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Published on: August 4, 2018
Multicolor pattern scan laser for diabetic retinopathy with cataract
Takao Hirano1, Yasuhiro Iesato1, Toshinori Murata1
1Department of Ophthalmology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
Aim:
To evaluate the ability of various laser wavelengths in delivering sufficient burns to the retina in eyes with cataract using a new multicolor pattern scan laser with green (532 nm), yellow (577 nm), and red (647 nm) lasers.
Methods:
The relationship between the Emery-Little (EL) degree of cataract severity and the laser wavelength required to deliver adequate burns was investigated in 102 diabetic eyes. Treatment time, total number of laser shots, and intra-operative pain were assessed as well.
Results:
All EL-1 grade eyes and 50% of EL-2 eyes were successfully treated with the green laser, while 50% of EL-2 eyes, 96% of EL-3 eyes, and 50% of EL-4 eyes required the yellow laser. The red laser was effective in the remaining 4% of EL-3 and 50% of EL-4 eyes.
Conclusion:
Longer wavelength lasers are more effective in delivering laser burns through cataract when we use a multicolor pattern scan laser system.
