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Dynamic phototherapy as a treatment of central serous chorioretinopathy
Author(s) -
BERTHOUT A,
MALTHIEU D,
JANY B,
THOMAS F,
MILAZZO S
Publication year - 2008
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.1755-3768.2008.651.x
Subject(s) - medicine , serous fluid , visual acuity , ophthalmology , fluorescein angiography , retinal detachment , angiography , choroidal neovascularization , retinal pigment epithelium , surgery , retinal
Purpose To analyse the angiographic and tomographic results both the visual acuity of a group of patients presenting a serous central chorioretinopathy (which is acute or chronic) treated by dynamic phototherapy. This treatment has been guided by the data of the ICG angiography. Methods This is a retrospective‐prospective nonrandomized study bearing on 31 eyes of 27 patients including 8 acute forms and 23 chronic forms. One or more spots were managed according to the standard protocol of the DMLA and delivered on the zones of choroidal hyperpermeability highlighted by the ICG angiography. The criteria of success are founded on functional signs, visual acuity, sensitivity to contrasts, and persistence of a point of leakage in angiofluorographic control at 3 months and on study of serous retinal detachment in OCT. Results An increase of the visual acuity ( 3,58 +/‐ 3,22 lines (p<0,0001)) has been observed whatever the form of treated CSCR. 90,32% patients presented a reapplication of serous retinal detachment within a period of 7,28 weeks +/‐ 3,93. No tear of the retinal pigmentary epithelium or choroidal neovascularization were observed. 12,9% patients presented recurrence within a period of 28 weeks +/‐ 16,24, only chronic CSCR were concerned. At 8 +/‐ 4,2 months, visual acuity of patients (except patients with recurrence) remained unchanged (0,356 +/‐0,4 LogMAR or 20/50‐20/40). Conclusion Although the number of patients included in this study is limited, dynamic phototherapy seems to be currently an effective and sure treatment of CRSC. A randomized study on a great series is desirable to confirm these results.