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A Case of Visual Acuity Loss Following Laser Photocoagulation for Macular Drusen

A Case of Visual Acuity Loss Following Laser Photocoagulation for Macular Drusen Abstract Multiple reports have documented the disappearance of soft drusen in age-related macular degeneration after laser photocoagulation.1-3 We describe a patient with a deposit of a granular subfoveal material who suffered visual acuity loss following this treatment. To our knowledge, this is the first such complication reported for this form of therapy. Report of a Case. A 70-year-old Asian woman with bilateral pseudophakia who had a history of diabetes was initially seen with visual acuities of 20/125 OD and 20/25 OS. The right eye showed a largepigment epithelial tear with serous detachment of the macula caused by a large choroidal neovascular membrane. The left eye demonstrated many large, soft macular drusen with central confluence and mild subfoveal pigment clumping (Figure 1). Fluorescein angiography confirmed these findings.As part of a pilot study investigating the role of light laser treatment in stimulating drusen resorption and its safety, light laser burns were References 1. Wetzig PC. Treatment of drusen-related aging macular degeneration by photocoagulation . Trans Am Ophthal Soc . 1988;6:276-290. 2. Sigelman J. Foveal drusen resorption one year after perifoveal laser photocoagulation . Ophthalmology . 1991;98:1379-1383.Crossref 3. Figueroa MS, Regueras A, Bertrand J. Laser photocoagulation to treat macular soft drusen in agerelated macular degeneration . Retina . 1994;14:391-396.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

A Case of Visual Acuity Loss Following Laser Photocoagulation for Macular Drusen

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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100150556022
Publisher site
See Article on Publisher Site

Abstract

Abstract Multiple reports have documented the disappearance of soft drusen in age-related macular degeneration after laser photocoagulation.1-3 We describe a patient with a deposit of a granular subfoveal material who suffered visual acuity loss following this treatment. To our knowledge, this is the first such complication reported for this form of therapy. Report of a Case. A 70-year-old Asian woman with bilateral pseudophakia who had a history of diabetes was initially seen with visual acuities of 20/125 OD and 20/25 OS. The right eye showed a largepigment epithelial tear with serous detachment of the macula caused by a large choroidal neovascular membrane. The left eye demonstrated many large, soft macular drusen with central confluence and mild subfoveal pigment clumping (Figure 1). Fluorescein angiography confirmed these findings.As part of a pilot study investigating the role of light laser treatment in stimulating drusen resorption and its safety, light laser burns were References 1. Wetzig PC. Treatment of drusen-related aging macular degeneration by photocoagulation . Trans Am Ophthal Soc . 1988;6:276-290. 2. Sigelman J. Foveal drusen resorption one year after perifoveal laser photocoagulation . Ophthalmology . 1991;98:1379-1383.Crossref 3. Figueroa MS, Regueras A, Bertrand J. Laser photocoagulation to treat macular soft drusen in agerelated macular degeneration . Retina . 1994;14:391-396.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1997

References