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The general aim of this study is to present selected aspects of psychosocial problems in chronic somatic diseases based on the example of dermatology with impact on psoriasis as a model type of psychodermatological disease. This review does not include a theoretical basis for somatization as the issue exceeds the size of this article. Although a basic theory of the connection between skin disorders (as a perfect example of psychosomatic illness) and emotional mechanisms is briefly explained as an introduction to following issues. Another particular goal of this review is to present a number of researches that show the relation between selected demographic and environmental factors in psychosomatic problem using the example of dermatological and cardiologic diseases. This paper also shows the newest trends of multicenter and culturally-varied studies concerning such factors as quality of life, depression and suicide risk in course of dermatological illnesses and as a consequence highlights the need of creating tools for evaluation of those psychopathological variables. Another important aim of this reveiw is to present a series of analysis that deal with the impact of social support and the phenomenon of

Purpose: To report vitrectomy with the inverted internal limiting membrane (ILM) flap technique in a patient with a full-thickness macular hole (FTMH) and Coats disease. Methods: A case and its long-term findings were analyzed. Results: A 27-year-old patient with Coats disease who was treated 5 years earlier with laser photocoagulation presented with an FTMH. Vitrectomy with the temporal inverted ILM flap technique was performed. The macular hole decreased in size on serial OCT scans but did completely close until 18 months postoperatively. The final visual acuity was 20/40 (0.3 logMAR). The patient’s vision remained stable for the next 5 years. Conclusions: Although the healing process after vitrectomy with ILM peeling and the inverted flap technique in an FTMH coexisting with Coats disease is prolonged compared with an idiopathic FTMH, it is still possible to obtain satisfactory anatomic and functional results.

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