Diagnosis and treatment in our patients with central serous corioretinopathy Santral seröz koryoretinopatili hastalarımızda tanı ve tedavi
Turkiye Klinikleri Journal of Medical Sciences, cilt.39, sa.4, ss.345-352, 2019 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 4
- Basım Tarihi: 2019
- Doi Numarası: 10.5336/medsci.2019-65128
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.345-352
- Anahtar Kelimeler: Central serous chorioretinopathy, Flourescein angiography, Optical coherence tomography, Photodynamic therapy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: In this study we aimed to report diagnosis, treatment methods and results in cases with central serous chorioretinopathy (CSCR). Material and Methods: The records of the patients with primary CSCR were retrospectively evaluated. Visual acuity (VA), biomicroscopy and fundus examinations, optical coherence tomography, fluorescein angiography results and the treatment modalities were recorded. Prognostic paramaters were evaluated. Cases with a disease lasting ≤ 6 months were categorised as acute and those >6 months as chronic. Results: 103 eyes of 80 patients (58 male; mean age 44.75±9.6 years) were included. Acute CSCR was detected in 44 (42.8%) and chronic CSCR in 59 (57.2%) eyes. Gain in VA in acute cases was 2.4±5.3 lines, while in chronic cases was 0.2±3.4 lines (p=0.005). VA improvement was observed in eyes without RPE atrophy (p<0.001), whereas no improvement was noted in eyes with RPE atrophy (p=0.67). The final VA was better in eyes without RPE atrophy (p=0.001), while initial VA was similar (p=0.79) between the groups. Among the 12 eyes that underwent focal laser photocoag-ulation (LPC) VA increased in 6 eyes and remained stable in the rest (p=0,074). Photodynamic therapy (PDT) was performed on 6 (10.2%) eyes with chronic CSCR. Following PDT mean VA remained stable (p=0.20). Conclusion: In CSCR cases RPE atrophy at time of diagnosis was found to be the most important prognostic parameter. While VA improvement was noted in acute cases, chronic cases heal with limited VA gain. LPC and PDT are the methods used in the treatment of selected cases.