KMID : 0360220210620020222
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Journal of the Korean Ophthalmological Society 2021 Volume.62 No. 2 p.222 ~ p.229
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Clinical Effects of Non-damaging Retinal Laser Therapy in Chronic Central Serous Chorioretinopathy
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Kim Ye-Won
Lee Ki-Woong Ahn Jong-Ho Nam Dong-Heun Lee Dae-Yeong
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Abstract
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Purpose: This study analyzed the effects of non-damaging retinal laser therapy (NRT) in patients with chronic central serous chorioretinopathy.
Methods: A retrospective study was conducted on patients with chronic central serous chorioretinopathy who were undergoing follow-up with NRT from November 2016 to February 2018. NRT was performed in patients who underwent intravitreal anti-vascular endothelial growth factor (anti-VEGF) injection at least two times with no improvement in visual acuity and a reduced amount of subretinal fluid. Before and after treatment, logMAR best-corrected visual acuity (BCVA) evaluation and subretinal fluid (SRF) according to thickness measurements of the macula determined from optical coherence tomography imagery were performed over a period of at least 6 months.
Results: Eighteen eyes of 18 patients (11 male and 7 female) with chronic central serous retinopathy were treated with NRT. The mean age of patients was 54.6 ¡¾ 13.19 years old and the mean duration of follow-up was 9.75 ¡¾ 3.20 months. The central macular thickness decreased from 375 to 246 nm (p < 0.001) and BCVA improved from 0.48 to 0.40 (p = 0.028). SRF completely resolved in 55.56% of the patients after NRT.
Conclusions: In patients with chronic central serous chorioretinopathy, which did not improve even after intravitreal anti-VEGF injection, NRT is a relatively safe and effective treatment.
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KEYWORD
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Central serous chorioretinopathy, Laser therapy
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