Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy

Vikas Ambiya, Abhilash Goud, Annie Mathai, Padmaja Kumari Rani, Jay Chhablani Srimati Kanuri Santhamma Retina Vitreous Center, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute, Hyderabad, India Purpose: To evaluate the role of navigated yellow microsecond laser in treating subfoveal leaks in n...

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Autores principales:	Ambiya V, Goud A, Mathai A, Rani PK, Chhablani J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	CSC Central serous chorioretinopathy NAVILAS Navigated laser Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/37996eebb7fa411e866e7942251151a3
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spelling	oai:doaj.org-article:37996eebb7fa411e866e7942251151a32021-12-02T07:45:37ZMicrosecond yellow laser for subfoveal leaks in central serous chorioretinopathy1177-5483https://doaj.org/article/37996eebb7fa411e866e7942251151a32016-08-01T00:00:00Zhttps://www.dovepress.com/microsecond-yellow-laser-for-subfoveal-leaks-in-central-serous-chorior-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Vikas Ambiya, Abhilash Goud, Annie Mathai, Padmaja Kumari Rani, Jay Chhablani Srimati Kanuri Santhamma Retina Vitreous Center, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute, Hyderabad, India Purpose: To evaluate the role of navigated yellow microsecond laser in treating subfoveal leaks in nonresolving central serous chorioretinopathy (CSC). Methods: This prospective study included ten eyes of ten consecutive patients with nonresolving CSC with subfoveal leaks. All eyes were treated with 577 nm navigated yellow microsecond laser (5% duty cycle). Key inclusion criteria include a vision loss for a duration of minimum 3 months duration due to focal subfoveal leak on fluorescein angiography. Key exclusion criteria include prior treatment for CSC and any signs of chronic CSC. Comprehensive examination, in addition to low-contrast visual acuity assessment, microperimetry, autofluorescence, spectral domain optical coherence tomography, and fundus fluorescein angiography, was done at baseline, 1, 3, and 6 months after treatment. Rescue laser was performed as per predefined criteria at 3 months. Results: The average best-corrected visual acuity improved from 73.3±16.1 letters to 75.8±14.0 (P=0.69) at 3 months and 76.9±13.0 (P=0.59) at 6 months, but was not statistically significant. Low-contrast visual acuity assessment (logMAR) improved from 0.41±0.32 to 0.35±0.42 (P=0.50) at 3 months and 0.28±0.33 (P=0.18) at 6 months. Average retinal sensitivity significantly improved from baseline 18.93±7.19 dB to 22.49±6.67 dB (P=0.01) at 3 months and 21.46±8.47 dB (P=0.04) at 6 months. Rescue laser was required only in one eye at 3 months; however, laser was required in three eyes at 6 months. Conclusion: Microsecond laser is a safe and effective modality for treating cases of nonresolving CSC with subfoveal leaks. Keywords: CSC, central serous chorioretinopathy, Navilas®, navigated laser, microsecond yellow laserAmbiya VGoud AMathai ARani PKChhablani JDove Medical PressarticleCSCCentral serous chorioretinopathyNAVILASNavigated laserOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1513-1519 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	CSC Central serous chorioretinopathy NAVILAS Navigated laser Ophthalmology RE1-994
spellingShingle	CSC Central serous chorioretinopathy NAVILAS Navigated laser Ophthalmology RE1-994 Ambiya V Goud A Mathai A Rani PK Chhablani J Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
description	Vikas Ambiya, Abhilash Goud, Annie Mathai, Padmaja Kumari Rani, Jay Chhablani Srimati Kanuri Santhamma Retina Vitreous Center, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute, Hyderabad, India Purpose: To evaluate the role of navigated yellow microsecond laser in treating subfoveal leaks in nonresolving central serous chorioretinopathy (CSC). Methods: This prospective study included ten eyes of ten consecutive patients with nonresolving CSC with subfoveal leaks. All eyes were treated with 577 nm navigated yellow microsecond laser (5% duty cycle). Key inclusion criteria include a vision loss for a duration of minimum 3 months duration due to focal subfoveal leak on fluorescein angiography. Key exclusion criteria include prior treatment for CSC and any signs of chronic CSC. Comprehensive examination, in addition to low-contrast visual acuity assessment, microperimetry, autofluorescence, spectral domain optical coherence tomography, and fundus fluorescein angiography, was done at baseline, 1, 3, and 6 months after treatment. Rescue laser was performed as per predefined criteria at 3 months. Results: The average best-corrected visual acuity improved from 73.3±16.1 letters to 75.8±14.0 (P=0.69) at 3 months and 76.9±13.0 (P=0.59) at 6 months, but was not statistically significant. Low-contrast visual acuity assessment (logMAR) improved from 0.41±0.32 to 0.35±0.42 (P=0.50) at 3 months and 0.28±0.33 (P=0.18) at 6 months. Average retinal sensitivity significantly improved from baseline 18.93±7.19 dB to 22.49±6.67 dB (P=0.01) at 3 months and 21.46±8.47 dB (P=0.04) at 6 months. Rescue laser was required only in one eye at 3 months; however, laser was required in three eyes at 6 months. Conclusion: Microsecond laser is a safe and effective modality for treating cases of nonresolving CSC with subfoveal leaks. Keywords: CSC, central serous chorioretinopathy, Navilas®, navigated laser, microsecond yellow laser
format	article
author	Ambiya V Goud A Mathai A Rani PK Chhablani J
author_facet	Ambiya V Goud A Mathai A Rani PK Chhablani J
author_sort	Ambiya V
title	Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
title_short	Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
title_full	Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
title_fullStr	Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
title_full_unstemmed	Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
title_sort	microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/37996eebb7fa411e866e7942251151a3
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Microsecond yellow laser for subfoveal leaks in central serous chorioretinopathy

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