PMID- 20842519 OWN - NLM STAT- MEDLINE DCOM- 20110218 LR - 20220409 IS - 1573-2622 (Electronic) IS - 0012-4486 (Print) IS - 0012-4486 (Linking) VI - 121 IP - 3 DP - 2010 Dec TI - Efficacy of topical dorzolamide for treatment of cystic macular lesions in a patient with enhanced S-cone syndrome. PG - 231-40 LID - 10.1007/s10633-010-9247-9 [doi] AB - The purpose of this study was to evaluate the efficacy of topical dorzolamide 2% eye drops on macular function and thickness in a case of enhanced S-cone syndrome (ESCS). A 24-year-old Asian man with enhanced S-cone syndrome treated with topical dorzolamide in the left eye participated in the study. Examinations performed before and during treatment were included visual acuity (VA), contrast sensitivity measured with briefly presented grating targets (grating CS) and the Pelli-Robson chart (P-R CS), microperimetry (MP), and spectral-domain optical coherence tomography (SD-OCT). Following 4 months of treatment, the mean thickness of the central 1-mm foveal subfield of the left eye, as measured by SD-OCT, decreased from 551 to 242 mum. Mean MP sensitivity within the central 12 degrees (28 points) increased from 9.4 dB at baseline to 11.2 dB. Although Pelli-Robson contrast sensitivity improved only minimally in the left eye, grating contrast sensitivity improved by more than a factor of two. Mean log MAR VA was 0.22 OD and 1.00 OS (at baseline), which improved to 0.10 OD and 0.66 OS after 4 months of treatment. The results indicate that in our patient with enhanced S-cone syndrome, treatment with topical dorzolamide was effective in improving macular thickness, VA, microperimetry sensitivity, and grating contrast sensitivity. These measures of retinal structure and function are sensitive tools for evaluating the effects of treatment in enhanced S-cone syndrome patients with cystoid macular edema. Further investigation is warranted to assess the relationships among visual performance for daily activities, visual sensitivity, and macular thickness. FAU - Genead, Mohamed A AU - Genead MA AD - Department of Ophthalmology and Visual Sciences (MC 648), University of Illinois at Chicago, Room 3.85, Eye and Ear Infirmary, 1855 W Taylor Street, Chicago, IL 60612-7234, USA. FAU - Fishman, Gerald A AU - Fishman GA FAU - McAnany, J Jason AU - McAnany JJ LA - eng GR - P30 EY001792/EY/NEI NIH HHS/United States GR - R00 EY019510/EY/NEI NIH HHS/United States GR - EY019510/EY/NEI NIH HHS/United States GR - EYO1792/PHS HHS/United States GR - K99 EY019510/EY/NEI NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100915 PL - Netherlands TA - Doc Ophthalmol JT - Documenta ophthalmologica. Advances in ophthalmology JID - 0370667 RN - 0 (Carbonic Anhydrase Inhibitors) RN - 0 (Sulfonamides) RN - 0 (Thiophenes) RN - 9JDX055TW1 (dorzolamide) SB - IM MH - Administration, Topical MH - Carbonic Anhydrase Inhibitors/*administration & dosage MH - Contrast Sensitivity MH - Humans MH - Macular Edema/*complications/*drug therapy/physiopathology MH - Male MH - *Retinal Cone Photoreceptor Cells MH - Retinal Diseases/complications/*diagnosis/*drug therapy/physiopathology MH - Sulfonamides/*administration & dosage MH - Syndrome MH - Thiophenes/*administration & dosage MH - Tomography, Optical Coherence/methods MH - Treatment Outcome MH - Visual Acuity MH - Visual Field Tests MH - Young Adult PMC - PMC3688632 MID - NIHMS481804 EDAT- 2010/09/16 06:00 MHDA- 2011/02/22 06:00 PMCR- 2013/06/20 CRDT- 2010/09/16 06:00 PHST- 2010/07/08 00:00 [received] PHST- 2010/08/20 00:00 [accepted] PHST- 2010/09/16 06:00 [entrez] PHST- 2010/09/16 06:00 [pubmed] PHST- 2011/02/22 06:00 [medline] PHST- 2013/06/20 00:00 [pmc-release] AID - 10.1007/s10633-010-9247-9 [doi] PST - ppublish SO - Doc Ophthalmol. 2010 Dec;121(3):231-40. doi: 10.1007/s10633-010-9247-9. Epub 2010 Sep 15.