Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015, 159(1):120-123 | DOI: 10.5507/bp.2013.015
Treatment of central serous chorioretinopathy with beta-blocker metipranolol
- a Department of Ophthalmology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
- b Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno
Aim: The purpose of this study was to evaluate the effect of the systemically administered betablocker metipranolol on the course of central serous chorioretinopathy (CSC).
Methods: A prospective double-blind study involving 48 patients with a first attack of CSC not exceeding two weeks and who agreed to the follow-up ophthalmology examinations every week. The group was divided into a metipranolol group (n=23), receiving 10 mg of drug twice per day and a placebo group (n=25). The outcome measure was time in weeks from drug intervention (metipranolol vs. placebo) to reattachment of macula neuroepithelium.
Results: There was no statistically significant difference in duration of CSC in patients who used metipranolol and those who used placebo (P=0.341).
Conclusions: In a prospective double-blind study, we found no effect of the betablocker metipranolol on the duration of central serous chorioretinopathy.
Keywords: betablocker, central serous chorioretinopathy, metipranolol
Received: November 26, 2012; Accepted: February 26, 2013; Prepublished online: March 21, 2013; Published: March 9, 2015 Show citation
References
- Von Graefe A. Über centrale recidivierende Retinitis. Graefes Arch Clin Exp Ophthalmol 1866;12:211-5. Go to original source...
- Fabianova J, Porubska M, Cepilova Z. Centralna serozna chorioretinopatia- novy model etiopatogenezy. Cesk Slov Oftalmol 1998;54:405-88. Go to PubMed...
- Kondrova J. Centralni serozni chorioretinopatie. Cesk Slov Oftalmol 1995;51:304-9. Go to PubMed...
- Romani A, Bartolomei MP, Puccioni M, Malfatti P. Alterazione del senzo cromatico consegunte a corioretinopatia sierosa centrale. Ann Oftal Clin Oculist 1987;113:759-63.
- Brancato R, Bandello F. Central serous retinopathy (atypical forms). Bull Soc Belge Ophtalmol 1991;240:119-31. Go to PubMed...
- Harada T, Harada K. Six cases of central serous choroidopathy induced by systemic cortocosteroid therapy. Doc Ophthalmol 1985;60:37-44. Go to original source... Go to PubMed...
- Bandello F, Incorvaia C, Rosa N, Parmeggiani F, Costagliola C, Sebastini A. Bilateral central serous chorioretinopathy in a patient treated with systemic cortico-steroids for non-Hodgkin lymphoma. Eur J Ophthalmol 2002;12:123-6. Go to original source...
- Avci R, Deutman AF. Die Behandlung der zentralen serösen Choroidopathie mit dem Betarezeptorenblocker Metoprolol. Klin Monbl Augenheilkd 1993;202:199-205. Go to original source... Go to PubMed...
- Fabianova J, Porubska M, Cepilova Z. Centralna serozna chorioretinopatia- liecba betablokatormi. Cesk Slov Oftalmol 1998;54:401-4. Go to PubMed...
- Potts AM. An hypothesis on macular disease. Trans Am Acad Ophthalmol Otolaryngol 1966;70:1058-62.
- Miki T, Sunada I, Hagaki T. Studies on chorioretinitis induced in rabits by stress (Repeated administration of epinefrine). Acta Soc Ophthalmol Jpn 1972;76:1045-57.
- Nagayoski K. Experimental study of chorioretinopathy by intravenous injection of adrenaline. Acta Soc Ophthalmol Jpn 1971;75:1720-7.
- Yasuzumi T, Miki, T, Sugimoto K. Electron microscopic studies of epinefrine choroiditis in rabbits. I. pigment epithelium and Bruch's membrane in the healed stage. Acta Soc Ophthalmol Jpn 1974;78:588-98.
- Yannuzzi LA. Type- A behaviour and central serous chorioretinopathy. Retina 1987;7:111-30 Go to original source... Go to PubMed...
- Koh SWM, Chader GJ. Retinal pigment epithelium in culture demostrates a distinct beta- adrenergic receptor. Exp Eye Res 1984;38:7-13. Go to original source... Go to PubMed...
- Spitznas M. Pathogenesis of central serous retinopathy: a new working hypothesis. Graefes Arch Clin Exp Ophthalmol 1986;224:321-4. Go to original source... Go to PubMed...
- Chrapek O, Spackova K, Rehak J. Lecba centralni serozni chorioretinopatie betablokatory. Cesk Slov Oftalmol 2002;58:382-6. Go to PubMed...