Ординатура / Офтальмология / Английские материалы / Illustrated Tutorials in Ophthalmology Kanski, Bolton 2001

Possible subsequent course of CNV

Haemorrhagic sensory and Subretinal (disciform) scarring RPE detachment

Massive subretinal exudation Exudative retinal detachment

Technique of laser photocoagulation of CNV

•Perimeter is treated with overlapping 200 m (0.2-0.5 sec) burns

•Entire area is covered with high energy burns

Results of laser photocoagulation of CNV

•Initial risk of severe visual loss reduced by over 50%

•Frequent subsequent recurrence with subfoveal involvement

Recurrence of CNV several months after initially successful treatment

FA of central serous retinopathy (1)

Smoke-stack appearance

FA of central serous retinopathy (2)

Ink-blot appearance - less common

Early hyperfluorescent spot Subsequent concentric spread until entire area filled

Treatment of central serous retinopathy

Most cases are self-limiting and do not require treatment

Laser photocoagulation to RPE leak

•4 months should elapse before considering treatment

•Treatment induces resolution and lowers recurrence rate

•Does not influence final visual outcome