Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Central Serous Chorioretinopathy (CSCR) is a retinal disorder characterized by serous detachment of the neurosensory retina due to fluid leakage from the choroid through a defect in the retinal pigment epithelium (RPE). Affecting predominantly individuals between 20 and 50 years and more commonly males, CSCR can lead to significant visual impairment. Diagnosis involves clinical examination and imaging techniques such as optical coherence tomography (OCT) and fluorescein angiography (FA). Treatment varies from conservative management to interventional approaches like laser photocoagulation, aiming to expedite resolution and improve visual outcomes. This study aims to compare the effectiveness of laser photocoagulation versus conservative methods in treating CSCR. A prospective study was conducted at a tertiary healthcare center from November 2019 to March 2020, including patients diagnosed with acute or chronic CSCR. Patients were divided into two groups: those receiving laser photocoagulation and those managed conservatively. Outcomes such as time to resolution of CSCR, visual acuity improvement, and OCT thickness reduction were measured over a six‐month follow‐up period. Statistical analysis was performed to compare outcomes between the groups. Laser photocoagulation resulted in significantly better visual acuity improvement (0.20±0.08 Log MAR vs. 0.10±0.07 Log MAR, P = 0.001) and OCT thickness reduction (140±35μm vs. 80±28μm, P = 0.001) compared to conservative treatment. Time to resolution was shorter (6.2±1.5 weeks vs. 12.4±2.3 weeks, P<0.001) and recurrence rates were lower (16.7% vs. 40%, P = 0.02) in the laser group. Laser photocoagulation is significantly more effective than conservative methods in treating CSCR, leading to better visual outcomes, quicker resolution and lower recurrence rates. However, potential complications such as retinal scarring should be considered.
How to cite this article:
R. Rinita, S.A. Arsha Ressal, Biju Gopal, Mathew Tony and P. Rajeevan. Effective Comparison of Laser Photocoagulation vs Conservative Methods in the Treatment of CSCR.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.236.241
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.236.241