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Experience With Nontreatment of Central Serous Choroidopathy

Experience With Nontreatment of Central Serous Choroidopathy Abstract Data are presented from 27 patients (34 eyes) with central serous choroidopathy who were followed up for an average of 23 months without therapeutic intervention. The detachment completely resolved in all cases. The average duration of detachment was three months. In all eyes, the visual acuity returned to 20/40 or better, and in all but two eyes, the final visual acuity was 20/30 or better. Central serous choroidopathy is essentially a benign and self-limited disorder, and treatment by photocoagulation is seldom needed. References 1. Gass JDM: Pathogenesis of disciform detachment of the neuroepithelium: II. Idiopathic central serous choroidopathy . Am J Ophthalmol 63:587-615, 1967. 2. Gass JDM: Photocoagulation of macular lesions . Trans Am Acad Ophthalmol Otolaryngol 75:580-608, 1971. 3. L'Esperance FA: Argon and ruby laser photocoagulation of disciform macular disease . Trans Am Acad Ophthalmol Otolaryngol 75:609-625, 1971. 4. Peabody RR, Zweng HC, Little HL: Treatment of persistent central serous retinopathy . Arch Ophthalmol 79:166-169, 1968.Crossref 5. Spalter HF: Photocoagulation of central serous retinopathy . Arch Ophthalmol 79:247-253, 1968.Crossref 6. Wise GN, et al: Photocoagulation of vascular lesions of the macula . Am J Ophthalmol 66:452-459, 1968. 7. Godde-Jolly D, Bonnin P: Two cases of ventral serous choroiditis treated by light coagulation of chorio-retinal lesions located far from the macula . Bull Soc Ophtalmol Fr 68:8-13, 1968. 8. Hirose I: Therapy of central serous retinopathy . Folia Ophthalmol Jap 20:1003-1034, 1969. 9. Maumenee AE: Discussion of the two preceding papers . Trans Am Acad Ophthalmol Otolaryngol 75:626-628, 1971. 10. Walsh FB, Sloan LL: Idiopathic flat detachment of the macula . Am J Ophthalmol 19:195-208, 1936. 11. Gifford SR, Marquardt G: Central angiospastic retinopathy . Arch Ophthalmol 21:211-228, 1939.Crossref 12. Klien BA: Macular lesions of vascular origin: II. Functional vascular conditions leading to damage of the macula lutea . Am J Ophthalmol 36:1-13, 1953. 13. Klien BA: Macular and extramacular chorioretinopathy . Am J Ophthalmol 51:231-242, 1961. 14. von Graefe A: Über centrale recidivirende Retinitis . Arch Ophthalmol 12:211, 1866. 15. Sie-Boen-Lian: The etiologic agent of serous central chorioretinitis . Ophthalmologica 148:263-270, 1964.Crossref 16. Fukunaga K: Central chorioretinopathy with disharmony of the autonomic nervous system . Acta Soc Ophthalmol Jap 73:1468-1477, 1969. 17. Lipowski ZJ: Psychosomatic aspects of central serous retinopathy . Psychosomatics 12:398-401, 1971.Crossref 18. Asayama I: Über retinitis centralis . Nippon Gankag Z , 1892. 19. Norholm I: Central serous retinitis: A follow-up study . Acta Ophthalmol 47:890-899, 1969.Crossref 20. Straatsma B, Allen PA, Pettit TH: Central serous retinopathy . Trans Pac Coast Otoophthalmol Soc 47:107-127, 1966. 21. Tsukahara I, Miki M, Kowhawa Y: Unusual postoperative course after photocoagulation for macular lesions . Folia Ophthalmol Jap 22:141-146, 1971. 22. Kanagawa M, Matsubara M: Xenon light exposure as a treatment of central serous retinopathy . Folia Ophthalmol Jap 21:451-453, 1970. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1974 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1974.03900060257001
Publisher site
See Article on Publisher Site

Abstract

Abstract Data are presented from 27 patients (34 eyes) with central serous choroidopathy who were followed up for an average of 23 months without therapeutic intervention. The detachment completely resolved in all cases. The average duration of detachment was three months. In all eyes, the visual acuity returned to 20/40 or better, and in all but two eyes, the final visual acuity was 20/30 or better. Central serous choroidopathy is essentially a benign and self-limited disorder, and treatment by photocoagulation is seldom needed. References 1. Gass JDM: Pathogenesis of disciform detachment of the neuroepithelium: II. Idiopathic central serous choroidopathy . Am J Ophthalmol 63:587-615, 1967. 2. Gass JDM: Photocoagulation of macular lesions . Trans Am Acad Ophthalmol Otolaryngol 75:580-608, 1971. 3. L'Esperance FA: Argon and ruby laser photocoagulation of disciform macular disease . Trans Am Acad Ophthalmol Otolaryngol 75:609-625, 1971. 4. Peabody RR, Zweng HC, Little HL: Treatment of persistent central serous retinopathy . Arch Ophthalmol 79:166-169, 1968.Crossref 5. Spalter HF: Photocoagulation of central serous retinopathy . Arch Ophthalmol 79:247-253, 1968.Crossref 6. Wise GN, et al: Photocoagulation of vascular lesions of the macula . Am J Ophthalmol 66:452-459, 1968. 7. Godde-Jolly D, Bonnin P: Two cases of ventral serous choroiditis treated by light coagulation of chorio-retinal lesions located far from the macula . Bull Soc Ophtalmol Fr 68:8-13, 1968. 8. Hirose I: Therapy of central serous retinopathy . Folia Ophthalmol Jap 20:1003-1034, 1969. 9. Maumenee AE: Discussion of the two preceding papers . Trans Am Acad Ophthalmol Otolaryngol 75:626-628, 1971. 10. Walsh FB, Sloan LL: Idiopathic flat detachment of the macula . Am J Ophthalmol 19:195-208, 1936. 11. Gifford SR, Marquardt G: Central angiospastic retinopathy . Arch Ophthalmol 21:211-228, 1939.Crossref 12. Klien BA: Macular lesions of vascular origin: II. Functional vascular conditions leading to damage of the macula lutea . Am J Ophthalmol 36:1-13, 1953. 13. Klien BA: Macular and extramacular chorioretinopathy . Am J Ophthalmol 51:231-242, 1961. 14. von Graefe A: Über centrale recidivirende Retinitis . Arch Ophthalmol 12:211, 1866. 15. Sie-Boen-Lian: The etiologic agent of serous central chorioretinitis . Ophthalmologica 148:263-270, 1964.Crossref 16. Fukunaga K: Central chorioretinopathy with disharmony of the autonomic nervous system . Acta Soc Ophthalmol Jap 73:1468-1477, 1969. 17. Lipowski ZJ: Psychosomatic aspects of central serous retinopathy . Psychosomatics 12:398-401, 1971.Crossref 18. Asayama I: Über retinitis centralis . Nippon Gankag Z , 1892. 19. Norholm I: Central serous retinitis: A follow-up study . Acta Ophthalmol 47:890-899, 1969.Crossref 20. Straatsma B, Allen PA, Pettit TH: Central serous retinopathy . Trans Pac Coast Otoophthalmol Soc 47:107-127, 1966. 21. Tsukahara I, Miki M, Kowhawa Y: Unusual postoperative course after photocoagulation for macular lesions . Folia Ophthalmol Jap 22:141-146, 1971. 22. Kanagawa M, Matsubara M: Xenon light exposure as a treatment of central serous retinopathy . Folia Ophthalmol Jap 21:451-453, 1970.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1974

References