Optical Coherence Tomography-Guided Focal Navigated Laser Photocoagulation in Central Serous Chorioretinopathy: A Non-Inferiority Study.
Dmitrii S Maltsev, Alexei N Kulikov, Nikita A Blohin et al.
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In 30 seconds
This prospective nonrandomized noninferiority study evaluated the efficacy and safety of en face optical coherence tomography (OCT)-guided laser photocoagulation in patients with nonresolving central serous chorioretinopathy (CSCR). The study found that complete resolution of subretinal fluid (SRF) at 3 months was achieved in 84.6% of the OCT-guided group and 81.3% of the FA-guided group, indicating noninferior outcomes.
Key findings
- Complete resolution of SRF at 3 months was 84.6% in the OCT-guided group vs 81.3% in the FA-guided group (p = .62).
- Mean LogMAR BCVA improved from 0.16 to -0.03 in the OCT group (p < .001).
- Mean central retinal thickness decreased from 379.1 µm to 227.1 µm in the OCT group (p < .001).
- No adverse events were reported in either treatment group.
Why it matters
The findings suggest that OCT-guided laser photocoagulation is a safe and effective alternative to traditional FA-guided treatment for CSCR, potentially offering clinicians a new tool for managing this condition.