Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy
AIM: To evaluate the long-term effect and safety of focal laser photocoagulation treatment in eyes with polypoidal choroidal vasculopathy (PCV). METHODS: Medical records of 13 eyes of 13 patients with PCV were followed-up for more than 2y after focal laser photocoagulation treatment. The patients we...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2021-09-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2021/9/20210916.pdf |
| _version_ | 1819083724924387328 |
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| author | Sooyeon Choe Hyun Goo Kang Kyu Hyung Park Christopher Seungkyu Lee Se Joon Woo |
| author_facet | Sooyeon Choe Hyun Goo Kang Kyu Hyung Park Christopher Seungkyu Lee Se Joon Woo |
| author_sort | Sooyeon Choe |
| collection | DOAJ |
| description | AIM: To evaluate the long-term effect and safety of focal laser photocoagulation treatment in eyes with polypoidal choroidal vasculopathy (PCV). METHODS: Medical records of 13 eyes of 13 patients with PCV were followed-up for more than 2y after focal laser photocoagulation treatment. The patients were diagnosed with PCV using indocyanine green angiography, and eyes with other comorbid ocular diseases were excluded. The measurement outcomes of the study were the post-treatment regression and recurrence of polyps, complications, and changes in visual acuities. Paired t-test was performed to compare visual outcome before and after the treatment. RESULTS: The mean age of the 13 patients was 70.2±5.5y, and the follow-up period was 72.3±31.0 (range, 25-118)mo. Three eyes had juxtafoveal polyps and 10 eyes had extrafoveal polyps. Of the 13 eyes, 9 eyes (69.2%) had regression of polyps 1.7±1.2 (range, 0.9-4)mo after focal laser photocoagulation. Five eyes (55.6%) showed recurrence of polyps during the follow-up periods, and the recurrence period was 12.8±18.9 (range, 1.9-48)mo. Mild subretinal hemorrhage occurred in two eyes (15.4%) 27 and 72d after laser treatment, respectively. There were no statistically significant differences in visual acuities at baseline; 1, 2, 3y post-treatment (all P>0.05); and last follow-up (0.63±0.5, 0.73±0.70, 0.67±0.57, 0.75±0.7, and 0.95±0.8 logMAR, respectively). CONCLUSION: Focal laser photocoagulation is beneficial for early regression of polyps in eyes with PCV and does not result in significant submacular hemorrhage during the long-term follow-up. Furthermore, it can be primarily considered in eyes with PCV with extrafoveal or juxtafoveal polyps to regress risky polyps as well as to maintain visual acuity without serious hemorrhagic complications. |
| first_indexed | 2024-12-21T20:37:07Z |
| format | Article |
| id | doaj.art-9563f9ec5d644663bcb04a8a8a3d74bf |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-21T20:37:07Z |
| publishDate | 2021-09-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-9563f9ec5d644663bcb04a8a8a3d74bf2022-12-21T18:51:04ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982021-09-011491402140710.18240/ijo.2021.09.1620210916Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathySooyeon Choe0Hyun Goo Kang1Kyu Hyung Park2Christopher Seungkyu Lee3Se Joon Woo4Se Joon Woo. Department of Ophthalmology, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si 13620, Gyeonggi-do, Republic of Korea. sejoon1@snu.ac.kr; Christopher Seungkyu Lee. Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea. sklee219@yuhs.acDepartment of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Republic of KoreaDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 06273, Republic of Korea; Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaAIM: To evaluate the long-term effect and safety of focal laser photocoagulation treatment in eyes with polypoidal choroidal vasculopathy (PCV). METHODS: Medical records of 13 eyes of 13 patients with PCV were followed-up for more than 2y after focal laser photocoagulation treatment. The patients were diagnosed with PCV using indocyanine green angiography, and eyes with other comorbid ocular diseases were excluded. The measurement outcomes of the study were the post-treatment regression and recurrence of polyps, complications, and changes in visual acuities. Paired t-test was performed to compare visual outcome before and after the treatment. RESULTS: The mean age of the 13 patients was 70.2±5.5y, and the follow-up period was 72.3±31.0 (range, 25-118)mo. Three eyes had juxtafoveal polyps and 10 eyes had extrafoveal polyps. Of the 13 eyes, 9 eyes (69.2%) had regression of polyps 1.7±1.2 (range, 0.9-4)mo after focal laser photocoagulation. Five eyes (55.6%) showed recurrence of polyps during the follow-up periods, and the recurrence period was 12.8±18.9 (range, 1.9-48)mo. Mild subretinal hemorrhage occurred in two eyes (15.4%) 27 and 72d after laser treatment, respectively. There were no statistically significant differences in visual acuities at baseline; 1, 2, 3y post-treatment (all P>0.05); and last follow-up (0.63±0.5, 0.73±0.70, 0.67±0.57, 0.75±0.7, and 0.95±0.8 logMAR, respectively). CONCLUSION: Focal laser photocoagulation is beneficial for early regression of polyps in eyes with PCV and does not result in significant submacular hemorrhage during the long-term follow-up. Furthermore, it can be primarily considered in eyes with PCV with extrafoveal or juxtafoveal polyps to regress risky polyps as well as to maintain visual acuity without serious hemorrhagic complications.http://ies.ijo.cn/en_publish/2021/9/20210916.pdflong-term efficacypolypoidal choroidal vasculopathyfocal laser photocoagulation |
| spellingShingle | Sooyeon Choe Hyun Goo Kang Kyu Hyung Park Christopher Seungkyu Lee Se Joon Woo Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy International Journal of Ophthalmology long-term efficacy polypoidal choroidal vasculopathy focal laser photocoagulation |
| title | Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| title_full | Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| title_fullStr | Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| title_full_unstemmed | Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| title_short | Long-term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| title_sort | long term outcomes of focal laser photocoagulation for the treatment of polypoidal choroidal vasculopathy |
| topic | long-term efficacy polypoidal choroidal vasculopathy focal laser photocoagulation |
| url | http://ies.ijo.cn/en_publish/2021/9/20210916.pdf |
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