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Diode laser contact transscleral retinal photocoagulation: a clinical study
D A McHugh1, S Schwartz, J G Dowler
1Moorfields Eye Hospital, London.
The British Journal of Ophthalmology
|December 1, 1995
Summary
Transscleral diode laser photocoagulation effectively treats retinal detachments and giant retinal tears. This method achieves satisfactory chorioretinal adhesion with minimal complications, confirming its clinical potential.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Laser Therapy
Background:
- Surgical retinal conditions, including retinal detachments and giant retinal tears, require effective treatment modalities.
- Transscleral retinal photocoagulation is a technique used in managing these conditions.
Purpose of the Study:
- To evaluate the clinical efficacy of contact transscleral retinal photocoagulation utilizing a diode laser.
- To assess the effectiveness of this laser therapy in achieving chorioretinal adhesion for specific retinal conditions.
Main Methods:
- Transscleral retinal photocoagulation was applied to 36 eyes.
- The study included eyes with peripheral retinal breaks (30 eyes) and giant retinal tears (6 eyes).
- Photocoagulation targeted drainage sites in 28 eyes with retinal detachments to mitigate hemorrhage risk.
Main Results:
- Threshold lesions were achieved with irradiances ranging from 95.4 W/cm2 to 191 W/cm2.
- Successful chorioretinal adhesion was observed in all treated eyes with retinal breaks and giant retinal tears.
- Minor complications included punctate choroidal hemorrhages (3 eyes) and drainage-related choroidal hemorrhage (2 eyes).
Conclusions:
- Transscleral diode laser photocoagulation demonstrates significant clinical potential for treating surgical retinal conditions.
- The procedure is effective in achieving therapeutic outcomes for retinal detachments and giant retinal tears.