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This meeting has been awarded 20 CME credits

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Low fluence indocyanine green mediated photothrombosis(IMP) in the treatment of chronic central serous chorioretinopathy(CCSC)

Session Details

Session Title: FP-14 Vascular Diseases and Diabetic Retinopathy IV

Session Date/Time: Saturday 13/09/2014 | 16:30-18:00

Paper Time: 17:18

Venue: Boulevard F

First Author: : N.Saxena INDIA

Co Author(s): :       V. Garg   A. Supriya   A. Seth   M. Thakkar  

Abstract Details

Purpose:

To assess the efficacy and safety of low fluence IMP in the treatment of CCSC in terms of resorption of sub-retinal fluid, improvement of Visual Acuity(VA), complications and side-effects associated with the procedure.

Setting:

All patients underwent complete systemic and ocular examination including Visual Acuity (snellen's chart), Slit lamp Biomicroscopy using 90D and indirect ophthalmoscopy, Optical Coherence Tomography (spectral-domain), Fundus Fluorescein Angiography and contrast sensitivity(F.A.C.T. chart).

Methods:

Interventional, prospective, non-comparative case series of 15 patients with CCSC with active leakage site and neurosensory detatchment (NSD0 of more than 3 months duration. All patients were submitted to single IMP session with 2 mg/kg body weight ICG and application of not more than 5.6 w/cm2 of irradiance of light at 810 nm. Patients were followed up for 4 months and were evaluated in terms of Best Corrected Visual Acuity (BCVA), optical coherence tomography, fundus fluorescein angiography and contrast sensitivity.

Results:

The mean Visual Acuity improved from (0.25) baseline to 0.6 at 4 months. Complete resolution of NSD occured in 13 (81%) patients, while resolution of leak was observed in 88.8 % of the patients at 4 months. Retinal whitening was noted in two patients immediately following the procedure and one patient reported a decrease in vision.

Conclusions:

Low Fluence IMP may prove to be safe and relatively safe treatment modality in Chronic Central Serous Chorioretinopathy.

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