Subthreshold Laser Treatment for Serous Retinal Detachment Associated with Tilted Disc Syndrome

Persistent serous retinal detachment (SRD) is a common complication of tilted disc syndrome (TDS). The purpose of this study is to evaluate the efficacy of subthreshold laser photocoagulation for SRD associated with TDS. This retrospective, single-center study included 5 eyes of 5 patients with TDS-associated SRD treated by subthreshold laser treatment. SRD was completely absorbed in 4 eyes within 4 months after initial treatment. However, it recurred in 2 eyes; one required additional laser treatment and one showed spontaneous resolution. Eventually, all 4 eyes showed complete SRD resorption. The mean visual acuities at enrollment and 1 and 3 months showed no significant differences. The mean central macular thickness showed a significant decrease at 3 months. Two eyes showed changes in fundus autofluorescence findings at the laser ablation site. However, there were no instances of laser scotoma and no laser-induced retinal scarring on color fundus photography performed at the end of treatment. In conclusion, subthreshold laser photocoagulation is an effective treatment for SRD associated with TDS. Thus, the clinical indications of subthreshold laser photocoagulation may be extended to SRD in patients with TDS.

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Macular serous retinal detachment caused by subretinal leakage in tilted disc syndrome

Ophthalmology ◽

10.1016/s0161-6420(98)91024-7 ◽

1998 ◽

Vol 105 (10) ◽

pp. 1831-1834 ◽

Cited By ~ 59

Author(s):

Salomon Y Cohen ◽

Gabriel Quentel ◽

Brigitte Guiberteau ◽

Corinne Delahaye-Mazza ◽

Alain Gaudric

Keyword(s):

Retinal Detachment ◽

Serous Retinal Detachment ◽

Tilted Disc Syndrome ◽

Tilted Disc

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SUBTHRESHOLD LASER TREATMENT FOR SEROUS RETINAL DETACHMENT IN DOME-SHAPED MACULA ASSOCIATED WITH PATHOLOGIC MYOPIA

Retina ◽

10.1097/iae.0000000000001524 ◽

2018 ◽

Vol 38 (2) ◽

pp. 359-363 ◽

Cited By ~ 6

Author(s):

Maurizio Battaglia Parodi ◽

Pierluigi Iacono ◽

Francesco Bandello

Keyword(s):

Retinal Detachment ◽

Laser Treatment ◽

Serous Retinal Detachment ◽

Pathologic Myopia ◽

Subthreshold Laser

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Tilted Disc Syndrome Associated with Serous Retinal Detachment: Long-term Prognosis. A Retrospective Multicenter Survey

American Journal of Ophthalmology ◽

10.1016/j.ajo.2019.05.027 ◽

2019 ◽

Vol 207 ◽

pp. 313-318 ◽

Cited By ~ 1

Author(s):

Fumihiro Kubota ◽

Tetsuyuki Suetsugu ◽

Aki Kato ◽

Fumi Gomi ◽

Seiji Takagi ◽

...

Keyword(s):

Retinal Detachment ◽

Serous Retinal Detachment ◽

Tilted Disc Syndrome ◽

Multicenter Survey ◽

Long Term Prognosis ◽

Tilted Disc

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Selective retina therapy (SRT) for macular serous retinal detachment associated with tilted disc syndrome

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-020-04931-1 ◽

2020 ◽

Author(s):

Kumiko Hirayama ◽

Manabu Yamamoto ◽

Takeya Kohno ◽

Akika Kyo ◽

Dirk Theisen-Kunde ◽

...

Keyword(s):

Retinal Detachment ◽

Serous Retinal Detachment ◽

Selective Retina Therapy ◽

Tilted Disc Syndrome ◽

Tilted Disc

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Photodynamic therapy and subthreshold micropulse laser treatment – A novel combined approach for the treatment of serous retinal detachment in dome-shaped macula

Photodiagnosis and Photodynamic Therapy ◽

10.1016/j.pdpdt.2020.101895 ◽

2020 ◽

Vol 31 ◽

pp. 101895 ◽

Cited By ~ 1

Author(s):

Vittorio Pirani ◽

Paolo Pelliccioni ◽

Alfonso Giovannini ◽

Michele Nicolai ◽

Claudia Cesari ◽

...

Keyword(s):

Photodynamic Therapy ◽

Retinal Detachment ◽

Laser Treatment ◽

Serous Retinal Detachment ◽

Combined Approach ◽

Micropulse Laser ◽

Subthreshold Micropulse Laser

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Clinical Signs, Imaging, Diagnosis and Differential Diagnosis of Rhegmatogenous Retinal Detachment

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0157 ◽

2019 ◽

pp. 154-162

Keyword(s):

Differential Diagnosis ◽

Retinal Detachment ◽

Ultrasound Imaging ◽

Rhegmatogenous Retinal Detachment ◽

Fundus Autofluorescence ◽

Clinical Signs ◽

Vitreous Hemorrhage ◽

Fundus Photography ◽

Visual Field Defects ◽

Wide Field

Photopsia, floaters, visual field defects, loss in visual acuity, periocular pain, and dyschromatopsia are symptoms of rhegmatogenous retinal detachment in which early signs are Weiss ring, pigmented cells in anterior vitreous (tobacco dust sign), a general decrease in intraocular pressure and retinal detachment in a convex configuration. On the other hand, the demarcation line, secondary retinal cysts, and proliferative vitreoretinopathy are some of the late findings of detachment. Imaging of the retina is crucial in rhegmatogenous retinal detachment. Fundus photography, wide-field imaging systems, optical coherence tomography, and fundus autofluorescence tomography are beneficial for documentation and monitoring progression. Ultrasound imaging, computerized tomography, and magnetic resonance imaging may be helpful when the retina cannot be visualized in cases like vitreous hemorrhage and dense cataract. Diagnosis can be made with indirect ophthalmoscopy with indentation, and ultrasound imaging in an opaque medium. Differential diagnosis of rhegmatogenous retinal detachment is exudative and tractional detachment, as well as lesions that can mimic retinal detachment such as retinoschisis, intraretinal macrocysts, choroidal detachment, vitreous opacities and white with or without pressure lesions.

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Choroidal thickness and vessel pattern in myopic eyes with dome-shaped macula

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2021-319066 ◽

2021 ◽

pp. bjophthalmol-2021-319066

Author(s):

Pierre Negrier ◽

Aude Couturier ◽

David Gaucher ◽

Sara Touhami ◽

Guillaume Le Guern ◽

...

Keyword(s):

Optical Coherence Tomography ◽

Retrospective Study ◽

Retinal Detachment ◽

Choroidal Thickness ◽

Serous Retinal Detachment ◽

Wide Field ◽

Macular Area ◽

The Mean ◽

Choroidal Vessels ◽

Bulge Height

AimTo analyse the choroidal thickness (CT) and vessel pattern of myopic patients with dome-shaped macula (DSM) and their association with the DSM axis and serous retinal detachment (SRD).MethodsRetrospective study. The CT and vessel pattern were assessed on optical coherence tomography (OCT), OCT-angiography and ultra-wide-field photography.Results27 eyes of 18 subjects (mean age: 65 years) were included. Compared with the 11 eyes (41%) with horizontal DSM, the 16 eyes (59%) with vertical DSM had a shorter axial length (25.8±2 mm vs 28.3±2.5 mm; p=0.01), a higher mean macular bulge height (624.4±207 µm vs 255.4±160.3 µm; p=0.0001) and a thicker CT (183.1±91.1 µm vs 72±38.3 µm; p<0.001). Large choroidal vessels crossed the macular area in 75% of eyes with vertical DSM vs 27% of eyes with horizontal DSM (p=0.02), whereas a watershed zone framing the macula was more often seen in horizontal DSM (72% vs 25%, p=0.02). Thirteen eyes (48%) had an SRD that was not associated with the DSM axis, the mean bulge height, the CT or the vessel pattern.ConclusionThe presence of an SRD did not correlate with the DSM axis, the CT or the vessel pattern. However, the rate of large choroidal vessels crossing the macula was higher in vertical DSM than in horizontal DSM.

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Effects of dexamethasone treatment on serous retinal detachment in ranibizumab-resistant diabetic macular edema

Therapeutic Advances in Ophthalmology ◽

10.1177/2515841420971936 ◽

2020 ◽

Vol 12 ◽

pp. 251584142097193

Author(s):

Alper Halil Bayat ◽

Mustafa Nuri Elçioğlu

Keyword(s):

Retinal Detachment ◽

Macular Edema ◽

Diabetic Macular Edema ◽

Serous Retinal Detachment ◽

Dexamethasone Treatment ◽

Intravitreal Dexamethasone Implant ◽

Significant Difference ◽

The Mean ◽

Baseline Characteristics ◽

Intravitreal Dexamethasone

Purpose: To evaluate outcome of intravitreal dexamethasone implant (IDI) treatment on serous retinal detachment (SRD) in patients with ranibizumab-resistant diabetic macular edema (DME). Materials and methods: Forty-eight eyes of 48 patients with DME resistant to ranibizumab were enrolled in this retrospective and comparative study. Patients were divided into two groups according to presence of serous retinal detachment: (1) SRD or (2) non-SRD groups. All patients had at least three monthly ranibizumab injections, after which they were treated with IDI. The best-corrected visual acuity (BCVA), central retinal thickness (CRT), use of antiglaucomatous drugs, and presence of cataract progression were noted at 1, 3, and 6 months post-IDI treatment. Results: There was not any statistically significant difference in terms of baseline characteristics of the patients. The mean CRT was declined in both groups at 1, 3, and 6 months ( p < 0.001). After IDI treatment, the mean BCVA was improved in both groups at 1, 3, and 6 months ( p < 0.001). When groups were compared, the change in CRT was higher in the SRD group ( p = 0.018), while there was no statistically significant difference between groups in terms of BCVA changes ( p = 0.448). Conclusion: The presence of SRD resulted in higher anatomical gain. SRD had no effects on visual changes after dexamethasone treatment in patients with ranibizumab-resistant DME.

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Macular Development in Aggressive Posterior Retinopathy of Prematurity

BioMed Research International ◽

10.1155/2015/808639 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Hemang K. Pandya ◽

Lisa J. Faia ◽

Joshua Robinson ◽

Kimberly A. Drenser

Keyword(s):

Birth Weight ◽

Laser Treatment ◽

Gestational Age ◽

Retinopathy Of Prematurity ◽

Laser Photocoagulation ◽

Posterior Pole ◽

Close Proximity ◽

Postmenstrual Age ◽

The Mean ◽

Anterior Posterior

Purpose. To report anatomic outcomes after early and confluent laser photocoagulation of the entire avascular retina, including areas in close proximity to the fovea, in patients with APROP. We aspire to demonstrate fundoscopic evidence of transverse growth and macular development following laser treatment in APROP.Methods. Retrospective review of 6 eyes with APROP that underwent confluent laser photocoagulation of the entire avascular retina. Photographic fundoscopic imaging was performed using the RetCam to compare outcomes after treatment.Results. Mean birth weight and gestational age were 704.8 g and 24.33 weeks, respectively. There were 2 females and 1 male. The average time to laser was 9.3 weeks after birth, with the mean postmenstrual age of 34 weeks. Two eyes had zone 1 and 4 eyes had posterior zone 2 disease. Three eyes developed 4A detachments, which were successfully treated. All 6 eyes experienced transverse growth, with expansion of the posterior pole and anterior displacement of the laser treatment.Conclusion. Confluent photocoagulation of the entire avascular retina, regardless of foveal proximity, should be the mainstay for treating APROP. Examination should be conducted within 5–10 days to examine areas previously hidden by neovascularization to ensure prudent therapy. Macular development involves both transverse and anterior-posterior growth.

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