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 degrees and 4 degrees 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 mu m (P < .001) and in mean subretinal fluid thickness of -52.0 +/- 3.3 mu m (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.