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Central Serous Chorioretinopathy

Case 7-2 continued

Follow-up Examination

The patient elected to receive argon laser photocoagulation treatment in this eye/ applied to the leakage point observed on fluorescein angiography. On follow-up examination one month later, he described greatly improved vision and his acuity had returned to 20/25. Slit-lamp examination (D) showed that the retinal detachment had flattened* Fluorescein angiography (E) displayed hypofluorescence superior to the macula consistent with laser treatment, and mild surrounding hyperfluorescence.

Foltow-up Optical Coherence Tomography

A repeat OCT tomogram (F) taken through the same cross-section of the retina confirmed resolution of the serous detachment Additionally, the thickness of the neurosensory retina above the previous area of detachment had decreased from 300 to 250 fim consistent with the disappearance of the intra retina] edema. A concomitant increase in the optical backscatter signal from this region was also noted, A slight disturbance in the red band corresponding to the retinal pigment epithelium was seen consistent with a laser sear. The reflectivity from the photoreceptors in this area also appeared to be increased.

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