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Updated: May 27, 2025

Regenerative Therapy by Suprachoroidal Cell Autograft in Dry Age-related Macular Degeneration: Preliminary In Vivo Report

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Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic

Jeffrey A Brown¹, Louis Z Cai¹, Jesse D Sengillo¹

¹Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

Case Reports in Ophthalmology

|February 21, 2025

Summary

Demarcation laser photocoagulation (DLP) stabilized retinal detachments in asymptomatic patients. However, symptomatic patients often experienced progression, necessitating further treatment.

Keywords:

Asymptomatic retinal detachment Demarcation laser photocoagulation Limited retinal detachment

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Published on: February 15, 2022

Area of Science:

Ophthalmology
Retinal Diseases
Surgical Techniques

Background:

Demarcation laser photocoagulation (DLP) is an underutilized treatment for limited retinal detachments.
This study evaluates the outcomes of DLP in a cohort of patients at a single academic center.

Observation:

The study reviewed 10 eyes of 10 patients treated with DLP.
Five patients were asymptomatic, while five presented with symptomatic retinal detachment.
Follow-up ranged from 1 to 8 years.

Findings:

Asymptomatic patients showed stable retinal detachment without progression.
In symptomatic patients, retinal detachment progressed through the laser demarcation in the majority.
Two symptomatic patients required subsequent vitreoretinal surgery, with successful retinal reattachment.

Implications:

DLP may be a viable option for stabilizing retinal detachments in asymptomatic individuals.
For symptomatic retinal detachments, DLP's efficacy appears limited, with a high rate of progression.
Further research is needed to define the optimal role of DLP in managing retinal detachments.