Journal of the Korean Ophthalmological Society 2007;48(7):919-924.
Published online July 31, 2007.
Results Following Transpupillary Thermotherapy for Choroidal Neovascularization.
Jun Mo Lee, Ji Eun Keum, Sung Chul Lee
1Department of Ophthalmology, Siloam Hospital, Seoul, Korea. eyejune@medigate.net
2Department of Ophthalmology, Yonsei University, College of Medicine, Seoul, Korea.
연령관련황반변성에서 발생한 맥락막신생혈관에서 경동공온열치료의 효과
이준모1,금지은2,이성철2
Department of Ophthalmology, Siloam Hospital1, Seoul, Korea Department of Ophthalmology, Yonsei University, College of Medicine2, Seoul, Korea
Correspondence:  이준모
Abstract
PURPOSE
To determine whether transpupillary thermotherapy can achieve significant efficacy in maintaining vision without significant adverse effects when used to treat age-related macular degeneration associated with choroidal neovascularization. METHODS: Retrospective chart reviews were made for 33 eyes of 32 patients diagnosed with age-related macular degeneration, and who had received transpupillary thermotherapy due to the development of choroidal neovascularization. Transpupillary thermotherapy was performed 1.4 times on average. RESULTS: Three months after the final therapy, 6 eyes (18%) showed improved vision, 11 eyes (34%) showed no change in vision, and 16 eyes (48%) showed worsening of vision. Of the 21 eyes of 21 patients who were available for optical coherence tomography before and after transpupillary thermotherapy, 19 eyes (90.5%) showed reduced macula thickness, and fundus photographs taken during the latest hospital visit revealed 11 eyes showing fibrosis. CONCLUSIONS: Although it negatively influences subretinal fluid absorption, transpupillary thermotherapy is effective in stabilizing choroidal neovascularization and improving visual accuracy in a short period of time. Thus, further study is warranted.
Key Words: Age-related macular degeneration;Choroidal neovascularization;Transpupillary thermotherapy


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