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MANAGEMENT OF JUVENILE DISCIFORM LESIONS OF THE MACULA
Author(s) -
LAATIKAINEN LEILA,
JUHANEN LEENA
Publication year - 1983
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1983.tb04342.x
Subject(s) - medicine , lesion , scars , ophthalmology , visual acuity , etiology , surgery , pathology
Fourteen eyes with a juvenile disciform lesion of unknown aetiology in the macula were followed up for 1–6 years. Eyes with inflammatory signs, pre‐existing chorioretinal scars in the macula, or myopia of more than ‐ 5.0 dioptres were not included. Seven eyes in which the subretinal neovascular membrane was within 200 μ from the foveola were followed‐up without treatment. Of these, in 4 the new vessels underwent regression, and the result was good central vision in 3, whereas in 3 eyes the lesion progressed. Seven eyes were treated with photocoagulation: 5 with argon, 2 with krypton laser. In the treated eyes, the neovascular membrane was 200–500 μ from the foveola. New vessels were occluded by photocoagulation in 6 eyes. In the 3 treated eyes in which the new vessels were 350 μ or more from the foveola, the visual acuity improved or remained good (0.8‐1.0), whereas in the remaining 4 the vision deteriorated. In the eyes with good initial result the vision has remained stable in spite of remarkable late pigmentary changes in and around the scar.