Efficacy of reduced-fluence photodynamic therapy for serous retinal pigment epithelial detachment with choroidal hyperpermeability

• Published in: Clinical ophthalmology (Auckland, N.Z.) Vol. 7; no. default; pp. 2123 - 2126
• Main Authors: Shibata, Asako, Ohkuma, Yasuhiro, Hayashi, Takaaki, Tsuneoka, Hiroshi
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2013; Taylor & Francis Ltd; Dove Press; Dove Medical Press
• Subjects: Angiography; Cancer; Care and treatment; Case Series; Case studies; central serous chorioretinopathy; Diagnosis; Health aspects; Ophthalmology; Photochemotherapy; Photodynamic therapy; pigment epithelial detachment; reduced-fluence photodynamic therapy; Retinal detachment; Japan; reduced-fluence photodynamic therapy; central serous chorioretinopathy; pigment epithelial detachment
• ISSN: 1177-5467; 1177-5483; 1177-5483
• DOI: 10.2147/OPTH.S52475

Very few reports have addressed methods of treatment for idiopathic serous (IS) pigment epithelial detachment (PED). The purpose of this report was to describe clinical courses of two patients with ISPED in whom reduced-fluence photodynamic therapy (RFPDT) was performed. Two patients (a 38-year-old woman and a 42-year-old man) were diagnosed with ISPED. In both patients, indocyanine green angiography revealed an area of choroidal vascular hyperpermeability including hyperfluorescent PED, which was evident at the subfoveal area. Both patients underwent RFPDT at an energy of 25 J/cm(2). The PED was seen to have resolved 1 month after the treatment and visual acuity was maintained or improved. There was no posttreatment recurrence of PED after 6 months to 1 year, and no treatment-related adverse events were observed. RFPDT may be an effective and safe method of treatment for ISPED with choroidal vascular hyperpermeability.