Articles producció científica> Medicina i Cirurgia

Effectiveness, Safety and Choroidal Changes of a Fovea-Sparing Technique for the Treatment of Chronic Central Serous Chorioretinopathy with Yellow Subthreshold Laser

  • Identification data

    Identifier: imarina:9291929
    Authors:
    Torrellas, BFilloy, AWu, LChhablani, JRomero-Aroca, P
    Abstract:
    The aim of this study was to evaluate the effectiveness and safety of a yellow subthreshold laser (STL) for the treatment of chronic central serous chorioretinopathy delivered in a fovea-sparing pattern and to analyze the post-laser changes in the choroidal structure by Swept-Source Optical Coherence Tomography. This study was a prospective case series of 43 eyes corresponding to 37 patients. Data were recorded at 6, 12 and 24 weeks after the STL treatment. The best-corrected visual acuity improved in 93% of the patients and remained stable in 7%. The subretinal fluid was completely reabsorbed in 27.9%, 32.6% and 69.8% of the patients at 6, 12 and 24 weeks, respectively. There were reductions in the choroidal thickness of 13.1% and 25.3% at 12 and 24 weeks, which corresponded to reductions of 17.5% and 45.9% in the choriocapillaris and Sattler layer and reductions of 12.2% and 21.2% in the Haller layer at 12 and 24 weeks, respectively (p < 0.05). This might account for the effect of the laser on the inner choroidal vasculature, the dysregulation of which is believed to be at the core of central serous chorioretinopathy. No laser-related complications were detected. Overall, the fovea-sparing STL was safe and effective in this series of patients.
  • Others:

    Author, as appears in the article.: Torrellas, B; Filloy, A; Wu, L; Chhablani, J; Romero-Aroca, P
    Department: Medicina i Cirurgia
    URV's Author/s: Filloy Rius, Alejandro / Romero Aroca, Pedro / Torrellas Darvas, Beatriz
    Keywords: Yellow subthreshold laser Swept-source optical coherence tomography Sattler layer Pachychoroid disease Micropulse laser Haller layer Choroidal thickness Choroid Choriocapillaris Central serous chorioretinopathy (csc) yellow subthreshold laser swept-source optical coherence tomography sattler layer photodynamic therapy pachychoroid disease haller layer eyes choroidal thickness choroid choriocapillaris
    Abstract: The aim of this study was to evaluate the effectiveness and safety of a yellow subthreshold laser (STL) for the treatment of chronic central serous chorioretinopathy delivered in a fovea-sparing pattern and to analyze the post-laser changes in the choroidal structure by Swept-Source Optical Coherence Tomography. This study was a prospective case series of 43 eyes corresponding to 37 patients. Data were recorded at 6, 12 and 24 weeks after the STL treatment. The best-corrected visual acuity improved in 93% of the patients and remained stable in 7%. The subretinal fluid was completely reabsorbed in 27.9%, 32.6% and 69.8% of the patients at 6, 12 and 24 weeks, respectively. There were reductions in the choroidal thickness of 13.1% and 25.3% at 12 and 24 weeks, which corresponded to reductions of 17.5% and 45.9% in the choriocapillaris and Sattler layer and reductions of 12.2% and 21.2% in the Haller layer at 12 and 24 weeks, respectively (p < 0.05). This might account for the effect of the laser on the inner choroidal vasculature, the dysregulation of which is believed to be at the core of central serous chorioretinopathy. No laser-related complications were detected. Overall, the fovea-sparing STL was safe and effective in this series of patients.
    Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: alejandro.filloy@urv.cat beatriz.torrellas@estudiants.urv.cat pedro.romero@urv.cat
    Author identifier: 0000-0002-8340-1859 0000-0002-7061-8987
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2077-0383/12/3/1127
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Clinical Medicine. 12 (3):
    APA: Torrellas, B; Filloy, A; Wu, L; Chhablani, J; Romero-Aroca, P (2023). Effectiveness, Safety and Choroidal Changes of a Fovea-Sparing Technique for the Treatment of Chronic Central Serous Chorioretinopathy with Yellow Subthreshold Laser. Journal Of Clinical Medicine, 12(3), -. DOI: 10.3390/jcm12031127
    Article's DOI: 10.3390/jcm12031127
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Yellow subthreshold laser
    Swept-source optical coherence tomography
    Sattler layer
    Pachychoroid disease
    Micropulse laser
    Haller layer
    Choroidal thickness
    Choroid
    Choriocapillaris
    Central serous chorioretinopathy (csc)
    yellow subthreshold laser
    swept-source optical coherence tomography
    sattler layer
    photodynamic therapy
    pachychoroid disease
    haller layer
    eyes
    choroidal thickness
    choroid
    choriocapillaris
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
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