Topical Dexamethasone as an Adjuvant to Mineralocorticoid Receptor Antagonists for the Treatment of Recalcitrant Central Serous Chorioretinopathy

BACKGROUND AND OBJECTIVE: A previous report demonstrated efficacy of mineralocorticoid antagonist with adjuvant topical dexamethasone (MRA+DEX) in resolving subretinal fluid (SRF) in a chronic central serous chorioretinopathy (CSCR) patient. This pilot study investigates the use of MRA+DEX to treat...

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Veröffentlicht in:Ophthalmic surgery, lasers & imaging retina. - 2013. - 53(2022), 12 vom: 01. Dez., Seite 659-665
1. Verfasser: Wong, Amanda (VerfasserIn)
Weitere Verfasser: Zhu, Daniel, Li, Albert S, Lee, Jessica G, Ferrone, Philip J
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:Ophthalmic surgery, lasers & imaging retina
Schlagworte:Journal Article Mineralocorticoid Receptor Antagonists Eplerenone 6995V82D0B Dexamethasone 7S5I7G3JQL
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520 |a BACKGROUND AND OBJECTIVE: A previous report demonstrated efficacy of mineralocorticoid antagonist with adjuvant topical dexamethasone (MRA+DEX) in resolving subretinal fluid (SRF) in a chronic central serous chorioretinopathy (CSCR) patient. This pilot study investigates the use of MRA+DEX to treat recalcitrant, chronic CSCR patients 
520 |a STUDY DESIGN: Retrospective review of chronic, recalcitrant CSCR patients unresponsive to MRA alone who were treated with MRA+DEX and followed for up to 3 months. Apical SRF thickness and visual acuity were measured 
520 |a RESULTS: Ten eyes of eight chronic, recalcitrant patients were included with an average follow-up of 109 days. Mean percent reduction in apical fluid thickness at one month and at last follow-up after adding dexamethasone (DEX) was 33% and 52%, respectively. Five eyes (50%) achieved complete resolution of SRF. Three eyes (30%) showed partial response and two (20%) eyes had no response. There was no significant change in visual acuity 
520 |a CONCLUSIONS: MRA+DEX decreased SRF in some recalcitrant, chronic CSCR patients. Large prospective studies are needed to evaluate the utility of MRA+DEX in these chronic CSCR patients. [Ophthalmic Surg Lasers Imaging Retina 2022;53:659-665.] 
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700 1 |a Zhu, Daniel  |e verfasserin  |4 aut 
700 1 |a Li, Albert S  |e verfasserin  |4 aut 
700 1 |a Lee, Jessica G  |e verfasserin  |4 aut 
700 1 |a Ferrone, Philip J  |e verfasserin  |4 aut 
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