Patient's question:
BR>06 August, right eye vision sharply declined to 0.15, with visual distortion. Is there a fast, economical, and effective treatment method? Duration and persistence of the current illness: 06 August - 06 September Current general condition: Right eye vision 0.25, visual distortion Medical history: High myopia Previous diagnosis, treatment, and outcomes: Diagnosed with macular edema at Jinan Eye Hospital. Auxiliary examinations: Normal ECG, normal five-item routine tests, normal liver function. OCT and fundus angiography findings showed: In the arterial phase of the right eye, a tuft-like strong fluorescence was observed in the macular area (neovascularization), with deep fluorescence obscuration spots around it (hemorrhage) in the late phase.Doctor's answer:
Central Serous Chorioretinopathy [Diagnostic Key Points]1. Vision loss, hazy vision, object miniation, metamorphopsia, hypermetropia, and dark shadows in the visual field.
2. Amsler grid test showing comparative or absolute central or para-central scotomas, bent lines, and shrunken grid squares.
3. Darkened macular color in fundus examination, unclear foveal reflex, and exudation or edema.
4. Fundus angiography revealing typical fluorescence leakage in the macular area.
[Treatment Key Points]
1. Mild lesions or those near the foveal center may be allowed to resolve spontaneously.
2. Severe lesions may undergo laser photocoagulation treatment.
3. Adjunctive systemic neurotrophic drugs and vitamins.
4. Corticosteroids and potent vasodilators are contraindicated.
5. Traditional Chinese medicine.