors.affiliation: b The Division of Psychiatry, The Sheba Medical Center and The Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
authors.forename: Joseph
authors.initials: J
authors.lastname: Zohar
authors.affiliation: a The Goldschleger Eye Institute , Tel Hashomer , Israel.
authors.forename: Ruth
authors.initials: R
authors.lastname: Huna-Baron
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D015995:Prevalence; D011379:Prognosis; D011446:Prospective Studies; D011594:Psychometrics / Q000379:methods; D012163:Retinal Detachment / Q000601:surgery; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D011795:Surveys and Questionnaires; D057586:Vitreoretinal Surgery / Q000009:adverse effects*; D055815:Young Adult
keywords: Acute optic neuropathy; posttraumatic stress disorder; rhegmatogenous retinal detachment