Central Serous Chorioretinopathy
Conditions
Keywords
chronic central serous chorioretinopathy, multifocal electroretinogram, central retinal function after treatment in chronic serous chorioretinopathy
Brief summary
This study is a comparison of multifocal electroretinogram assessment between the laser treatment group and the photodynamic therapy group in chronic central serous chorioretinopathy.
Detailed description
1. Laser Group: extrafoveal focal leakage on FAG 2. PDT Group: no definite focal leak on FAG subfoveal or juxtafoveal focal leakage on FAG, or serous retinal pigmentary epithelial detachment involving foveal center Inclusion criteria 1. Chronic serous chorioretinopathy (over 3 months) when subretinal fluid persisted in the subfoveal region demonstrated by clinical examination and OCT 2. Ability to maintain steady fixation for mfERG 3. Presence of abnormal dilated choroidal vasculature in ICGA 4. Symptom duration over 3 months Exclusion criteria 1. previous PDT or laser treatment history 2. evidence of Choriinal neovascularization in FAG 3. other chorioretinal disorders that can cause macular exudation such as age-related macular degeneration, pathologic myopia, angioid streaks, trauma, inflammatory diseases, retinal vasculopathies, and hereditary dystrophies follow-up Visit 1)baseline 2)1month 3)3months 4)6 months each visit: multifocal electroretinogram, visual acuity, optical coference timography should be measured.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. CSC (over 3 months) when subretinal fluid persisted in the subfoveal region demonstrated by clinical examination and OCT 2. Ability to maintain steady fixation for mfERG 3. Presence of abnormal dilated choroidal vasculature in ICGA 4. Symptom duration over 3 months
Exclusion criteria
1. Previous PDT or laser treatment history 2. Evidence of CNV in FAG 3. Other chorioretinal disorders that can cause macular exudation such as age-related macular degeneration, pathologic myopia, angioid streaks, trauma, inflammatory diseases, retinal vasculopathies, and hereditary dystrophies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Multifocal Electroretinogram Amplitudes | baseline, 1 month, 3 months, 6 months | Amplitude at first annular ring at multifocal electroretinogram RETIscan (Roland Consult, Wiesbaden, Germany) is used for multifocal retinogram. The recording protocol was chosen according to the International Society for Clinical Electro-physiology of Vision (ISCEV) guidelines. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Best Corrected Visual Acuity | baseline, 1 month, 3 months, 6 months | Best-corrected visual acuities were obtained with Snellen charts. Snellen's visual acuity was converted logarithm of the minimum angle of resolution (logMAR) for statistical analysis. |
Countries
South Korea
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Photodynamic Therapy | 12 |
| Focal Laser Photocoagulation | 12 |
| Total | 24 |
Baseline characteristics
| Characteristic | Focal Laser Photocoagulation | Photodynamic Therapy | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 12 Participants | 12 Participants | 24 Participants |
| Age Continuous | 44.26 years STANDARD_DEVIATION 5.89 | 42.35 years STANDARD_DEVIATION 6.89 | 43.31 years STANDARD_DEVIATION 7.89 |
| Region of Enrollment Korea, Republic of | 12 participants | 12 participants | 24 participants |
| Sex: Female, Male Female | 1 Participants | 1 Participants | 2 Participants |
| Sex: Female, Male Male | 11 Participants | 11 Participants | 22 Participants |
Outcome results
Multifocal Electroretinogram Amplitudes
Amplitude at first annular ring at multifocal electroretinogram RETIscan (Roland Consult, Wiesbaden, Germany) is used for multifocal retinogram. The recording protocol was chosen according to the International Society for Clinical Electro-physiology of Vision (ISCEV) guidelines.
Time frame: baseline, 1 month, 3 months, 6 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Photodynamic Therapy | Multifocal Electroretinogram Amplitudes | 1 month | 29.7 microvolts | Standard Deviation 7.2 |
| Photodynamic Therapy | Multifocal Electroretinogram Amplitudes | 6 months | 40.3 microvolts | Standard Deviation 6.7 |
| Photodynamic Therapy | Multifocal Electroretinogram Amplitudes | 3 months | 39.9 microvolts | Standard Deviation 8.7 |
| Photodynamic Therapy | Multifocal Electroretinogram Amplitudes | baseline | 28.4 microvolts | Standard Deviation 8.6 |
| Focal Laser Photocoagulation | Multifocal Electroretinogram Amplitudes | 3 months | 37.6 microvolts | Standard Deviation 10.9 |
| Focal Laser Photocoagulation | Multifocal Electroretinogram Amplitudes | 6 months | 38.6 microvolts | Standard Deviation 12.3 |
| Focal Laser Photocoagulation | Multifocal Electroretinogram Amplitudes | 1 month | 36.1 microvolts | Standard Deviation 13.6 |
| Focal Laser Photocoagulation | Multifocal Electroretinogram Amplitudes | baseline | 32.2 microvolts | Standard Deviation 10.46 |
Best Corrected Visual Acuity
Best-corrected visual acuities were obtained with Snellen charts. Snellen's visual acuity was converted logarithm of the minimum angle of resolution (logMAR) for statistical analysis.
Time frame: baseline, 1 month, 3 months, 6 months
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Photodynamic Therapy | Best Corrected Visual Acuity | baseline | 0.22 logMAR | Standard Deviation 0.17 |
| Photodynamic Therapy | Best Corrected Visual Acuity | 1 month | 0.07 logMAR | Standard Deviation 0.02 |
| Photodynamic Therapy | Best Corrected Visual Acuity | 3 months | 0.05 logMAR | Standard Deviation 0.02 |
| Photodynamic Therapy | Best Corrected Visual Acuity | 6 months | 0.05 logMAR | Standard Deviation 0.02 |
| Focal Laser Photocoagulation | Best Corrected Visual Acuity | 6 months | 0.04 logMAR | Standard Deviation 0.02 |
| Focal Laser Photocoagulation | Best Corrected Visual Acuity | baseline | 0.15 logMAR | Standard Deviation 0.13 |
| Focal Laser Photocoagulation | Best Corrected Visual Acuity | 3 months | 0.04 logMAR | Standard Deviation 0.02 |
| Focal Laser Photocoagulation | Best Corrected Visual Acuity | 1 month | 0.08 logMAR | Standard Deviation 0.14 |