Chronic Central Serous Retinopathy treated with Photodynamic Laser - Visudyne
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48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. I initially saw him for this October 4th. He said the right eye had an episode about fifteen years ago, which lasted a few weeks, and his left eye has been poor since November of 2006. He was being followed elsewhere for this and is on Diamox in his treatment. I stopped the Diamox. His vision in the left eye is fluctuating and possibly a little worse since he was here last.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/30. IOP: OD 20, OS 20. The lenses are clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. The macula is dry.
OS: Vertical C/D ratio is 0.3. There is a serous macular detachment.
OCT SCAN: The OCT scan of the left eye shows increased subretinal fluid.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The right eye shows a few patches of hyperfluorescence superotemporal to the optic nerve. In the left eye, there is a leaky spot just inferotemporal to the fovea, which increases substantially in the late frames. There is also a leaky spot under the fovea.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – BOTH EYES
2. ACTIVE CENTRAL SEROUS RETINOPATHY – LEFT EYE
3. SEROUS MACULAR DETACHMENT – LEFT EYE
DISCUSSION: I explained to the patient given the location and configuration of the abnormal blood vessels associated with the central serous retinopathy, the best treatment at this moment for him is photodynamic laser.
2 months after Photodynamic laser to the left eye the vision was up to 20/16 and stayed good for 2 years so far.
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 770 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/16 - 2 months post PDT therapy with Visudyne.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 595 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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vista 665 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 881 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 764 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 654 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 579 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 552 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 613 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(1 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 516 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 548 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(1 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 462 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 431 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 454 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 464 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 484 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 536 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/30.
(0 votos)
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Chronic Central Serous Retinopathy treated with Photodynamic Laser and Visudynevista 716 veces48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. OD is 20/16, OS is 20/16 - 2 months post PDT therapy with Visudyne.
(1 votos)
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48-year-old man has had waxing and waning vision in the left eye for the last year from central serous retinopathy. I initially saw him for this October 4th. He said the right eye had an episode about fifteen years ago, which lasted a few weeks, and his left eye has been poor since November of 2006. He was being followed elsewhere for this and is on Diamox in his treatment. I stopped the Diamox. His vision in the left eye is fluctuating and possibly a little worse since he was here last.
VISUAL ACUITY: Vision OD is 20/16, OS is 20/30. IOP: OD 20, OS 20. The lenses are clear.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. The macula is dry.
OS: Vertical C/D ratio is 0.3. There is a serous macular detachment.
OCT SCAN: The OCT scan of the left eye shows increased subretinal fluid.
Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The right eye shows a few patches of hyperfluorescence superotemporal to the optic nerve. In the left eye, there is a leaky spot just inferotemporal to the fovea, which increases substantially in the late frames. There is also a leaky spot under the fovea.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – BOTH EYES
2. ACTIVE CENTRAL SEROUS RETINOPATHY – LEFT EYE
3. SEROUS MACULAR DETACHMENT – LEFT EYE
DISCUSSION: I explained to the patient given the location and configuration of the abnormal blood vessels associated with the central serous retinopathy, the best treatment at this moment for him is photodynamic laser.
2 months after Photodynamic laser to the left eye the vision was up to 20/16 and stayed good for 2 years so far.
