V Mathur1, Jks Parihar2, R Maggon3, S K Mishra4. 1. Classified Specialist, Command Hospital (EC), Kolkata. 2. Senior Advisor (Ophthalmology), Army Hospital (R&R) Delhi Cantt. 3. Classified Specialist (Ophthalmology), Command Hospital (WC), On Study leave (RP Centre, AIIMS). 4. Classified Specialist (Ophthalmology), On Study leave (RP Centre, AIIMS).
Abstract
BACKGROUND: To assess the efficacy of transpupillary thermo therapy (TTT) in cases of chronic central serous chorio- retinopathy (CSCR). METHODS: A prospective evaluation was carried out on 25 cases of chronic CSCR who were subjected to TTT. Resolution of CSCR and improvement in visual acuity was noted after six weeks of therapy. RESULT: Out of 25 patients, 13 (52%) had complete success (resolution of CSCR and improvement in visual acuity > 2 lines on Snellen's chart), 10 (42%) had qualified success (resolution of CSCR but no improvement in visual acuity) and two (8%) had failure to therapy (no resolution of CSCR or improvement in visual acuity). CONCLUSION: TTT maybe a good modality in aiding resolution of subretinal fluid in cases of chronic CSCR. However, improvement in visual function is dependent upon integrity of photo receptor layer of retina which is not influenced by this modality. A controlled study could be undertaken to compare outcome of TTT with conservative management in cases of early CSCR such that deleterious effects of chronic CSCR on the retinal photoreceptor layer are avoided.
BACKGROUND: To assess the efficacy of transpupillary thermo therapy (TTT) in cases of chronic central serous chorio- retinopathy (CSCR). METHODS: A prospective evaluation was carried out on 25 cases of chronic CSCR who were subjected to TTT. Resolution of CSCR and improvement in visual acuity was noted after six weeks of therapy. RESULT: Out of 25 patients, 13 (52%) had complete success (resolution of CSCR and improvement in visual acuity > 2 lines on Snellen's chart), 10 (42%) had qualified success (resolution of CSCR but no improvement in visual acuity) and two (8%) had failure to therapy (no resolution of CSCR or improvement in visual acuity). CONCLUSION: TTT maybe a good modality in aiding resolution of subretinal fluid in cases of chronic CSCR. However, improvement in visual function is dependent upon integrity of photo receptor layer of retina which is not influenced by this modality. A controlled study could be undertaken to compare outcome of TTT with conservative management in cases of early CSCR such that deleterious effects of chronic CSCR on the retinal photoreceptor layer are avoided.
Authors: Martin Gloesmann; Boris Hermann; Christian Schubert; Harald Sattmann; Peter K Ahnelt; Wolfgang Drexler Journal: Invest Ophthalmol Vis Sci Date: 2003-04 Impact factor: 4.799
Authors: M R Hee; C A Puliafito; C Wong; E Reichel; J S Duker; J S Schuman; E A Swanson; J G Fujimoto Journal: Am J Ophthalmol Date: 1995-07 Impact factor: 5.258