PHOTODYNAMIC THERAPY IN RETINAL PIGMENT EPITHELIUM DETACHMENT ASSOCIATED WITH LONG TERM CENTRAL SEROUS CHORIORETINOPATHY TERAPIA FOTODINÁMICA EN DEP AVASCULAR ASOCIADO A CORIORRETINOPATÍA SEROSA CENTRAL DE LARGA EVOLUCIÓN

Purpose: To present a case of long term central serous corioretinopathy associated with chronic detachment of the retinal pigment epithelium (RPE) and the effect of photodynamic therapy on it. Case clinic: We present the case of a 46-year old man with long term chronic central serous chorioretinopathy (18 mo.) with chronic detachment of RPE in his left eye who underwent PDT with Verteporfin (Visudyne). BCVA improved from 0.7 to 1 and metamorphopsia disappeared within one month of treatment. The patient remained asymptomatic for a follow-up period of 15 months. Discussion: Choroidal hyperpermeability is found in central serous chorioretinopathy as a primary involvement factor. PDT with Verteporfin induces a transient reduction in choriocapilaris blood flow and can be used as treatment in cases of chronic central serous chorioretinopathy (Arch Soc Esp Oftalmol 2008; 83: 545-548).