Paper Information

Journal:   HORMOZGAN MEDICAL JOURNAL   Fall 2003 , Volume 7 , Number 3; Page(s) 141 To 144.
 
Paper: 

EARLY DIODE LASER TREATMENT OF CENTRAL SEROUS CHORIORETINOPATHY (CSC)

 
 
Author(s):  MEHRYAR M.*, MAHDIZADEH M., FARVARDIN M., ASHRAF H., RAHIMI M., MOGHADASI H.A.D., AHMADI S., KAMRAN K., GHANAVATI M.
 
* khalili Hospital, Ophthalmology Ward, Shiraz, Iran
 
Abstract: 

Introduction: Central serous Chorioretinopathy (CSC) is a disease with unknown causes. This study is performed to determine the natural course and the effect of early Diode laser treatment on it, its recurrence rate and complications.
Method & Material: In this descriptive study, 54 eyes from 54 patients with untreated CSC were compared with 55 eyes from 54 patients with treated CSC. In 55 ryes of 55 patients who had CSC, in the first 4 weeks of presentation, leakage points which were at least 350 micrometer from the center was treated by diode laser: Spot size 75 micrometer, power 100-300 Mw, exposure time 100-300 Ms; A very light barely discernible burn is produces. All patients were followed for at least one year.
Results: In untreated group, visual acuity of 20.20 was obtained in 27.77% after 6 week and 85.8% after 1 year.
24% had recurrence during one year of follow up and 1.85% had developed choroidal neovascularization. Whereas in the treated group, in all of our patients CSC had resolved over a period of 2-4 weeks (mean 3.1 weeks).
Visual acuity of 20.20 was obtained in 67% of patients within 2-6 weeks. 14.6% who had recurrences of the disease were retreated with full improvement. After 1 year, visual acuity of 20.20 was obtained in 87.3% of patients. During one year of follow up no laser related complication was noted.
Conclusion: Early diode laser treatment of CSC patients during the first 4 weeks decreases the duration and recurrence rate of the disease. Earlier return of patients to normal vision may lower patients stress and decreases the rate of recurrences.

 
Keyword(s): LASER SURGERY, CHORIORETINITIS, TREATMENT OUTCOME
 
References: 
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