Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy

Abstract The purpose of this study was to investigate the factors of clinical outcome of selective retina therapy (SRT) for central serous chorioretinopathy (CSC). This retrospective study included 77 eyes of 77 patients, who were treated with SRT for CSC and observed at least 6 months after the tre...

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Autores principales: Akika Kyo, Manabu Yamamoto, Kumiko Hirayama, Takeya Kohno, Dirk Theisen-Kunde, Ralf Brinkmann, Yoko Miura, Shigeru Honda
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/fef701fd04bc46548b9cbe3414e5a110
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spelling oai:doaj.org-article:fef701fd04bc46548b9cbe3414e5a1102021-12-02T17:39:23ZFactors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy10.1038/s41598-021-88372-82045-2322https://doaj.org/article/fef701fd04bc46548b9cbe3414e5a1102021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88372-8https://doaj.org/toc/2045-2322Abstract The purpose of this study was to investigate the factors of clinical outcome of selective retina therapy (SRT) for central serous chorioretinopathy (CSC). This retrospective study included 77 eyes of 77 patients, who were treated with SRT for CSC and observed at least 6 months after the treatment. SRT laser (527 nm, 1.7 µs, 100 Hz) was used for treatment. The mean best-corrected visual acuity (logMAR), central macular thickness (CMT) and central choroidal thickness were changed from baseline to at 6-months follow-up with significant difference. The multivariate analyses found that the rate of change (reduction) in CMT was associated with focal leakage type on fluorescein angiography (FA) (p = 0.03, coefficient 15.26, 95% confidence interval 1.72–28.79) and larger baseline CMT (p < 0.01, coefficient − 0.13, 95% confidence interval − 0.13 to − 0.05). Complete resolution of subretinal fluid was associated with nonsmoking history (p = 0.03, odds ratio 0.276, 95% confidence interval 0.086–0.887) and focal leakage type on FA (p < 0.01, odds ratio 0.136, 95% confidence interval 0.042–0.437). These results may be useful for predicting the therapeutic effectiveness of SRT.Akika KyoManabu YamamotoKumiko HirayamaTakeya KohnoDirk Theisen-KundeRalf BrinkmannYoko MiuraShigeru HondaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Akika Kyo
Manabu Yamamoto
Kumiko Hirayama
Takeya Kohno
Dirk Theisen-Kunde
Ralf Brinkmann
Yoko Miura
Shigeru Honda
Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
description Abstract The purpose of this study was to investigate the factors of clinical outcome of selective retina therapy (SRT) for central serous chorioretinopathy (CSC). This retrospective study included 77 eyes of 77 patients, who were treated with SRT for CSC and observed at least 6 months after the treatment. SRT laser (527 nm, 1.7 µs, 100 Hz) was used for treatment. The mean best-corrected visual acuity (logMAR), central macular thickness (CMT) and central choroidal thickness were changed from baseline to at 6-months follow-up with significant difference. The multivariate analyses found that the rate of change (reduction) in CMT was associated with focal leakage type on fluorescein angiography (FA) (p = 0.03, coefficient 15.26, 95% confidence interval 1.72–28.79) and larger baseline CMT (p < 0.01, coefficient − 0.13, 95% confidence interval − 0.13 to − 0.05). Complete resolution of subretinal fluid was associated with nonsmoking history (p = 0.03, odds ratio 0.276, 95% confidence interval 0.086–0.887) and focal leakage type on FA (p < 0.01, odds ratio 0.136, 95% confidence interval 0.042–0.437). These results may be useful for predicting the therapeutic effectiveness of SRT.
format article
author Akika Kyo
Manabu Yamamoto
Kumiko Hirayama
Takeya Kohno
Dirk Theisen-Kunde
Ralf Brinkmann
Yoko Miura
Shigeru Honda
author_facet Akika Kyo
Manabu Yamamoto
Kumiko Hirayama
Takeya Kohno
Dirk Theisen-Kunde
Ralf Brinkmann
Yoko Miura
Shigeru Honda
author_sort Akika Kyo
title Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
title_short Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
title_full Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
title_fullStr Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
title_full_unstemmed Factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
title_sort factors affecting resolution of subretinal fluid after selective retina therapy for central serous chorioretinopathy
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/fef701fd04bc46548b9cbe3414e5a110
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