Grid Pattern Laser Treatment for Atypical Chronic Recurrent Central Serous Chorioretinopathy-Case Report

柵狀雷射治療在非典型慢性復發性中心漿液性脈絡膜視網膜病變的應用

吳昱愷(Yu-Kai Wu) ； 鄭成國(Cheng-Kuo Cheng)

《中華民國眼科醫學會雜誌》 47卷1期 (2008/03) Pp. 61-67

https://doi.org/10.30048/ACTASOS.200803.0009

摘要

目的：報告一個柵狀雷射在非典型慢性復發性中心漿液性脈絡膜視網膜病變的應用
方法：回溯性觀察臨床病例報告
結果：一位51歲男性這六年來左眼的黃斑部有慢性復發性中心漿液性脈絡膜視網膜病變，左眼最佳矯正視力為2/60 (+0.5D)。在眼底螢光血管攝影檢查並沒有看到明顯的螢光滲漏處，網膜斷層掃描可以看到在黃斑部有視網膜下積水，所以便安排他接受左眼柵狀雷射治療。在治療十三天後網膜斷層掃描可以看到黃斑部視網膜下積水明顯的減少，治療一個月後的眼底螢光血管攝影追蹤也沒有看到新的滲漏，直至治療十六個月後的眼底螢光血管攝影及網膜斷層掃描追蹤都沒有發現到新的病灶。
結論：我們提出這個非典型慢性復發性中心漿液性脈絡膜視網膜病變的病例報告，雖然在眼底螢光血管攝影下沒有明顯的滲漏點，給予病患柵狀雷射治療仍然可以改善病人的症狀。

並列摘要

Purpose: To report an application of grid laser photocoagulation for atypical chronic recurrent central serous chorioretinopathy
Method: Retrospective observational case report
Case report: A 51-year-old man had recurrent chronic central serous chorioretinopathy involving the fovea on his left eye for about 6 years. The best- corrected visual acuity of his left eye was 2/60 (+0.5D). Under fluorescein angiography examination, the leaking point was hard to identify and optical coherence tomography (OCT) revealed a pocket of subretinal fluid (SRF) in the macula which was connected to the hyperflurescent area. A grid pattern laser photo- coagulation with argon laser was performed to cover the whole decompensated retinal pigment epithelial area of his left eye. Rapid improvement was detected 13 days later under OCT. Fluorescein angiography 1 month later revealed no further SRF leakage and only pigment mottling changes. After 16 months of follow-up, there was no evidence of recurrence.
Conclusion: This report revealed that even if there is no obvious leaking point, grid pattern laser seems to have the role for the treatment of atypical chronic central serous chorioretinopathy.

並列關鍵字

Grid laser ； central serous chorioretinopathy