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Selective retina therapy for subretinal fluid associated with choroidal nevus.
Am J Ophthalmol Case Rep. 2020 Sep; 19:100794.AJ

Abstract

Purpose

To report a case of a patient with subretinal fluid (SRF) associated with choroidal nevus (CN), who was treated with selective retina therapy (SRT) and ultimately achieved resolution of the SRF.

Observations

A 41-year-old man with SRF associated with CN in his right eye (RE) underwent ophthalmologic evaluation, including optic coherence tomography, fluorescein angiography (FA) and indocyanine green angiography. The best corrected visual acuity (BCVA) converted to the logarithm of the minimum angle of resolution (logMAR) was 0.00 in the RE. SRT (532 nm, 1.7 μs pulse duration, 30 pulses in 100Hz; Medical Laser Center Lübeck) was performed with the laser spots equally distributed across the FA leakage area. Until 20 months SRT was repeated several times because the SRF decreased every time in response to SRT, but was not completely resolved and sometimes increased with time. After performing 6 times of SRT session, leakage on FA stopped at 21 months follow-up and SRF was resolved at 31 months. At 60 months after the first SRT, there were no signs of malignant transformation, no SRF, and the BCVA in the RE was 0.22.

Conclusions and Importance

SRT seems to be a useful treatment and proper clinical studies are necessary to establish the best treatment protocol for SRF associated with CN.

Authors+Show Affiliations

Department of Ophthalmology and Visual Science, Osaka City University Graduate School of Medicine, Osaka, Japan.Medical Laser Center Lübeck, Lübeck, Germany. Institute of Biomedical Optics, University of Lübeck, Lübeck, Germany. Department of Ophthalmology University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.Department of Ophthalmology and Visual Science, Osaka City University Graduate School of Medicine, Osaka, Japan.Department of Ophthalmology and Visual Science, Osaka City University Graduate School of Medicine, Osaka, Japan.Department of Ophthalmology and Visual Science, Osaka City University Graduate School of Medicine, Osaka, Japan.Medical Laser Center Lübeck, Lübeck, Germany.Medical Laser Center Lübeck, Lübeck, Germany. Institute of Biomedical Optics, University of Lübeck, Lübeck, Germany.Department of Ophthalmology and Visual Science, Osaka City University Graduate School of Medicine, Osaka, Japan.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32637732

Citation

Yamamoto, Manabu, et al. "Selective Retina Therapy for Subretinal Fluid Associated With Choroidal Nevus." American Journal of Ophthalmology Case Reports, vol. 19, 2020, p. 100794.
Yamamoto M, Miura Y, Kyo A, et al. Selective retina therapy for subretinal fluid associated with choroidal nevus. Am J Ophthalmol Case Rep. 2020;19:100794.
Yamamoto, M., Miura, Y., Kyo, A., Hirayama, K., Kohno, T., Theisen-Kunde, D., Brinkmann, R., & Honda, S. (2020). Selective retina therapy for subretinal fluid associated with choroidal nevus. American Journal of Ophthalmology Case Reports, 19, 100794. https://doi.org/10.1016/j.ajoc.2020.100794
Yamamoto M, et al. Selective Retina Therapy for Subretinal Fluid Associated With Choroidal Nevus. Am J Ophthalmol Case Rep. 2020;19:100794. PubMed PMID: 32637732.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Selective retina therapy for subretinal fluid associated with choroidal nevus. AU - Yamamoto,Manabu, AU - Miura,Yoko, AU - Kyo,Akika, AU - Hirayama,Kumiko, AU - Kohno,Takeya, AU - Theisen-Kunde,Dirk, AU - Brinkmann,Ralf, AU - Honda,Shigeru, Y1 - 2020/06/23/ PY - 2020/02/07/received PY - 2020/06/01/revised PY - 2020/06/12/accepted PY - 2020/7/9/entrez PY - 2020/7/9/pubmed PY - 2020/7/9/medline KW - Choroidal tumor KW - Laser therapy KW - Retinal disorder KW - Retinal pigment epithelium SP - 100794 EP - 100794 JF - American journal of ophthalmology case reports JO - Am J Ophthalmol Case Rep VL - 19 N2 - Purpose: To report a case of a patient with subretinal fluid (SRF) associated with choroidal nevus (CN), who was treated with selective retina therapy (SRT) and ultimately achieved resolution of the SRF. Observations: A 41-year-old man with SRF associated with CN in his right eye (RE) underwent ophthalmologic evaluation, including optic coherence tomography, fluorescein angiography (FA) and indocyanine green angiography. The best corrected visual acuity (BCVA) converted to the logarithm of the minimum angle of resolution (logMAR) was 0.00 in the RE. SRT (532 nm, 1.7 μs pulse duration, 30 pulses in 100Hz; Medical Laser Center Lübeck) was performed with the laser spots equally distributed across the FA leakage area. Until 20 months SRT was repeated several times because the SRF decreased every time in response to SRT, but was not completely resolved and sometimes increased with time. After performing 6 times of SRT session, leakage on FA stopped at 21 months follow-up and SRF was resolved at 31 months. At 60 months after the first SRT, there were no signs of malignant transformation, no SRF, and the BCVA in the RE was 0.22. Conclusions and Importance: SRT seems to be a useful treatment and proper clinical studies are necessary to establish the best treatment protocol for SRF associated with CN. SN - 2451-9936 UR - https://www.unboundmedicine.com/medline/citation/32637732/Selective_retina_therapy_for_subretinal_fluid_associated_with_choroidal_nevus L2 - https://linkinghub.elsevier.com/retrieve/pii/S2451-9936(20)30130-4 DB - PRIME DP - Unbound Medicine ER -
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