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Subthreshold Laser Treatment for Serous Retinal Detachment Associated with Tilted Disc Syndrome
Yuko Minowa1, Kishiko Ohkoshi1, Yoko Ozawa1
1Ophthalmology Department, St. Luke's International Hospital, Tokyo, Japan.
Case Reports in Ophthalmology
|February 3, 2022
Summary
Subthreshold laser photocoagulation effectively treats persistent serous retinal detachment (SRD) in tilted disc syndrome (TDS). This treatment led to complete SRD resorption in most patients without significant vision loss.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Laser Therapy
Background:
- Persistent serous retinal detachment (SRD) is a recognized complication of tilted disc syndrome (TDS).
- Evaluating treatment options for SRD in TDS is crucial for preserving visual function.
- Subthreshold laser photocoagulation is a potential therapeutic modality for retinal conditions.
Observation:
- A retrospective study analyzed 5 eyes of 5 patients with TDS-associated SRD treated with subthreshold laser.
- The study monitored SRD absorption, recurrence, visual acuity, and macular thickness.
- Fundus autofluorescence and color fundus photography assessed treatment-related changes.
Findings:
- Complete SRD absorption occurred in 4 out of 5 eyes within 4 months.
- Two eyes experienced recurrence, with one requiring additional treatment and the other resolving spontaneously.
- A significant decrease in central macular thickness was observed at 3 months post-treatment.
- No laser-induced scotoma or retinal scarring was noted.
Implications:
- Subthreshold laser photocoagulation demonstrates efficacy in managing SRD associated with TDS.
- This treatment may be a viable option for extending clinical indications in managing TDS-related SRD.
- Further research can explore long-term outcomes and optimal parameters for this patient group.
