RESEARCH ARTICLE


Photodynamic Therapy Rescue for Subretinal Fluid Exacerbation After Focal Laser Treatment in Idiopathic Central Serous Chorioretinopathy



Theodore Leng*, Steven R Sanislo, Robert L Jack
Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA


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© Leng et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA 94303, USA; Tel: (650) 498-4264; Fax: (650) 565-8297; E-mail: tedleng@stanford.edu


Abstract

Purpose

To report a case of subretinal leakage after focal laser treatment for idiopathic central serous chorioretinopathy (ICSC). This rare complication was successfully treated with photodynamic therapy (PDT).

Methods

Interventional case report.

Results

A 36-year-old male presented with ICSC in his right eye. After a period of observation without resolution, he was treated with focal laser. That treatment resulted in a massive exacerbation of his subretinal fluid. PDT was successfully used to treat the severe exacerbation with rapid resolution of the subretinal fluid, improvement in visual acuity, decreased leakage on fluorescein angiography, and reduction of subretinal fluid on ophthalmoscopic exam and by optical coherence tomography.

Conclusions

Ophthalmologists should consider the use of PDT in cases where focal laser causes an exacerbation of subretinal fluid in ICSC.

Keywords: Idiopathic central serous chorioretinopathy, focal laser, photodynamic therapy.