Clinical cases of treatment of central serous chorioretinopathy: diagnosis and treatment

Several clinical cases of central serous chorioretinopathy (CSC) in young patients are presented. This disease is of considerable interest to ophthalmology, because it is in this age group that it manifests itself most actively and can lead to a persistent decrease in visual functions. The study involved patients with a characteristic clinical picture of CSF, in whom a local detachment of the sensorineural layer of the retina was identified during the examination. To verify the diagnosis and determine treatment tactics, a modern diagnostic algorithm was used, including optical coherence tomography (OCT), which allows visualizing structural changes in the retina, and fluorescence angiography (PHAG), which accurately determined the localization of filtration points and fluid seepage through the pigment epithelium. Based on the diagnostic data obtained, laser intervention was performed in patients with an active filtration point that remained under dynamic monitoring. The technique consisted in the precise application of laser coagulates directly into the seepage zone, which ensured the blocking of pathological filtration. In the postoperative period, careful monitoring of patients' condition was carried out using control ophthalmological examinations. The results showed that laser intervention led to significant regression of exudative detachment and complete restoration of the anatomical structure of the retina in all treated patients. Dynamic observation using OCT diagnostics confirmed the stability of the achieved anatomical results, which correlated with an improvement in functional parameters. The data obtained indicate the high efficiency of retinal laser coagulation in the treatment of CSC in young patients, especially in cases with a clearly identifiable filtration point. A comprehensive diagnostic approach using modern imaging techniques and subsequent targeted laser intervention make it possible to achieve not only anatomical restoration of retinal structures, but also a significant improvement in visual functions. The presented clinical observations confirm the expediency of active treatment tactics for this pathology and demonstrate good long-term treatment results.