Resolution of choroidal effusion and serous retinal detachment after PASCAL photocoagulation in a patient with diabetic retinopathy.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY

European Journal of Ophthalmology Pub Date : 2024-09-27 DOI:10.1177/11206721241287814

Bilgehan Erduran, Mertcan Esenkaya, Nurullah Koçak

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引用次数: 0

Abstract

Purpose: To present a rare case of PASCAL photocoagulation-induced choroidal effusion and serous retinal detachment in a patient with diabetic retinopathy.

Methods: A case report.

Case description: A 68-year-old man with type 2 diabetes mellitus presented with decreased vision in both eyes. His best corrected visual acuity (BCVA) was 0.39 logMAR units in both eyes. The patient underwent panretinal photocoagulation (PRP) in two quadrants of both eyes on the same day according to his fundus fluorescein angiography. Three days after the first session of PRP, the BCVA in his left eye deteriorated by 2.0 logMAR units. Fundoscopic examination detected a significant choroidal effusion in inferonasal quadrant of the left eye. A macular Spectral-Domain Optical Coherence Tomography (SD-OCT) scan showed a large macular serous retinal detachment in the left eye. Topical steroid, topical cycloplegic, and 64 mg oral methylprednisolone were initiated. Two weeks later, his BCVA returned to the level of the first visit with a completely resolved choroidal effusion and no subretinal fluid.

Conclusion: Considering the inflammatory and destructive mechanism of PRP, the laser operator should use the minimum power necessary to avoid possible chorioretinal complications.

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一名糖尿病视网膜病变患者在接受 PASCAL 光凝治疗后，脉络膜渗出和浆液性视网膜脱离得到缓解。

目的：介绍一例罕见的糖尿病视网膜病变患者因 PASCAL 光凝引起脉络膜渗出和浆液性视网膜脱离的病例：病例报告：一名 68 岁的 2 型糖尿病患者出现双眼视力下降。他的双眼最佳矫正视力（BCVA）为 0.39 logMAR 单位。根据眼底荧光素血管造影结果，患者在同一天接受了双眼两个象限的全视网膜光凝（PRP）治疗。第一次 PRP 治疗三天后，患者左眼的 BCVA 下降了 2.0 logMAR 单位。眼底镜检查发现左眼下象限有明显的脉络膜渗出。黄斑光谱域光学相干断层扫描（SD-OCT）扫描显示，左眼大面积黄斑浆液性视网膜脱离。医生开始使用局部类固醇、局部环磷酰胺和 64 毫克口服甲基强的松龙。两周后，他的视力恢复到初诊时的水平，脉络膜渗出完全消退，没有视网膜下积液：考虑到 PRP 的炎症和破坏机制，激光操作者应使用必要的最小功率，以避免可能出现的脉络膜视网膜并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.