Boyko E V, Mal'tsev D S
Department of Ophthalmology, Military Medical Academy named after S.M. Kirov, Ministry of Defense of the Russian Federation, 5 Klinicheskaya St., Saint-Petersburg, Russian Federation, 194044; Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC 'Eye Microsurgery', 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283.
Department of Ophthalmology, Military Medical Academy named after S.M. Kirov, Ministry of Defense of the Russian Federation, 5 Klinicheskaya St., Saint-Petersburg, Russian Federation, 194044.
Vestn Oftalmol. 2016;132(3):56-60. doi: 10.17116/oftalma2016132356-60.
Aim - to prove the feasibility of focal navigated laser photocoagulation (LP) for central serous chorioretinopathy (CSC) that relies only on the data provided by optical coherence tomography (OCT) without considering fluorescein angiography (FA).
Two patients with CSC were treated with focal navigated LP (NAVILAS laser system) basing on macular OCT findings (RTVue 100). Before the procedure, FA was not performed.
In both cases the leaking point was recognized by a solitary focal detachment of the pigment epithelium in 'en face' OCT scans. OCT images were then imported into the laser photocoagulator unit and superimposed on the basic image of the fundus, thus, enabling accurate focal LP. In both cases the serous retinal detachment resolved completely within 9-14 days.
In some CSC patients, 'en face' OCT data allow focal navigated laser photocoagulation without prior fluorescein angiography.
目的——证明仅依靠光学相干断层扫描（OCT）提供的数据，而不考虑荧光素血管造影（FA）的情况下，聚焦导航激光光凝术（LP）治疗中心性浆液性脉络膜视网膜病变（CSC）的可行性。
两名CSC患者基于黄斑OCT检查结果（RTVue 100）接受了聚焦导航LP（NAVILAS激光系统）治疗。术前未进行FA检查。
在这两例病例中，“正面”OCT扫描显示色素上皮的孤立性局灶性脱离可识别渗漏点。然后将OCT图像导入激光光凝器单元并叠加在眼底基础图像上，从而实现精确的聚焦LP。两例病例中，浆液性视网膜脱离均在9 - 14天内完全消退。
在一些CSC患者中，“正面”OCT数据可在无需事先进行荧光素血管造影的情况下进行聚焦导航激光光凝术。
