Coriorretinopatía central serosa
DOI:
https://doi.org/10.70313/2718.7446.v17.n03.342Palavras-chave:
coriorretinopatia serosa central, terapia com laser de micropulsos, terapia fotodinâmica com verteporfinaResumo
A coriorretinopatia serosa central é uma patologia ocular que afeta a mácula, é caracterizada pela acumulacão de líquido sub-retiniano e pode afetar a visão central e, desta forma, modificar também a qualidade de vida dos pacientes. Ocorre devido a uma descompensação do epitélio pigmentar da retina e alterações vasculares da coróide. É uma causa comum de perda de visão central que afeta principalmente homens entre 20 e 60 anos.
Até à data, não foi alcançado consenso sobre a sua classificação e foi proposta uma grande variedade de intervenções, reflectindo a controvérsia associada ao tratamento deste problema. A recente publicação de ensaios clínicos randomizados com poder estatístico adequado, bem como grandes estudos retrospectivos não randomizados de seu tratamento, sugerem a viabilidade de uma abordagem baseada em evidências na hora de considerar opções terapêuticas. A eficácia de muitas estratégias de tratamento foi relatada, como terapia fotodinâmica com verteporfina, antagonistas mineralocorticóides orais e tratamento com laser micropulsado. Contudo, as evidências atualmente disponíveis sugerem que a terapia com laser de micropulsos e a terapia fotodinâmica devem ser o tratamento de escolha na coriorretinopatia crónica, enquanto a espera vigilante pode ser a abordagem preferida na sua manifestação aguda. Contudo, exceções podem ser consideradas dependendo das características específicas de cada paciente.
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