Central serous chorioretinopathy
Meaning of central serous chorioretinopathy: For the purposes of this Statement of Principles, central serous chorioretinopathy: (a) means a serous detachment of the neurosensory retina affecting central vision; and (b) includes acute, recurrent and chronic serous retinal detachment; and (c) excludes retinal detachment due to a retinal tear (rhegmatogenous retinal detachment), and leakage through the retinal pigment epithelium caused by diseases of the choroid, including choroidal neovascularisation, choroidal vasculopathy, choroidal tumours, choroidal metastases and posterior uveitis. (3) While central serous chorioretinopathy attracts ICD-10-AM code H35.7, in applying this Statement of Principles the meaning of central serous chorioretinopathy is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Reasonable Hypothesis (RH) — Statement of Principles No. 45 of 2018
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting central serous chorioretinopathy or death from central serous chorioretinopathy with the circumstances of a person's relevant service:
- (1)being treated with a corticosteroid within the 30 days before the clinical onset of central serous chorioretinopathy;
- (2)taking a drug or a drug from a class of drugs from the specified list of drugs at the time of the clinical onset of central serous chorioretinopathy;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (3)having Cushing syndrome in the one year before the clinical onset of central serous chorioretinopathy;
- (4)having primary hyperaldosteronism in the one year before the clinical onset of central serous chorioretinopathy;
Note: primary hyperaldosteronism is defined in the Schedule 1 - Dictionary.
- (5)being in the second or third trimester of pregnancy at the time of the clinical onset of central serous chorioretinopathy;
- (6)having chronic renal failure at the time of the clinical onset of central serous chorioretinopathy;
Note: chronic renal failure is defined in the Schedule 1 - Dictionary.
- (7)having hypertension at the time of the clinical onset of central serous chorioretinopathy;
- (8)being infected with Helicobacter pylori in the one year before the clinical onset of central serous chorioretinopathy;
- (9)having blunt trauma to the affected eye or the unaffected eye in the two weeks before the clinical onset of central serous chorioretinopathy;
- (10)being treated with a corticosteroid within the 30 days before the clinical worsening of central serous chorioretinopathy;
- (11)taking a drug or a drug from a class of drugs from the specified list of drugs at the time of the clinical worsening of central serous chorioretinopathy;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (12)having Cushing syndrome in the one year before the clinical worsening of central serous chorioretinopathy;
- (13)having primary hyperaldosteronism in the one year before the clinical worsening of central serous chorioretinopathy;
Note: primary hyperaldosteronism is defined in the Schedule 1 - Dictionary.
- (14)being in the second or third trimester of pregnancy at the time of the clinical worsening of central serous chorioretinopathy;
- (15)having chronic renal failure at the time of the clinical worsening of central serous chorioretinopathy;
Note: chronic renal failure is defined in the Schedule 1 - Dictionary.
- (16)having hypertension at the time of the clinical worsening of central serous chorioretinopathy;
- (17)being infected with Helicobacter pylori in the one year before the clinical worsening of central serous chorioretinopathy;
- (18)inability to obtain appropriate clinical management for central serous chorioretinopathy;
Aggravation-only factors: the factors in subsections 8(10) to 8(18) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 46 of 2018
11 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, central serous chorioretinopathy or death from central serous chorioretinopathy is connected with the circumstances of a person's relevant service:
- (1)being treated with a corticosteroid, other than an inhaled corticosteroid, within the 30 days before the clinical onset of central serous chorioretinopathy;
- (2)taking a drug or a drug from a class of drugs from the specified list of drugs at the time of the clinical onset of central serous chorioretinopathy;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (3)having Cushing syndrome in the one year before the clinical onset of central serous chorioretinopathy;
- (4)being in the second or third trimester of pregnancy at the time of the clinical onset of central serous chorioretinopathy;
- (5)having chronic renal failure at the time of the clinical onset of central serous chorioretinopathy;
Note: chronic renal failure is defined in the Schedule 1 - Dictionary.
- (6)being treated with a corticosteroid, other than an inhaled corticosteroid, within the 30 days before the clinical worsening of central serous chorioretinopathy;
- (7)taking a drug or a drug from a class of drugs from the specified list of drugs at the time of the clinical worsening of central serous chorioretinopathy;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (8)having Cushing syndrome in the one year before the clinical worsening of central serous chorioretinopathy;
- (9)being in the second or third trimester of pregnancy at the time of the clinical worsening of central serous chorioretinopathy;
- (10)having chronic renal failure at the time of the clinical worsening of central serous chorioretinopathy;
Note: chronic renal failure is defined in the Schedule 1 - Dictionary.
- (11)inability to obtain appropriate clinical management for central serous chorioretinopathy;
Aggravation-only factors: the factors in subsections 8(6) to 8(11) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
