Micropulse diode laser photocoagulation for central serous chorio-retinopathy.
OBJECTIVE
Central serous chorioretinopathy (CSC) is usually characterized by a localized detachment of the neurosensory retina that is self-limiting. However, some cases may persist or recur leading to degenerative changes of the retinal pigment epithelium and the neurosensory retina resulting in severe visual loss and requiring intervention.


METHODS
This retrospective case series reports the long-term visual outcome of the use of micropulse laser photocoagulation for this condition with a review of literature.


RESULTS
The mean follow up was 17.1 months. Four of the five patients had complete resolution of symptoms whereas one patient had recurrent CSC from a new leak that failed to resolve after repeat micropulse treatment despite improvement in symptoms.


CONCLUSIONS
The outcomes in this case series confirm the long-term efficacy of micropulse laser in the management of CSC. It produces therapeutic effects that appear comparable to those of conventional photocoagulation with no detectable signs of laser-induced iatrogenic damage.
Gupta
Bhaskar
B
King's College Hospital, London, UK.
Elagouz
Mohammed
M
McHugh
Dominic
D
Chong
Victor
V
Sivaprasad
Sobha
S
D000328:Adult; D056833:Central Serous Chorioretinopathy / Q000532:radiotherapy*; D005500:Follow-Up Studies; D006801:Humans; D054023:Lasers, Semiconductor; D008028:Light Coagulation / Q000295:instrumentation*; D028022:Low-Level Light Therapy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity