RT Journal Article
SR Electronic
T1 Diode laser contact transscleral retinal photocoagulation: a clinical study.
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1083
OP 1087
DO 10.1136/bjo.79.12.1083
VO 79
IS 12
A1 D A McHugh
A1 S Schwartz
A1 J G Dowler
A1 M Ulbig
A1 R K Blach
A1 P A Hamilton
YR 1995
UL http://bjo.bmj.com/content/79/12/1083.abstract
AB AIM--To examine the clinical efficacy of contact transscleral retinal photocoagulation with a diode laser. METHODS--Transscleral retinal photocoagulation was performed on 36 eyes. The conditions treated included peripheral retinal breaks associated with retinal detachments (30 eyes) and giant retinal tears (six eyes). Of the 30 eyes with retinal detachments, 28 underwent transscleral photocoagulation to the site of drainage of subretinal fluid in an attempt to reduce the risk of hemorrhage. RESULTS--Threshold lesions were obtained with irradiances of between 95.4 W/cm2 and 191 W/cm2. Satisfactory chorioretinal adhesion was achieved in all eyes with retinal breaks and giant retinal tears. The only significant complications of treatment encountered were punctate choroidal haemorrhages (three eyes). Drainage related choroidal haemorrhage following earlier photocoagulation occurred in two of 28 eyes. CONCLUSIONS--This study confirms the clinical potential of transscleral diode laser photocoagulation in the therapy of surgical retinal conditions.