title: Internal drainage for chronic macula-involving serous retinal detachment in idiopathic central serous chorioretinopathy.
abstract: Conventional treatment of idiopathic central serous chorioretinopathy (ICSC) consists of argon laser, photodynamic therapy, or observation. However, in cases of atypical bullous ICSC with exudative detachment preventing any laser therapy, a surgical approach with external drainage of fluid has been performed. We present a case of ICSC with persistent macula involving exudative retinal detachment without evidence of uveitis that responded favorably to internal drainage by vitrectomy along with a scleral buckle placement. Our case, treated with internal drainage, also demonstrated successful long-term reattachment of the serous retinal detachment without any additional complications from the surgery.
authors: Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Suite #252, Miami, FL, 33136, USA.
authors: Vishak J
authors: VJ
authors: John
authors: Efrem D
authors: ED
authors: Mandelcorn
authors: Thomas A
authors: TA
authors: Albini
mesh_terms: D056833:Central Serous Chorioretinopathy / Q000601:surgery*; D002908:Chronic Disease; D004322:Drainage / Q000379:methods*; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery*; D012591:Scleral Buckling; D016896:Treatment Outcome; D014821:Vitrectomy / Q000379:methods*