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Positioning the obese or large-breasted patient for macular laser photocoagulation
1Charlotte Eye, Ear, Nose, and Throat Associates, Charlotte, North Carolina 28210, USA. djbrowning@carolina.rr.com
Purpose:
To report a positioning method for macular laser photocoagulation in obese or large-breasted patients.
Design:
Report of a laser technique.
Methods:
Review of clinical experience.
Setting:
Private retina practice.
Results:
Standing the patient up, leaning forward, and using the examination chair as buttocks support allows easier positioning of the obese or large-breasted patient in the slit lamp. The laser surgeon's hand manipulating the slit-lamp joystick does not fatigue, which allows more careful examination and treatment in these delicate cases.
Conclusions:
The technique described may allow more thorough diagnostic evaluation and focal laser treatment of obese and large-breasted patients with macular diseases.