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September 1973

Exudative Senile Maculopathy: I. Results of Argon Laser Treatment

Author Affiliations

From the Wilmer Ophthalmological Institute, the Johns Hopkins University and Hospital, Baltimore. Dr. Schatz is now at 2340 Clay St, San Francisco.

Arch Ophthalmol. 1973;90(3):183-196. doi:10.1001/archopht.1973.01000050185003

Seventy-one eyes with exudative senile maculopathy (hemorrhagic or serous detachment of the pigment epithelium in patients 50 years and older) were managed and studied with fluorescein angiography and treated with argon laser photocoagulation. Perifoveal-macular "horseshoe" treatment was done for foveal lesions and direct treatment was done for extrafoveal lesions. The prognosis for vision is comparatively reduced when the lesion is foveal rather than extrafoveal, when the detachment is hemorrhagic rather than serous, and when a subretinal neovascular membrane is present (as shown by fluorescein angiography preoperatively) rather than when it is absent. Postoperatively, patients were reevaluated and follow-up examinations with the use of fluorescein angiography were done.