Last additions - Chronic CSR - treated with Photodynamic Laser (Visudyne) PDT 66-year-old woman has central serous retinopathy in the right eye. She has had some retinal fluid there for some time. Her vision unfortunately is declining.
VISUAL ACUITY: OD 20/125, OS 20/25. IOP: 14 OD, 13 OS. There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a serous macular detachment centrally.
OS: Vertical C/D ratio is 0.2. The macula has some irregularities inferiorly.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows persistent subretinal fluid and some increase in choroidal thickness. There is a pigment epithelial detachment just superior to the fovea. The left eye shows a normal macular contour.
COLOR PHOTOS: The color photos do show a serous macular detachment in the right eye. The left eye has a pigment spot inferior to the fovea.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a leaky spot superior to the fovea. In the left eye there is a leaky spot inferior to the fovea.
INDOCYANINE GREEN ANGIOGRAPHY: The indocyanine green angiogram in the right eye shows a leaky spot just superior to the fovea limited to the same area shown on the fluorescein angiogram. The left eye has a leaky spot inferior to the fovea.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – BOTH EYES
2. SEROUS MACULAR DETACHMENT – RIGHT EYE
DISCUSSION: I explained to the patient with photodynamic laser there is an excellent chance of drying the macula in the right eye and improving her vision.
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Chronic Central Serous Retinopathy 1 month after Photodynamic Therapy (Visudyne)593 viewsSerous Retinal Detachment is Gone (Absorbed)Apr 25, 2013
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Chronic Central Serous Retinopathy 1 month after Photodynamic Therapy (Visudyne)537 viewsSerous Retinal Detachment is Gone (Absorbed)Apr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 466 viewsGood EyeApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 535 viewsGood EyeApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 567 viewsGood EyeApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 485 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 491 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 563 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Indocyanine Green Angiogram 507 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram458 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram509 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram584 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram455 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram453 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - Fluorescein Angiogram461 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - SD-OCT531 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - SD-OCT516 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - FAF478 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - FAF664 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - IR467 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - IR476 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - False Color542 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - False Color471 viewsApr 25, 2013
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Chronic Central Serous Retinopathy - False Color561 viewsApr 25, 2013
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66-year-old woman has central serous retinopathy in the right eye. She has had some retinal fluid there for some time. Her vision unfortunately is declining.
VISUAL ACUITY: OD 20/125, OS 20/25. IOP: 14 OD, 13 OS. There is 2+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.2. There is a serous macular detachment centrally.
OS: Vertical C/D ratio is 0.2. The macula has some irregularities inferiorly.
SPECTRALIS-SD-OCT SCAN: The OCT scan of the right eye shows persistent subretinal fluid and some increase in choroidal thickness. There is a pigment epithelial detachment just superior to the fovea. The left eye shows a normal macular contour.
COLOR PHOTOS: The color photos do show a serous macular detachment in the right eye. The left eye has a pigment spot inferior to the fovea.
FLUORESCEIN ANGIOGRAPHY: Fluorescein angiography shows a leaky spot superior to the fovea. In the left eye there is a leaky spot inferior to the fovea.
INDOCYANINE GREEN ANGIOGRAPHY: The indocyanine green angiogram in the right eye shows a leaky spot just superior to the fovea limited to the same area shown on the fluorescein angiogram. The left eye has a leaky spot inferior to the fovea.
IMPRESSION:
1. CENTRAL SEROUS RETINOPATHY – BOTH EYES
2. SEROUS MACULAR DETACHMENT – RIGHT EYE
DISCUSSION: I explained to the patient with photodynamic laser there is an excellent chance of drying the macula in the right eye and improving her vision.