Early laser photocoagulation treatment as an option in central serous chorioretinopathy.
OBJECTIVE
To investigate the effect of early photocoagulation in central serous chorioretinopathy.


METHODS
In a prospective study, 15 consecutive patients with central serous chorioretinopathy and single leakage points were treated with photocoagulation between 2 days and 8 weeks after onset of symptoms. The main outcome measures were best-corrected visual acuity and metamorphopsias (Amsler grid) at months 1 and 4 compared with baseline.


RESULTS
Mean visual acuity improved by 1.53 lines 1 month after treatment. The mean squares involved in the Amsler grid were reduced by 2.07 squares. No relapse occurred during the follow-up period.


CONCLUSIONS
Considering the characteristics of individuals affected by central serous chorioretinopathy, a fast recovery would be advantageous. This study identified early laser photocoagulation in central serous chorioretinopathy as an effective treatment regarding resorption of subretinal fluid, recovery of visual acuity, and improvement of metamorphopsia.
Sturm
Veit
V
Department of Ophthalmology, University Hospital of Zurich, Zurich, Switzerland, and the Department of Ophthalmology, University Hospital of Hamburg, Hamburg, Germany.
D000328:Adult; D002829:Choroid / Q000473:pathology / Q000601:surgery; D015862:Choroid Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012160:Retina / Q000473:pathology / Q000601:surgery; D012164:Retinal Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity