Please note that these cases and treatment are individualised, and different patients may have different recovery processes, different needs or number of treatment required.
Case 1
A 40-year-old gentleman has a history of persistent fluid in both eyes for 5 years. Tried trusopt eye drops with no effect on fluid. Patient has reported increasing subjective distortion of vision although visual acuity has been stable at 6/9.5 bilaterally. The patient underwent photodynamic therapy uneventfully and vision improved to 6/7.5 with improvements in subjective symptoms with a single therapy.
Pre PDT
Post PDT 2 weeks
Case 2
A 30-year-old gentleman who has persistent recurrent central serous retinopathy in both eyes, worse in the right. His vision was declining rapidly and he has recurrence of fluid in different regions of the macular every 4 weeks, particularly in the right eye. He had a course of antivegf therapy which controlled the progression of his disease with improvement of his vision by 2 lines.
RE
LE
Post Course of Antivegf Therapy
RE
LE
The selection of patients and planning of treatment, discussion of the implications of treatment, side effects and possible complications of each treatment is crucial in providing the best personalised care for treatment in central serous retinopathy. It is also important to closely monitor treatment responses and need for repeat treatment or switch to alternative treatment as necessary.
