Early laser photocoagulation for idiopathic central serous choroidopathy

Prolonged or recurrent serous detachment at the macula may cause permanent visual impairment in patients with idiopathic central serous choroidopathy. Early treatment and early resolution of the disease are therefore hypothesized to prevent this visual deficit. In this study, early laser photocoagulation of the leakage site in 25 patients with idiopathic central serous choroidopathy was performed, as compared to 25 control patients. The results of the study were promising. Rapid absorption of subretinal fluid was noted in the laser-treated group (2.37 +/- 1.63 weeks), compared to the untreated control group (7.55 +/- 4.17 weeks). Early visual recovery was also noted in the laser-treated group. Moreover, there was no recurrence in the treated group after a one-year follow-up period. Contrast this with the control group who showed cumulative recurrent probability of 70.84 per cent by using Kaplan Meier survival analysis.