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Related Experiment Video

Updated: Jul 15, 2026

Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate

Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate

Published on: September 11, 2013

Prophylaxis for retinal detachment: evidence or eminence based?

Andreas J Kreis¹, G William Aylward, Thomas J Wolfensberger

¹Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.

Retina (Philadelphia, Pa.)

|April 11, 2007

Summary

European retinal specialists often use prophylactic laser treatment for peripheral retinal lesions without strong evidence. More research is needed to guide clinical practice and ensure cost-effectiveness.

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Last Updated: Jul 15, 2026

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Published on: September 11, 2013

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Published on: March 7, 2025

Area of Science:

Ophthalmology
Retinal Surgery

Background:

Prophylactic laser treatment for peripheral retinal lesions is common practice.
Evidence supporting this treatment is limited to specific clinical situations.

Purpose of the Study:

To investigate current practice patterns of prophylactic laser treatment among European retinal specialists.
To understand the decision-making process for treating peripheral retinal lesions.

Main Methods:

A postal survey was distributed to members of the British and Eire Association of Vitreoretinal Surgeons (BEAVRS), the German Retinological Society, and Swiss retinal surgeons.
The questionnaire included 6 case scenarios assessing treatment preferences: prophylactic laser, clinical follow-up, or other options.

Main Results:

Response rates varied: 36% in the UK, 42% in Germany, and 83% in Switzerland.
A general trend emerged favoring prophylactic laser treatment for peripheral retinal lesions, even without robust supporting literature.

Conclusions:

The use of non-evidence-based prophylactic laser treatment for peripheral retinal lesions presents a significant clinical and economic challenge.
There is a clear need for more evidence-based data to develop definitive clinical guidelines.
Swiss retinal specialists demonstrated a high response rate, indicating engagement with medical questionnaires.