Central serous chorioretinopathy treated with navigated retinal laser photocoagulation: visual acuity and retinal sensitivity

BACKGROUND AND OBJECTIVE: To evaluate the effect of navigated retinal laser photocoagulation on visual acuity (VA) and retinal sensitivity in eyes with acute central serous chorioretinopathy (CSC). PATIENTS AND METHODS: Prospective, noncomparative, interventional case series of 30 eyes of 29 patients with acute CSC were treated using navigated photocoagulation. Patients were monitored for 180 days. RESULTS: Mean VA improved from 0.3 ± 0.1 to 0.1 ± 0.1 logMAR ( P < .001). Mean retinal sensitivity within central 8° and 4° improved from 9.4 ± 4.7 dB to 14.9 ± 3.6 dB and from 9.0 ± 5.6 dB to 14.6 ± 4.2 dB respectively ( P < .001). In all cases, a decrease in mean central retinal thickness of −50.6 ± 2.9 µm ( P < .001) and in mean subretinal fluid thickness of −52.0 ± 3.3 µm ( P < .001) was observed during follow-up. CONCLUSION: Navigated retinal laser photocoagulation demonstrated safety and accuracy for the treatment of acute CSC. VA and retinal sensitivity evaluations showed a significant improvement associated with resolution of the subretinal fluid during follow-up. [ Ophthalmic Surg Lasers Imaging Retina . 2015;46:349–354.]