Treatment of Patients with Central Serous Chorioretinopathy using Navigated Laser Photocoagulation

Authors: Jan Tesař; Martin Šín
Authors place of work: Department of Ophthalmology, 1st Faculty of Medicine of Charles University and Military University Hospital, Prague, Czech Republic
Published in the journal: Čes. a slov. Oftal., 81, 2025, No. 4, p. 198-203
Category: Původní práce
doi: https://doi.org/10.31348/2025/11

Summary

Aim: To report the results of treatment of patients with central serous chorioretinopathy treated with a Navilas laser.

Material and Methods: We retrospectively evaluated the results of the treatment of 39 eyes of 37 patients with acute form of central serous chorioretinopathy, who did not respond to conventional treatment. In these patients we performed focal laser treatment at the point of leakage (hotspot) using a Navilas guided laser.

Results: 3 patients did not report for the check-up, of the remaining 36 eyes, complete liquid absorption was achieved in 32. Retreatment was necessary in 2 patients, choroidal neovascularization developed in one patient, and in one patient fluid absorption was not achieved even after retreatment.

Conclusion: Focal laser treatment of hotspots in patients with central serous chorioretinopathy is still a very effective treatment method. Juxtafoveolar lesions can also be treated with a high degree of safety using a Navilas navigation laser.