Clinical Evaluation of Individualized and Navigated Microsecond Pulsing Laser for Acute Central Serous Chorioretinopathy

Ophthalmic Surg Lasers Imaging Retina. 2020 Sep 1;51(9):512-520. doi: 10.3928/23258160-20200831-06.

Abstract

Background and objective: A computational model has predicted parameters for using a navigated microsecond pulsing laser system to treat central serous chorioretinopathy (CSC).

Patients and methods: A prospective, single-center, interventional case series was conducted for patients with acute CSC who were enrolled following screening and informed consent. Treatment involved laser pulse duration of 50 μs, 2.4% Duty Cycle, 100 μm spot size, and 10 ms pulse duration.

Results: Average best-corrected visual acuity (decimal) of 12 patients improved from 0.86 ± 0.03 at baseline to 0.97 ± 0.01 at 3 months. Baseline central retinal thickness decreased from 452.58 μm ± 24.53 μm at baseline to 249.25 μm ± 2.92 μm at 3 months. Retinal sensitivity improved from 24.1 dB ± 1.09 dB at baseline to 28.98 dB ± 0.23 dB at 3 months. In all cases, subretinal fluid was resorbed.

Conclusion: The parameter sets derived from the computer model can be applied safely and effectively for CSC treatment using the navigated microsecond pulsing laser system. [Ophthalmic Surg Lasers Imaging Retina. 2020;51:512-520.].

MeSH terms

  • Acute Disease
  • Adult
  • Central Serous Chorioretinopathy / diagnosis
  • Central Serous Chorioretinopathy / physiopathology
  • Central Serous Chorioretinopathy / surgery*
  • Female
  • Fluorescein Angiography / methods
  • Fundus Oculi
  • Humans
  • Laser Coagulation / methods*
  • Male
  • Middle Aged
  • Prospective Studies
  • Retina / diagnostic imaging*
  • Retina / surgery
  • Tomography, Optical Coherence / methods
  • Treatment Outcome
  • Visual Acuity*
  • Visual Fields / physiology