[Clinical relevance of a dosage device for laser photocoagulation]

Fundus reflectometry constitutes a procedure with which dosage can be precisely regulated during the coagulation process. During retinal coagulation, for example, it is possible with this method to administer coagulations of uniform intensity regardless of variations in either the quality of the fundus image or the absorption of the pigmented structures. This can be useful for coagulation procedures which have to be confined for the most part to the pigment epithelium, as for example in the treatment of central serous retinopathy or in panretinal photocoagulation, where the functional therapeutic principle is still not clearly understood. Another area of application for reflectometric laser coagulation will be laser trabeculoplasty, in which barely detectable lesions have to be placed in the trabecular meshwork.