How to treat plaque in the eye

The serous fluid in the eye, scientifically known as central serous chorioretinopathy, is a relatively harmful eye disease. There are many causes of this disease, among which it is closely related to the dysfunction of hemodynamic regulation. There are many treatment methods, and one of the better treatment methods is laser photocoagulation therapy, which is the preferred method for treating this disease.

1. Laser Photocoagulation

Laser photocoagulation of the leakage point is the first choice treatment for this disease. About a week after photocoagulation, the serous detachment of the neuroepithelium begins to subside and disappears completely within 2 to 3 weeks. However, this disease is a self-limiting disease with a tendency to heal on its own. If laser photocoagulation is used improperly, it may cause catastrophic consequences to the patient. Indications are as follows:

(1) There is obvious fluorescence leakage, the leakage point is located outside the optic disc-macular fiber bundle, more than 250 μm away from the central fovea, and the serous detachment is severe;

(2) Patients with a large area of ​​neuroepithelial detachment, accompanied by a pigment epithelial detachment with a diameter of more than 1 PD;

(3) Fluorescent leakage is still seen after the disease lasts for more than three months, and there is persistent serous detachment.

2. Photodynamic therapy (PDT)

Chronic CSC with pigment epithelial decompensation lasting more than 6 months and generally without clear leakage points can be treated with PDT, especially in patients with choroidal neovascular membrane. There are reports that for acute CSC, 30% to 60% of the dose of Visudin for treating wet age-related macular degeneration can be used, with other parameters remaining unchanged. This can effectively seal the leakage points, is safe and effective, and shortens the course of the disease. If the amount is large, it may induce neovascularization.

3. Medication

Drugs that reduce capillary permeability, such as vitamin C, E, rutin, and Anluoxue, can be tried. People with poor sleep can take oral sedatives. Adrenal cortical hormones can induce this disease or increase the serous leakage under the neuroepithelium, or even form vesicular retinal detachment, and are therefore contraindicated.