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[En face' optical coherence tomography guided focal navigated laser photocoagulation]
1Department of Ophthalmology, Military Medical Academy named after S.M. Kirov, Ministry of Defense of the Russian Federation, 5 Klinicheskaya St., Saint-Petersburg, Russian Federation, 194044; Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC 'Eye Microsurgery', 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283.
Focal navigated laser photocoagulation is feasible for central serous chorioretinopathy using only optical coherence tomography (OCT) data. This approach avoids the need for fluorescein angiography, simplifying treatment for some patients.
Area of Science:
- Ophthalmology
- Medical Technology
Background:
- Central serous chorioretinopathy (CSC) is a condition affecting vision.
- Traditional treatments often involve fluorescein angiography (FA).
Observation:
- This study explored using optical coherence tomography (OCT) alone for navigated laser photocoagulation (LP) in CSC.
- Two patients with CSC were treated using the NAVILAS laser system guided by OCT findings.
Findings:
- 'En face' OCT scans identified the specific leakage points in both patients.
- Accurate focal LP was achieved by integrating OCT data into the laser system.
- Complete resolution of serous retinal detachment occurred within 9-14 days post-treatment.
Implications:
- Optical coherence tomography ('en face' OCT) can guide focal navigated laser photocoagulation for CSC.
- This technique may eliminate the need for fluorescein angiography in select CSC cases.
- It offers a potentially streamlined approach to managing central serous chorioretinopathy.
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