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Central serous chorioretinopathy (CSC) is a common eye disease mainly involving the macular area, causing central visual acuity loss. Recently, subthreshold micropulse laser used in treating chronic CSC is proved to be safe and effective. However, some studies indicate that it's less effective than half dose photodynamic therapy (PDT). Certain physicians, including us, think that this may be related to micropulse laser parameters. Thus we need to explore better laser patterns to replace PDT in treating chronic CSC. The aim of this study is to compare the treatment effect of two different patterns of laser parameters (small and regular spot diameter) in treating chronic CSC. In this randomized, double blinded, controlled trial, by comparing the subretinal fluid regression ratio, central retinal thickness, macular microvisual field, macular vascular density, chroidal volume changes and visual acuity of two groups 6 months after micropulse laser treatment, we aim to evaluate the safety and efficacy of refined micropulse laser in treating chronic CSC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 100μm laser spot diameter group | Experimental |
| |
| 200μm laser spot diameter group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 100μm laser spot diameter micropulse laser | Procedure | 100μm laser spot diameter micropulse laser at baseline, then follow-up for 6 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subretinal fluid regression ratio | Comparing the subretinal fluid regression ratio of two groups at 6 months follow-up | 6 months |
| Central retinal thickness changes | Comparing the central retinal thickness changes of two groups at 6 months | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39557692 | Derived | Zhang Y, Wang J, Liu J, Gu X, Song S, Yu X. Three-dimensional choroidal characteristics in different subtypes of central serous chorioretinopathy using swept-source optical coherence tomography angiography. Graefes Arch Clin Exp Ophthalmol. 2025 Mar;263(3):689-697. doi: 10.1007/s00417-024-06691-8. Epub 2024 Nov 19. |
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| ID | Term |
|---|---|
| D056833 | Central Serous Chorioretinopathy |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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| 200μm laser spot diameter micropulse laser | Procedure | 200μm laser spot diameter micropulse laser at baseline, then follow-up for 6 months |
|