Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy
Purpose To investigate the efficacy and safety of quadrant laser photocoagulation to ameliorate the choroidal congestion in central serous choroidopathy (CSC). Study design Historically controlled study. Methods We prospectively studied 20 eyes with acute CSC in the quadrant laser group, in which la...
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| Veröffentlicht in: | Japanese journal of ophthalmology 2023-03, Vol.67 (2), p.156-163 |
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| container_title | Japanese journal of ophthalmology |
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| creator | Matsumoto, Hidetaka Hoshino, Junki Nakamura, Kosuke Ohyama, Yoshiaki Morimoto, Masahiro Mukai, Ryo Sumiyoshi, Hisako Nakamura, Tetsuya Kishi, Shoji Akiyama, Hideo |
| description | Purpose
To investigate the efficacy and safety of quadrant laser photocoagulation to ameliorate the choroidal congestion in central serous choroidopathy (CSC).
Study design
Historically controlled study.
Methods
We prospectively studied 20 eyes with acute CSC in the quadrant laser group, in which laser photocoagulation was applied to the macular leakage point(s) as well as the quadrant of the fundus showing vortex vein dilatation. Central choroidal thickness (CCT), vertical diameter of dilated vortex vein, resolution rate of serous retinal detachment (SRD), and visual field were evaluated post-treatment. We also compared the results with those of 18 retrospectively analyzed eyes with acute CSC in an external control group, in which laser photocoagulation had been applied only to the macular leakage point(s).
Results
In the quadrant laser group, 2 eyes were excluded from data analysis due to choroidal neovascularization (CNV). CCT was significantly reduced in both groups, but more significantly in the quadrant laser group. The vertical diameter of the dilated vortex vein was significantly decreased only in the quadrant laser group. The resolution rate of SRD was similar in the two groups. In the quadrant laser group, 8 eyes (44.4%) showed mild deterioration of the visual field, consistent with the area subjected to quadrant laser photocoagulation.
Conclusion
Quadrant laser photocoagulation can have limited efficacy for ameliorating vortex vein congestion in CSC. When laser photocoagulation to the macular area is combined with quadrant laser photocoagulation, attention must be paid to the possible development of CNV and visual field deterioration. |
| doi_str_mv | 10.1007/s10384-023-00976-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2773117376</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2786548897</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492t-46d03bc04bf891ddd919dda0ee259199dfdb7b4ce8514439cea71daa2f6c253c3</originalsourceid><addsrcrecordid>eNp9kUtLAzEUhYMotlb_gAsZcONm9OYxk8lSxBcURNB1yCSZdsp0UpMMtP_e2FYFF64Sbr5zcrgHoXMM1xiA3wQMtGI5EJoDCF7m6wM0xiWmOSGsPERjAILzAhfFCJ2EsAAARig5RiNaclqAqMaoex2U8aqPWaeC9dlq7qLTTs2GTsXW9Vn0reqy6DK1tF3rvIo203PnXWvSXLt-ZsMWbPtM2z76NE1GbghbLClsbHu3UnG-OUVHjeqCPdufE_T-cP9295RPXx6f726nuWaCxJyVBmitgdVNJbAxRmBhjAJrSZGuwjSm5jXTtiowY1Roqzg2SpGm1KSgmk7Q1c535d3HkPLJZRu07TrV2xRMEs4pxpzyMqGXf9CFG3yf0iWqKgtWVYIniuwo7V0I3jZy5dul8huJQX51IXddyNSF3HYh10l0sbce6qU1P5Lv5SeA7oCQntIe_e_f_9h-AsRymD4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2786548897</pqid></control><display><type>article</type><title>Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Matsumoto, Hidetaka ; Hoshino, Junki ; Nakamura, Kosuke ; Ohyama, Yoshiaki ; Morimoto, Masahiro ; Mukai, Ryo ; Sumiyoshi, Hisako ; Nakamura, Tetsuya ; Kishi, Shoji ; Akiyama, Hideo</creator><creatorcontrib>Matsumoto, Hidetaka ; Hoshino, Junki ; Nakamura, Kosuke ; Ohyama, Yoshiaki ; Morimoto, Masahiro ; Mukai, Ryo ; Sumiyoshi, Hisako ; Nakamura, Tetsuya ; Kishi, Shoji ; Akiyama, Hideo</creatorcontrib><description>Purpose
To investigate the efficacy and safety of quadrant laser photocoagulation to ameliorate the choroidal congestion in central serous choroidopathy (CSC).
Study design
Historically controlled study.
Methods
We prospectively studied 20 eyes with acute CSC in the quadrant laser group, in which laser photocoagulation was applied to the macular leakage point(s) as well as the quadrant of the fundus showing vortex vein dilatation. Central choroidal thickness (CCT), vertical diameter of dilated vortex vein, resolution rate of serous retinal detachment (SRD), and visual field were evaluated post-treatment. We also compared the results with those of 18 retrospectively analyzed eyes with acute CSC in an external control group, in which laser photocoagulation had been applied only to the macular leakage point(s).
Results
In the quadrant laser group, 2 eyes were excluded from data analysis due to choroidal neovascularization (CNV). CCT was significantly reduced in both groups, but more significantly in the quadrant laser group. The vertical diameter of the dilated vortex vein was significantly decreased only in the quadrant laser group. The resolution rate of SRD was similar in the two groups. In the quadrant laser group, 8 eyes (44.4%) showed mild deterioration of the visual field, consistent with the area subjected to quadrant laser photocoagulation.
Conclusion
Quadrant laser photocoagulation can have limited efficacy for ameliorating vortex vein congestion in CSC. When laser photocoagulation to the macular area is combined with quadrant laser photocoagulation, attention must be paid to the possible development of CNV and visual field deterioration.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-023-00976-x</identifier><identifier>PMID: 36735098</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Central Serous Chorioretinopathy - complications ; Central Serous Chorioretinopathy - diagnosis ; Central Serous Chorioretinopathy - surgery ; Choroid - blood supply ; Choroidal Neovascularization ; Clinical Investigation ; Congestion ; Data analysis ; Diameters ; Effectiveness ; Eye ; Fluorescein Angiography ; Humans ; Laser Coagulation - methods ; Lasers ; Leakage ; Medicine ; Medicine & Public Health ; Ophthalmology ; Quadrants ; Retinal Detachment ; Retrospective Studies ; Tomography, Optical Coherence ; Vascularization ; Visual Acuity ; Visual field ; Visual fields ; Vortices</subject><ispartof>Japanese journal of ophthalmology, 2023-03, Vol.67 (2), p.156-163</ispartof><rights>Japanese Ophthalmological Society 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Japanese Ophthalmological Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-46d03bc04bf891ddd919dda0ee259199dfdb7b4ce8514439cea71daa2f6c253c3</citedby><cites>FETCH-LOGICAL-c492t-46d03bc04bf891ddd919dda0ee259199dfdb7b4ce8514439cea71daa2f6c253c3</cites><orcidid>0000-0003-2311-0280</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-023-00976-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-023-00976-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36735098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsumoto, Hidetaka</creatorcontrib><creatorcontrib>Hoshino, Junki</creatorcontrib><creatorcontrib>Nakamura, Kosuke</creatorcontrib><creatorcontrib>Ohyama, Yoshiaki</creatorcontrib><creatorcontrib>Morimoto, Masahiro</creatorcontrib><creatorcontrib>Mukai, Ryo</creatorcontrib><creatorcontrib>Sumiyoshi, Hisako</creatorcontrib><creatorcontrib>Nakamura, Tetsuya</creatorcontrib><creatorcontrib>Kishi, Shoji</creatorcontrib><creatorcontrib>Akiyama, Hideo</creatorcontrib><title>Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To investigate the efficacy and safety of quadrant laser photocoagulation to ameliorate the choroidal congestion in central serous choroidopathy (CSC).
Study design
Historically controlled study.
Methods
We prospectively studied 20 eyes with acute CSC in the quadrant laser group, in which laser photocoagulation was applied to the macular leakage point(s) as well as the quadrant of the fundus showing vortex vein dilatation. Central choroidal thickness (CCT), vertical diameter of dilated vortex vein, resolution rate of serous retinal detachment (SRD), and visual field were evaluated post-treatment. We also compared the results with those of 18 retrospectively analyzed eyes with acute CSC in an external control group, in which laser photocoagulation had been applied only to the macular leakage point(s).
Results
In the quadrant laser group, 2 eyes were excluded from data analysis due to choroidal neovascularization (CNV). CCT was significantly reduced in both groups, but more significantly in the quadrant laser group. The vertical diameter of the dilated vortex vein was significantly decreased only in the quadrant laser group. The resolution rate of SRD was similar in the two groups. In the quadrant laser group, 8 eyes (44.4%) showed mild deterioration of the visual field, consistent with the area subjected to quadrant laser photocoagulation.
Conclusion
Quadrant laser photocoagulation can have limited efficacy for ameliorating vortex vein congestion in CSC. When laser photocoagulation to the macular area is combined with quadrant laser photocoagulation, attention must be paid to the possible development of CNV and visual field deterioration.</description><subject>Central Serous Chorioretinopathy - complications</subject><subject>Central Serous Chorioretinopathy - diagnosis</subject><subject>Central Serous Chorioretinopathy - surgery</subject><subject>Choroid - blood supply</subject><subject>Choroidal Neovascularization</subject><subject>Clinical Investigation</subject><subject>Congestion</subject><subject>Data analysis</subject><subject>Diameters</subject><subject>Effectiveness</subject><subject>Eye</subject><subject>Fluorescein Angiography</subject><subject>Humans</subject><subject>Laser Coagulation - methods</subject><subject>Lasers</subject><subject>Leakage</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Quadrants</subject><subject>Retinal Detachment</subject><subject>Retrospective Studies</subject><subject>Tomography, Optical Coherence</subject><subject>Vascularization</subject><subject>Visual Acuity</subject><subject>Visual field</subject><subject>Visual fields</subject><subject>Vortices</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLAzEUhYMotlb_gAsZcONm9OYxk8lSxBcURNB1yCSZdsp0UpMMtP_e2FYFF64Sbr5zcrgHoXMM1xiA3wQMtGI5EJoDCF7m6wM0xiWmOSGsPERjAILzAhfFCJ2EsAAARig5RiNaclqAqMaoex2U8aqPWaeC9dlq7qLTTs2GTsXW9Vn0reqy6DK1tF3rvIo203PnXWvSXLt-ZsMWbPtM2z76NE1GbghbLClsbHu3UnG-OUVHjeqCPdufE_T-cP9295RPXx6f726nuWaCxJyVBmitgdVNJbAxRmBhjAJrSZGuwjSm5jXTtiowY1Roqzg2SpGm1KSgmk7Q1c535d3HkPLJZRu07TrV2xRMEs4pxpzyMqGXf9CFG3yf0iWqKgtWVYIniuwo7V0I3jZy5dul8huJQX51IXddyNSF3HYh10l0sbce6qU1P5Lv5SeA7oCQntIe_e_f_9h-AsRymD4</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Matsumoto, Hidetaka</creator><creator>Hoshino, Junki</creator><creator>Nakamura, Kosuke</creator><creator>Ohyama, Yoshiaki</creator><creator>Morimoto, Masahiro</creator><creator>Mukai, Ryo</creator><creator>Sumiyoshi, Hisako</creator><creator>Nakamura, Tetsuya</creator><creator>Kishi, Shoji</creator><creator>Akiyama, Hideo</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2311-0280</orcidid></search><sort><creationdate>20230301</creationdate><title>Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy</title><author>Matsumoto, Hidetaka ; Hoshino, Junki ; Nakamura, Kosuke ; Ohyama, Yoshiaki ; Morimoto, Masahiro ; Mukai, Ryo ; Sumiyoshi, Hisako ; Nakamura, Tetsuya ; Kishi, Shoji ; Akiyama, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-46d03bc04bf891ddd919dda0ee259199dfdb7b4ce8514439cea71daa2f6c253c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Central Serous Chorioretinopathy - complications</topic><topic>Central Serous Chorioretinopathy - diagnosis</topic><topic>Central Serous Chorioretinopathy - surgery</topic><topic>Choroid - blood supply</topic><topic>Choroidal Neovascularization</topic><topic>Clinical Investigation</topic><topic>Congestion</topic><topic>Data analysis</topic><topic>Diameters</topic><topic>Effectiveness</topic><topic>Eye</topic><topic>Fluorescein Angiography</topic><topic>Humans</topic><topic>Laser Coagulation - methods</topic><topic>Lasers</topic><topic>Leakage</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Quadrants</topic><topic>Retinal Detachment</topic><topic>Retrospective Studies</topic><topic>Tomography, Optical Coherence</topic><topic>Vascularization</topic><topic>Visual Acuity</topic><topic>Visual field</topic><topic>Visual fields</topic><topic>Vortices</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsumoto, Hidetaka</creatorcontrib><creatorcontrib>Hoshino, Junki</creatorcontrib><creatorcontrib>Nakamura, Kosuke</creatorcontrib><creatorcontrib>Ohyama, Yoshiaki</creatorcontrib><creatorcontrib>Morimoto, Masahiro</creatorcontrib><creatorcontrib>Mukai, Ryo</creatorcontrib><creatorcontrib>Sumiyoshi, Hisako</creatorcontrib><creatorcontrib>Nakamura, Tetsuya</creatorcontrib><creatorcontrib>Kishi, Shoji</creatorcontrib><creatorcontrib>Akiyama, Hideo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumoto, Hidetaka</au><au>Hoshino, Junki</au><au>Nakamura, Kosuke</au><au>Ohyama, Yoshiaki</au><au>Morimoto, Masahiro</au><au>Mukai, Ryo</au><au>Sumiyoshi, Hisako</au><au>Nakamura, Tetsuya</au><au>Kishi, Shoji</au><au>Akiyama, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>67</volume><issue>2</issue><spage>156</spage><epage>163</epage><pages>156-163</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose
To investigate the efficacy and safety of quadrant laser photocoagulation to ameliorate the choroidal congestion in central serous choroidopathy (CSC).
Study design
Historically controlled study.
Methods
We prospectively studied 20 eyes with acute CSC in the quadrant laser group, in which laser photocoagulation was applied to the macular leakage point(s) as well as the quadrant of the fundus showing vortex vein dilatation. Central choroidal thickness (CCT), vertical diameter of dilated vortex vein, resolution rate of serous retinal detachment (SRD), and visual field were evaluated post-treatment. We also compared the results with those of 18 retrospectively analyzed eyes with acute CSC in an external control group, in which laser photocoagulation had been applied only to the macular leakage point(s).
Results
In the quadrant laser group, 2 eyes were excluded from data analysis due to choroidal neovascularization (CNV). CCT was significantly reduced in both groups, but more significantly in the quadrant laser group. The vertical diameter of the dilated vortex vein was significantly decreased only in the quadrant laser group. The resolution rate of SRD was similar in the two groups. In the quadrant laser group, 8 eyes (44.4%) showed mild deterioration of the visual field, consistent with the area subjected to quadrant laser photocoagulation.
Conclusion
Quadrant laser photocoagulation can have limited efficacy for ameliorating vortex vein congestion in CSC. When laser photocoagulation to the macular area is combined with quadrant laser photocoagulation, attention must be paid to the possible development of CNV and visual field deterioration.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>36735098</pmid><doi>10.1007/s10384-023-00976-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2311-0280</orcidid></addata></record> |
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| subjects | Central Serous Chorioretinopathy - complications Central Serous Chorioretinopathy - diagnosis Central Serous Chorioretinopathy - surgery Choroid - blood supply Choroidal Neovascularization Clinical Investigation Congestion Data analysis Diameters Effectiveness Eye Fluorescein Angiography Humans Laser Coagulation - methods Lasers Leakage Medicine Medicine & Public Health Ophthalmology Quadrants Retinal Detachment Retrospective Studies Tomography, Optical Coherence Vascularization Visual Acuity Visual field Visual fields Vortices |
| title | Quadrant laser photocoagulation trial to ameliorate choroidal congestion in central serous chorioretinopathy |
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