Micropulse Laser Therapy in Central Serous Chorioretinopathy
<b>Background</b>: Central serous chorioretinopathy (CSCR) is a retinal condition characterized by the accumulation of subretinal fluid, often linked to elevated levels of endogenous corticosteroids and stress-related hormones, which can lead to visual disturbances. This connection may e...
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MDPI AG
2024-11-01
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| author | Flaviu Bodea Andrei-Flavius Radu Ruxandra-Florina Bodog Teodora Maria Bodog Cristina Ariadna Nicula |
| author_facet | Flaviu Bodea Andrei-Flavius Radu Ruxandra-Florina Bodog Teodora Maria Bodog Cristina Ariadna Nicula |
| author_sort | Flaviu Bodea |
| collection | DOAJ |
| description | <b>Background</b>: Central serous chorioretinopathy (CSCR) is a retinal condition characterized by the accumulation of subretinal fluid, often linked to elevated levels of endogenous corticosteroids and stress-related hormones, which can lead to visual disturbances. This connection may explain the association of CSCR with high stress levels and the use of corticosteroid medications. Although many cases resolve spontaneously, persistent or severe instances may require intervention. <b>Case Description</b>: Our report presents a case of acute CSCR in a 33-year-old male who developed the condition following corticosteroid treatment for acute parotiditis and left submandibular lymphadenopathy. Initial presentation was 6 weeks after corticosteroid treatment was initiated. Diagnostic evaluation with optical coherence tomography (OCT) and fluorescein angiography confirmed the presence of subretinal fluid at the retinal pigment epithelium–Bruch’s membrane complex. Micropulse laser therapy (MPLT) was applied to address the leakage points, leading to significant fluid reduction at a two-week follow-up. By six weeks, the complete resolution of subretinal fluid was documented, with substantial visual recovery. <b>Conclusions</b>: This case confirms MPLT as an effective treatment for CSCR, particularly when conservative management is insufficient. Unlike traditional photocoagulation, MPLT offers a safer alternative, minimizing the risk of retinal damage, such as permanent scotomas. <b>Clinical Significance</b>: This case underscores the importance of carefully monitoring patients undergoing corticosteroid therapy for potential ocular complications and highlights the role of MPLT as a safe and effective option for managing persistent CSCR, protecting the surrounding retinal tissue from damage while achieving significant therapeutic outcomes. |
| format | Article |
| id | doaj-art-b380cc50aec749b1be71d7cdd41879c9 |
| institution | Kabale University |
| issn | 2039-7283 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj-art-b380cc50aec749b1be71d7cdd41879c92024-12-27T14:18:34ZengMDPI AGClinics and Practice2039-72832024-11-011462484249010.3390/clinpract14060194Micropulse Laser Therapy in Central Serous ChorioretinopathyFlaviu Bodea0Andrei-Flavius Radu1Ruxandra-Florina Bodog2Teodora Maria Bodog3Cristina Ariadna Nicula4Doctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, RomaniaDoctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, Romania<b>Background</b>: Central serous chorioretinopathy (CSCR) is a retinal condition characterized by the accumulation of subretinal fluid, often linked to elevated levels of endogenous corticosteroids and stress-related hormones, which can lead to visual disturbances. This connection may explain the association of CSCR with high stress levels and the use of corticosteroid medications. Although many cases resolve spontaneously, persistent or severe instances may require intervention. <b>Case Description</b>: Our report presents a case of acute CSCR in a 33-year-old male who developed the condition following corticosteroid treatment for acute parotiditis and left submandibular lymphadenopathy. Initial presentation was 6 weeks after corticosteroid treatment was initiated. Diagnostic evaluation with optical coherence tomography (OCT) and fluorescein angiography confirmed the presence of subretinal fluid at the retinal pigment epithelium–Bruch’s membrane complex. Micropulse laser therapy (MPLT) was applied to address the leakage points, leading to significant fluid reduction at a two-week follow-up. By six weeks, the complete resolution of subretinal fluid was documented, with substantial visual recovery. <b>Conclusions</b>: This case confirms MPLT as an effective treatment for CSCR, particularly when conservative management is insufficient. Unlike traditional photocoagulation, MPLT offers a safer alternative, minimizing the risk of retinal damage, such as permanent scotomas. <b>Clinical Significance</b>: This case underscores the importance of carefully monitoring patients undergoing corticosteroid therapy for potential ocular complications and highlights the role of MPLT as a safe and effective option for managing persistent CSCR, protecting the surrounding retinal tissue from damage while achieving significant therapeutic outcomes.https://www.mdpi.com/2039-7283/14/6/194micropulse laser therapy (MPLT)central serous chorioretinopathy (CSCR)corticosteroid treatmentsubretinal fluid |
| spellingShingle | Flaviu Bodea Andrei-Flavius Radu Ruxandra-Florina Bodog Teodora Maria Bodog Cristina Ariadna Nicula Micropulse Laser Therapy in Central Serous Chorioretinopathy Clinics and Practice micropulse laser therapy (MPLT) central serous chorioretinopathy (CSCR) corticosteroid treatment subretinal fluid |
| title | Micropulse Laser Therapy in Central Serous Chorioretinopathy |
| title_full | Micropulse Laser Therapy in Central Serous Chorioretinopathy |
| title_fullStr | Micropulse Laser Therapy in Central Serous Chorioretinopathy |
| title_full_unstemmed | Micropulse Laser Therapy in Central Serous Chorioretinopathy |
| title_short | Micropulse Laser Therapy in Central Serous Chorioretinopathy |
| title_sort | micropulse laser therapy in central serous chorioretinopathy |
| topic | micropulse laser therapy (MPLT) central serous chorioretinopathy (CSCR) corticosteroid treatment subretinal fluid |
| url | https://www.mdpi.com/2039-7283/14/6/194 |
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