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Photocoagulation of Central Serous Retinopathy: A Preliminary Report

Photocoagulation of Central Serous Retinopathy: A Preliminary Report Abstract The recent demonstration of discrete areas of fluorescein leakage in central serous retinopathy has permitted a new therapeutic approach in carefully selected cases. The fluorescein leakage site in four patients whose symptoms had persisted from 3½ to 34 months were treated with minimal intensity laser photocoagulation. Resolution of the serous detachment of the macula was obtained in each case with consequent improvement in visual acuity. Serial fundus photographs and fluorescein studies are presented. The techniques employed and the hazards of this form of therapy are discussed. It is stressed that until additional confirmation of this work is obtained this therapeutic approach is not to be recommended for general use. References 1. Novotny, H.R., and Alvis, D.L.: A Method of Photographing Fluorescence in Circulating Blood in the Human Retina , Circulation 24:82-86, 1961.Crossref 2. Dollery, D.T.; Hodge, J.V.; and Engle, M.: Studies of the Retinal Circulation With Fluorescein Brit Med J 2:1210-1215, 1962.Crossref 3. Scott, D.J., et al: Fluorescein Studies of Diabetic Retinopathy , Brit Med J 1:811-814, 1964.Crossref 4. Norton, E.W.D., et al: Fluorescein Fundus Photography: An Aid in the Differential Diagnosis of Posterior Ocular Lesions , Trans Amer Acad Ophthal Otolaryng 68:755-765, 1964. 5. Klein, B.A.: Macular Lesions of Vascular Origin: II. Functional Vascular Conditions Leading to Damage of the Macula Lutea , Amer J Ophthal 36:1-13, 1953. 6. Maumenee, A.E.: Serous and Hemorrhagic Disciform Detachment of the Macula , Trans Pacif Coast Otoophthal Soc 40:139-160, 1959. 7. Maumenee, A.E., in discussion, Gass, J.D.: Pathogenesis of Hemorrhagic Disciform Lesion of the Posterior Ocular Fundus: A Histopathological Study, read before the Wilmer Meeting, Baltimore, Md, May 26, 1964. 8. Maumenee, A.E.: Symposium: Macular Diseases: Pathogenesis Trans Amer Acad Ophthal Otolaryng 69:691-699, 1965. 9. Norton, E.W.D., et al: Symposium: Macular Diseases, Diagnosis: Fluorescein in the Study of Macular Disease , Trans Amer Acad Ophthal Otolaryng 69:631-642, 1965. 10. Straatsma, B.R.; Allen, R.A.; and Pettit, T.H.: Central Serous Retinopathy , Trans Pacif Coast Otoophthal Soc 47:107-127, 1966. 11. Gass, J.D.M.: Pathogenesis of Disciform Detachment of the Neuroepithelium: II. Idiopathic Central Serous Choroidopathy , Amer J Ophthal 63:587-615, 1967. 12. Zweng, H.C.: Laser Photocoagulation of the Peripheral Retina and Macula, read before the 20th International Congress of Ophthalmology, Munich, Germany, Aug 16, 1966. 13. Gifford, S.R., and Marquardt, G.: Central Angiospastic Retinopathy , Arch Ophthal 21:211-218, 1939.Crossref 14. Cordes F.C.: A Type of Foveo-Macular Retinitis Observed in the US Navy , Amer J Ophthal 27:803-816, 1944. 15. Walsh, F.B., and Sloan, L.L.: Idiopathic Flat Detachment of the Macula , Amer J Ophthal 19:195-208, 1936. 16. Magder, H.: Test for Central Serous Retinopathy , Amer J Ophthal 49:147-150, 1960. 17. Chilaris, G.A.: Recovery Time After Macular Illumination , Amer J Ophthal 53:311-314, 1962. 18. Maumenee, A.E.: Symposium: Macular Diseases: Clinical Manifestations , Trans Amer Acad Ophthal Otolaryng 69:605-613, 1965. 19. Hogan, M.J.: Symposium: Macular Diseases, Pathogenesis: Electron Microscopy of Bruch's Membrane , Trans Amer Acad Ophthal Otolaryng 69:683-690, 1965. 20. Spalter, H.F., et al: Prophylactic Photocoagulation of Recurrent Toxoplasmic Retinochoroiditis , Arch Ophthal 75:21-31, 1966.Crossref 21. Rose, H.W.: " Factors Determining Ocular Laser Lesions ," in Flocks, M. (ed.), Laser Photocoagulation , Boston: Little, Brown & Co., 1966, pp 253-261. 22. Kranenburg, E.W.: Crater-Like Holes in the Optic Disc and Central Serous Retinopathy , Arch Ophthal 64:132-144, 1960.Crossref 23. Fry, W.E., and Spaeth, E.B.: Subacute Circumscribed Macular Retinochoroiditis Simulating Intraocular Tumor Trans Amer Acad Ophthal Otolaryng 59:346-355, 1955. 24. Kimura, S.J.; Thygeson, P.; and Hogan, M.J.: Signs and Symptoms of Uveitis: II. Classification of the Posterior Manifestations of Uveitis Amer J Ophthal 47:171-176, 1959. 25. Irvine, S.R.: A Newly Defined Vitreous Syndrome Following Cataract Surgery , Amer J Ophthal 36:599-619, 1953. 26. Gass, J.D.M., and Norton, E.W.D.: Cystoid Macular Edema and Papilledema Following Cataract Extraction , Arch Ophthal 76:646-661, 1966.Crossref 27. Braley, A.E.: " Dystrophy of the Macula ," in Kimura, S.J., and Caygill, W.M. (eds.), Retinal Diseases , Philadelphia: Lea & Febiger, Publishers, 1966, pp 15-58. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Photocoagulation of Central Serous Retinopathy: A Preliminary Report

Archives of Ophthalmology , Volume 79 (3) – Mar 1, 1968

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References (32)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1968.03850040249005
Publisher site
See Article on Publisher Site

Abstract

Abstract The recent demonstration of discrete areas of fluorescein leakage in central serous retinopathy has permitted a new therapeutic approach in carefully selected cases. The fluorescein leakage site in four patients whose symptoms had persisted from 3½ to 34 months were treated with minimal intensity laser photocoagulation. Resolution of the serous detachment of the macula was obtained in each case with consequent improvement in visual acuity. Serial fundus photographs and fluorescein studies are presented. The techniques employed and the hazards of this form of therapy are discussed. It is stressed that until additional confirmation of this work is obtained this therapeutic approach is not to be recommended for general use. References 1. Novotny, H.R., and Alvis, D.L.: A Method of Photographing Fluorescence in Circulating Blood in the Human Retina , Circulation 24:82-86, 1961.Crossref 2. Dollery, D.T.; Hodge, J.V.; and Engle, M.: Studies of the Retinal Circulation With Fluorescein Brit Med J 2:1210-1215, 1962.Crossref 3. Scott, D.J., et al: Fluorescein Studies of Diabetic Retinopathy , Brit Med J 1:811-814, 1964.Crossref 4. Norton, E.W.D., et al: Fluorescein Fundus Photography: An Aid in the Differential Diagnosis of Posterior Ocular Lesions , Trans Amer Acad Ophthal Otolaryng 68:755-765, 1964. 5. Klein, B.A.: Macular Lesions of Vascular Origin: II. Functional Vascular Conditions Leading to Damage of the Macula Lutea , Amer J Ophthal 36:1-13, 1953. 6. Maumenee, A.E.: Serous and Hemorrhagic Disciform Detachment of the Macula , Trans Pacif Coast Otoophthal Soc 40:139-160, 1959. 7. Maumenee, A.E., in discussion, Gass, J.D.: Pathogenesis of Hemorrhagic Disciform Lesion of the Posterior Ocular Fundus: A Histopathological Study, read before the Wilmer Meeting, Baltimore, Md, May 26, 1964. 8. Maumenee, A.E.: Symposium: Macular Diseases: Pathogenesis Trans Amer Acad Ophthal Otolaryng 69:691-699, 1965. 9. Norton, E.W.D., et al: Symposium: Macular Diseases, Diagnosis: Fluorescein in the Study of Macular Disease , Trans Amer Acad Ophthal Otolaryng 69:631-642, 1965. 10. Straatsma, B.R.; Allen, R.A.; and Pettit, T.H.: Central Serous Retinopathy , Trans Pacif Coast Otoophthal Soc 47:107-127, 1966. 11. Gass, J.D.M.: Pathogenesis of Disciform Detachment of the Neuroepithelium: II. Idiopathic Central Serous Choroidopathy , Amer J Ophthal 63:587-615, 1967. 12. Zweng, H.C.: Laser Photocoagulation of the Peripheral Retina and Macula, read before the 20th International Congress of Ophthalmology, Munich, Germany, Aug 16, 1966. 13. Gifford, S.R., and Marquardt, G.: Central Angiospastic Retinopathy , Arch Ophthal 21:211-218, 1939.Crossref 14. Cordes F.C.: A Type of Foveo-Macular Retinitis Observed in the US Navy , Amer J Ophthal 27:803-816, 1944. 15. Walsh, F.B., and Sloan, L.L.: Idiopathic Flat Detachment of the Macula , Amer J Ophthal 19:195-208, 1936. 16. Magder, H.: Test for Central Serous Retinopathy , Amer J Ophthal 49:147-150, 1960. 17. Chilaris, G.A.: Recovery Time After Macular Illumination , Amer J Ophthal 53:311-314, 1962. 18. Maumenee, A.E.: Symposium: Macular Diseases: Clinical Manifestations , Trans Amer Acad Ophthal Otolaryng 69:605-613, 1965. 19. Hogan, M.J.: Symposium: Macular Diseases, Pathogenesis: Electron Microscopy of Bruch's Membrane , Trans Amer Acad Ophthal Otolaryng 69:683-690, 1965. 20. Spalter, H.F., et al: Prophylactic Photocoagulation of Recurrent Toxoplasmic Retinochoroiditis , Arch Ophthal 75:21-31, 1966.Crossref 21. Rose, H.W.: " Factors Determining Ocular Laser Lesions ," in Flocks, M. (ed.), Laser Photocoagulation , Boston: Little, Brown & Co., 1966, pp 253-261. 22. Kranenburg, E.W.: Crater-Like Holes in the Optic Disc and Central Serous Retinopathy , Arch Ophthal 64:132-144, 1960.Crossref 23. Fry, W.E., and Spaeth, E.B.: Subacute Circumscribed Macular Retinochoroiditis Simulating Intraocular Tumor Trans Amer Acad Ophthal Otolaryng 59:346-355, 1955. 24. Kimura, S.J.; Thygeson, P.; and Hogan, M.J.: Signs and Symptoms of Uveitis: II. Classification of the Posterior Manifestations of Uveitis Amer J Ophthal 47:171-176, 1959. 25. Irvine, S.R.: A Newly Defined Vitreous Syndrome Following Cataract Surgery , Amer J Ophthal 36:599-619, 1953. 26. Gass, J.D.M., and Norton, E.W.D.: Cystoid Macular Edema and Papilledema Following Cataract Extraction , Arch Ophthal 76:646-661, 1966.Crossref 27. Braley, A.E.: " Dystrophy of the Macula ," in Kimura, S.J., and Caygill, W.M. (eds.), Retinal Diseases , Philadelphia: Lea & Febiger, Publishers, 1966, pp 15-58.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1968

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