Chronic Central Serous Chorioretinopathy
Conditions
Keywords
microperimetry, fixation point, retinal sensitivity, photodynamic therapy, chronic central serous chorioretinopathy
Brief summary
A half-dose photodynamic therapy, a relative new treatment, has been widely performed to treat central serous chorioretinopathy. The researchers aimed to investigate whether the therapy improved the patient's visual acuity as well as the retinal sensitivity. The researchers also investigate which clinical factors, if any, were associated with the results; visual acuity or retinal sensitivity after the treatment.
Detailed description
The best-corrected visual acuity (BCVA), macular sensitivity, and fixation stability were evaluated at the baseline and at 1, 3, 6, and 12 months after the half-dose photodynamic therapy. The macular sensitivity and fixation stability were determined by MP-1 microperimetry (Nidek, Vigonza, Italy). The researchers analysed whether the BCVA and retinal sensitivity significantly improved or not. And if yes, the researchers were interested at which period after treatment the significant improvement was found. Also, the researchers investigated which improved first, BCVA or retinal sensitivity.
Interventions
photodynamic therapy (PDT) was performed using 3 mg/m2 body surface area of verteporfin (Visudyne, Novartis AG, Bülach, Switzerland) which is one-half the conventional dose of verteporfin. The verteporfin was infused over a 10 minute period followed by the delivery of 50 J/cm2 from a 689-nm laser system (Carl Zeiss, Dublin, CA) over an 83-second exposure time.
Sponsors
Study design
Eligibility
Inclusion criteria
* the presence of subretinal fluid involving the fovea in the Optical coherence tomographic (OCT) images * a serous retinal detachment of at least 6 months duration.
Exclusion criteria
* evidence of a choroidal neovascularization (CNV), polypoidal choroidal vasculopathy, or other maculopathy documented by fluorescein angiography or Indocyanine green angiography
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| best corrected visual acuity | one year |
Secondary
| Measure | Time frame |
|---|---|
| retinal sensitivity | one year |
Countries
Japan