Central serous chorioretinopathy treated with navigated retinal laser photocoagulation: visual acuity and retinal sensitivity

Ophthalmic Surg Lasers Imaging Retina. 2015 Mar;46(3):349-54. doi: 10.3928/23258160-20150323-09.

Abstract

Background and objective: To evaluate the effect of navigated retinal laser photocoagulation on visual acuity (VA) and retinal sensitivity in eyes with acute central serous chorioretinopathy (CSC).

Patients and methods: Prospective, noncomparative, interventional case series of 30 eyes of 29 patients with acute CSC were treated using navigated photocoagulation. Patients were monitored for 180 days.

Results: Mean VA improved from 0.3 ± 0.1 to 0.1 ± 0.1 logMAR (P < .001). Mean retinal sensitivity within central 8° and 4° improved from 9.4 ± 4.7 dB to 14.9 ± 3.6 dB and from 9.0 ± 5.6 dB to 14.6 ± 4.2 dB respectively (P < .001). In all cases, a decrease in mean central retinal thickness of -50.6 ± 2.9 µm (P < .001) and in mean subretinal fluid thickness of -52.0 ± 3.3 µm (P < .001) was observed during follow-up.

Conclusion: Navigated retinal laser photocoagulation demonstrated safety and accuracy for the treatment of acute CSC. VA and retinal sensitivity evaluations showed a significant improvement associated with resolution of the subretinal fluid during follow-up.

MeSH terms

  • Acute Disease
  • Adult
  • Central Serous Chorioretinopathy / physiopathology
  • Central Serous Chorioretinopathy / surgery*
  • Coloring Agents
  • Female
  • Fluorescein Angiography
  • Humans
  • Indocyanine Green
  • Laser Coagulation*
  • Male
  • Middle Aged
  • Prospective Studies
  • Retina / physiopathology*
  • Subretinal Fluid
  • Tomography, Optical Coherence
  • Visual Acuity / physiology*
  • Visual Field Tests
  • Visual Fields / physiology

Substances

  • Coloring Agents
  • Indocyanine Green