James J. Bedrick, MD » CSCR mushroom cloud

Feb 25 2015 by James J. Bedrick, MD

Late transit FA of a large active subfoveal CSCR leak. Focus is on peri-foveal vessels to give sense of height of large serous RD of macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he was initially treated with rifampin and had partial resolution to 20/70 BCVA but this was short-lived with reaccumulation of the large serous detachment within 3 months. He then received sub-threshold micro-pulse laser photocoagulation with an 810 nm diode laser which resulted 1 month later in complete drying of the serous detachment and BCVA of 20/25.

Photographer: Diana Bodnar, COT

Imaging device: Topcon 50X with OIS capture station

Condition/keywords: CSCR subfoveal leak

Feb 25 2015 by James J. Bedrick, MD

Late transit FA of a large active subfoveal CSCR leak. Focus is on peri-foveal vessels to give sense of height of large serous RD of macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he was initially treated with rifampin and had partial resolution to 20/70 BCVA but this was short-lived with reaccumulation of the large serous detachment within 3 months. He then received sub-threshold micro-pulse laser photocoagulation with an 810 nm diode laser which resulted 1 month later in complete drying of the serous detachment and BCVA of 20/25.

Photographer: Diana Bodnar, COT

Imaging device: Topcon 50X with OIS capture station

Condition/keywords: CSCR subfoveal leak

Feb 23 2015 by James J. Bedrick, MD

Late transit FA of a large active sub-foveal CSCR leak. You may view this pair in stereo to appreciate the plume of leakage within this large serous RD of the macula. This patient presented with a BCVA of 20/200 and fluorescein and historic evidence of prior episodes of leakage. After discussion of known treatment options including observation, he elected to be treated initially with oral rifampin and BCVA improved to 20/40 with persistent metamorphosis and a shallower persistent macular detachment over several visits. Rifampin was discontinued and he then received sub-threshold micro-pulse laser photocoagulation with an 810 diode which resulted in the patient reporting full restoration of his vision subjectively within a month. He failed to keep his follow-up appointment.

Photographer: Diana Bodnar, COT

Imaging device: Topcon 50X with Merge capture station

Condition/keywords: CSCR subfoveal leak