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- Title
Subthreshold micropulse laser treatment - a procedure to resolve subretinal fluid in chronic central serous chorioretinopathy.
- Authors
Gawęcki, Maciej; Jaszczuk-Maciejewska, Agnieszka; Jurska-Jaśko, Anna; Grzybowski, Andrzej
- Abstract
Introduction: Chronic central serous chorioretinopathy is a serious therapeutic problem, as it may lead to significant visual impairment. To date, various invasive and non-invasive treatment methods have been tried with only moderate success. Aim: To evaluate the efficacy of subthreshold micropulse laser treatment in different morphological types of chronic central serous chorioretinopathy. Material and methods: A total of 29 patients with chronic central serous chorioretinopathy lasting for more than 6 months, underwent up to two sessions of subthreshold micropulse laser treatment, following which change in functional and morphological retinal parameters were measured (visual acuity, retinal thickness, maximum subretinal fluid height or maximum retinal pigment epithelial detachment). Results were analyzed separately for the two morphological types of chronic central serous chorioretinopathy: predominant subretinal fluid and pure retinal pigment epithelial detachment. Results: In the group with predominant subretinal fluid, total resorption of the fluid was noted in 16 cases (75%). In the group with pure pigment epithelial detachment total flattening of the detachment was noted in 2 cases only (22%). Despite good morphological results, only a minor improvement in visual acuity in subretinal fluid group was noted. There was no visual acuity improvement in the pigment epithelial detachment group. Conclusion: Subthreshold micropulse laser may be considered an option in the treatment of chronic central serous chorioretinopathy in patients with predominant subretinal fluid. To achieve better functional results, the procedure should be used early in the course of the disease. Long-standing chronic serous central chorioretinopathy may result in permanent loss of visual acuity.
- Subjects
LASER therapy; RETINAL diseases; OPTICAL coherence tomography; VISUAL acuity; RETINAL (Visual pigment); THERAPEUTICS
- Publication
Acta Ophthalmologica Polonica / Klinika Oczna, 2017, Vol 119, Issue 4, p213
- ISSN
0023-2157
- Publication type
Article