tailieunhanh - Báo cáo y học: "Half-dose verteporfin photodynamic therapy for bullous variant of central serous chorioretinopathy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Half-dose verteporfin photodynamic therapy for bullous variant of central serous chorioretinopathy: a case report. | Ng et al. Journal of Medical Case Reports 2011 5 208 http content 5 1 208 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Half-dose verteporfin photodynamic therapy for bullous variant of central serous chorioretinopathy a case report Winnie WK Ng Zenith HY Wu and Timothy YY Lai Abstract Introduction Central serous chorioretinopathy is characterized by serous neurosensory detachment of the macula and it usually resolves spontaneously with good visual prognosis. In some patients however the serous retinal detachment might be very extensive and can result in bullous exudative retinal detachment. We evaluated the use of half-dose verteporfin photodynamic therapy for the treatment of bullous retinal detachment in idiopathic central serous chorioretinopathy. Case presentation We report the case of a 51-year-old Chinese man who presented with blurred vision in his right eye and superior visual field defect due to bullous variant of central serous chorioretinopathy. No improvement in vision and retinal detachment was noted after three months of observation and a short course of oral acetazolamide. He was then treated with half-dose verteporfin photodynamic therapy and his visual acuity improved from 20 70 to 20 25 within one month of treatment. Three months after photodynamic therapy there was complete resolution of sub-retinal fluid and bullous retinal detachment. No recurrence of central serous chorioretinopathy was noted in three years of follow-up. Conclusion We report the beneficial effect of photodynamic therapy with half-dose verteporfin as a treatment option for bullous retinal detachment caused by central serous chorioretinopathy. Introduction Central serous chorioretinopathy CSC is characterized by serous neurosensory detachment of the macula and it usually resolves spontaneously with good visual prognosis. In some patients however the serous retinal detachment might be very extensive and a large amount of sub-retinal fluid .