Stellate Ganglion Block for Treatment of Central Serous Chorioretinopathy

중심성 장액 맥락망막증의 성상신경절 차단요법 1예

  • Kim, Chang-Sung (Pain Clinic, Department of Anesthesiology, KangNam St. Mary Hospital Catholic University Medical College) ;
  • Park, Chong-Min (Pain Clinic, Department of Anesthesiology, KangNam St. Mary Hospital Catholic University Medical College) ;
  • Suh, Jae-Hyun (Pain Clinic, Department of Anesthesiology, KangNam St. Mary Hospital Catholic University Medical College) ;
  • Kim, Sung-Nyeun (Pain Clinic, Department of Anesthesiology, KangNam St. Mary Hospital Catholic University Medical College)
  • 김창성 (가톨릭대학교 의과대학 마취과 강남성모병원 통증치료실) ;
  • 박종민 (가톨릭대학교 의과대학 마취과 강남성모병원 통증치료실) ;
  • 서재현 (가톨릭대학교 의과대학 마취과 강남성모병원 통증치료실) ;
  • 김성년 (가톨릭대학교 의과대학 마취과 강남성모병원 통증치료실)
  • Published : 1995.11.25

Abstract

Central serous chorioretinopathy is a relatively benign condition of young to middle-aged men, characterized by serous detachment of central retina as a consequence of focal leakage of fluid from the choriocapillaris through a defect in the retinal pigment epithelium. Approximately 80% of central serous chorioretinopathy undergo spontaneous resolution within 6 months. However 20 to 30% of patients with central serous chorioretinopathy have one or more recurrences and undergo chronic courses. In these cases laser photocoagulation is used to burn the leakage site directly, but there is no evidence that it reduces the chance of permanent loss of visual function and recurrence. We have administered stellate ganglion blocks (SGB) on a 43 year old male patient with central serous chorioretinopathy with multiple recurrences and experienced good results. We therefore recommend SGB as an effective treatment for central serous chorioretinopathy in conjunction with other ophthalmological treatments.

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