Central serous chorioretinopathy and peripheral retinal neovascularization.
OBJECTIVE
To report a case of bullous retinal detachment complicated by peripheral retinal ischemia and neovascularization in a patient with chronic central serous chorioretinopathy (CSC).


RESULTS
Focal laser photocoagulation to the active retinal pigment epithelial leaks in the posterior pole resulted in resolution of the bullous detachment and regression of the retinal neovascularization.


CONCLUSIONS
Patients with chronic CSC and a large, dependent serous detachment with peripheral retinal ischemia and neovascularization may be managed by focal treatment to active pigment epithelial leaks alone. This could spare patients of the adverse effects associated with widespread laser treatment and reduce the risk of visual loss due to vitreous hemorrhage and/or more severe complications resulting from progressive retinal ischemia.
From *Vitreous-Retina-Macula Consultants of New York and †The LuEsther T. Mertz Retinal Research Center of the Manhattan Eye, Ear & Throat Hospital, New York, New York.
Irene A
IA
Barbazetto
Marco
M
Cinquini
Beatriz S
BS
Takahashi
Lawrence A
LA
Yannuzzi