Landa Gennady
Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Med Hypothesis Discov Innov Ophthalmol. 2018 Winter;7(4):190-194.
The purpose of this study was to report the resolution of persistent Sub-Retinal Fluid (SRF) induced by subthreshold micropulse laser treatment in a patient, formerly treated for rhegmatogenous retinal detachment by retinal pneumopexy. The case was a 41-year-old male, who initially presented macula-splitting rhegmatogenous retinal detachment and corrected distance visual acuity of 20/40 in his left eye. He was treated by retinal pneumopexy and laser retinopexy. Retina was flattened and vision improved to 20/30. However, the subretinal fluid (SRF) under the fovea was persistently observed on repeated retinal exams. Fourteen months after the initial pneumopexy, subthreshold micropulse laser was applied to cover the entire area of the SRF. The improvement started two weeks afterwards and the SRF completely resolved within four months after the application of micropulse laser. Corrected distance visual acuity improved from 20/30 to 20/20, accompanied by marked improvement in patient's complaints on visual blurriness. The patient was followed up for three years and no recurrence of SRF was noted. The findings of this report indicate that subthreshold micropulse laser may serve as a therapeutic option for persistent SRF, which may be observed after successful retinal detachment repair.
本研究的目的是报告在一名曾接受视网膜气液交换术治疗孔源性视网膜脱离的患者中，阈下微脉冲激光治疗诱导的持续性视网膜下液（SRF）的消退情况。该病例为一名41岁男性，最初表现为黄斑劈裂性孔源性视网膜脱离，左眼矫正远视力为20/40。他接受了视网膜气液交换术和激光视网膜固定术治疗。视网膜变平，视力提高到20/30。然而，在多次视网膜检查中持续观察到黄斑下的视网膜下液（SRF）。在初次气液交换术后14个月，应用阈下微脉冲激光覆盖SRF的整个区域。两周后开始改善，微脉冲激光应用后四个月内SRF完全消退。矫正远视力从20/30提高到20/20，同时患者视物模糊的主诉有明显改善。对该患者进行了三年随访，未发现SRF复发。本报告的研究结果表明，阈下微脉冲激光可作为持续性SRF的一种治疗选择，持续性SRF可能在视网膜脱离修复成功后出现。
