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. 1993 Apr;77(4):218–221. doi: 10.1136/bjo.77.4.218

Photocoagulation of choroidal neovascular membranes with a diode laser.

M W Ulbig 1, D A McHugh 1, A M Hamilton 1
PMCID: PMC504485  PMID: 7684256

Abstract

Nine eyes with parafoveal choroidal neovascular membranes due to age-related macular degeneration or angioid streaks were treated with a diode laser and were followed up to 40 weeks (mean 26 weeks). Angiographically proved closure of the membrane was achieved in seven eyes. Four lesions needed a second treatment for growth of subretinal neovascular tissue. Post-treatment visual acuity ranged from 6/9 to 6/60. Two eyes developed subfoveal membranes resulting in poor visual acuity. The morphology of the diode laser lesions differed from that of the argon green laser and was more similar to that of the krypton laser, producing a 'black hole' on the fluorescein positive print. In one particular eye fluorescein angiography revealed subfoveal choroidal non-perfusion next to the site of the diode lesion suggesting choroidal vascular closure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berninger T. A., Canning C. R., Gündüz K., Strong N., Arden G. B. Using argon laser blue light reduces ophthalmologists' color contrast sensitivity. Argon blue and surgeons' vision. Arch Ophthalmol. 1989 Oct;107(10):1453–1458. doi: 10.1001/archopht.1989.01070020527032. [DOI] [PubMed] [Google Scholar]
  2. Bird A. C., Grey R. H. Photocoagulation of disciform macular lesions with krypton laser. Br J Ophthalmol. 1979 Oct;63(10):669–673. doi: 10.1136/bjo.63.10.669. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bird A. C. Macular disciform response and laser treatment. Trans Ophthalmol Soc U K. 1977 Sep;97(4):490–493. [PubMed] [Google Scholar]
  4. Bird A. C. Recent advances in the treatment of senile disciform macular degeneration by photocoagulation. Br J Ophthalmol. 1974 Apr;58(4):367–376. doi: 10.1136/bjo.58.4.367. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bloom S. M. Thermal papillitis after dye red photocoagulation of a peripapillary choroidal neovascular membrane. Retina. 1990;10(4):261–264. doi: 10.1097/00006982-199010000-00006. [DOI] [PubMed] [Google Scholar]
  6. Brancato R., Pratesi R., Leoni G., Trabucchi G., Vanni U. Histopathology of diode and argon laser lesions in rabbit retina. A comparative study. Invest Ophthalmol Vis Sci. 1989 Jul;30(7):1504–1510. [PubMed] [Google Scholar]
  7. Bressler S. B., Bressler N. M., Fine S. L., Hillis A., Murphy R. P., Olk R. J., Patz A. Natural course of choroidal neovascular membranes within the foveal avascular zone in senile macular degeneration. Am J Ophthalmol. 1982 Feb;93(2):157–163. doi: 10.1016/0002-9394(82)90410-x. [DOI] [PubMed] [Google Scholar]
  8. Coscas G., Soubrane G., Ramahefasolo C., Fardeau C. Perifoveal laser treatment for subfoveal choroidal new vessels in age-related macular degeneration. Results of a randomized clinical trial. Arch Ophthalmol. 1991 Sep;109(9):1258–1265. doi: 10.1001/archopht.1991.01080090082028. [DOI] [PubMed] [Google Scholar]
  9. Decker W. L., Grabowski W. M., Annesley W. H., Jr Krypton red laser photocoagulation of subretinal neovascular membranes located within the foveal avascular zone. Ophthalmology. 1984 Dec;91(12):1582–1586. doi: 10.1016/s0161-6420(84)34115-x. [DOI] [PubMed] [Google Scholar]
  10. Gass J. D. Photocoagulation of macular lesions. Trans Am Acad Ophthalmol Otolaryngol. 1971 May-Jun;75(3):580–608. [PubMed] [Google Scholar]
  11. Guyer D. R., Fine S. L., Murphy R. P., Green W. R. Clinicopathologic correlation of krypton and argon laser photocoagulation in a patient with a subfoveal choroidal neovascular membrane. Retina. 1986 Summer-Fall;6(3):157–163. doi: 10.1097/00006982-198600630-00005. [DOI] [PubMed] [Google Scholar]
  12. Johnson R., Schatz H. Delayed choroidal vascular filling after krypton laser photocoagulation. Am J Ophthalmol. 1985 Feb 15;99(2):154–158. doi: 10.1016/0002-9394(85)90224-7. [DOI] [PubMed] [Google Scholar]
  13. Mainster M. A. Wavelength selection in macular photocoagulation. Tissue optics, thermal effects, and laser systems. Ophthalmology. 1986 Jul;93(7):952–958. doi: 10.1016/s0161-6420(86)33637-6. [DOI] [PubMed] [Google Scholar]
  14. Marshall J., Bird A. C. A comparative histopathological study of argon and krypton laser irradiations of the human retina. Br J Ophthalmol. 1979 Oct;63(10):657–668. doi: 10.1136/bjo.63.10.657. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. McHugh J. D., Marshall J., Ffytche T. J., Hamilton A. M., Raven A., Keeler C. R. Initial clinical experience using a diode laser in the treatment of retinal vascular disease. Eye (Lond) 1989;3(Pt 5):516–527. doi: 10.1038/eye.1989.83. [DOI] [PubMed] [Google Scholar]
  16. Miller H., Miller B., Ryan S. J. The role of retinal pigment epithelium in the involution of subretinal neovascularization. Invest Ophthalmol Vis Sci. 1986 Nov;27(11):1644–1652. [PubMed] [Google Scholar]
  17. Nussbaum J. J., Pruett R. C., Delori F. C. Historic perspectives. Macular yellow pigment. The first 200 years. Retina. 1981;1(4):296–310. [PubMed] [Google Scholar]
  18. Oosterhuis J. A. Argon and krypton laser photocoagulation of senile exudative macular degeneration. Doc Ophthalmol. 1983 Feb 28;55(1-2):121–147. doi: 10.1007/BF00140470. [DOI] [PubMed] [Google Scholar]
  19. Puliafito C. A., Deutsch T. F., Boll J., To K. Semiconductor laser endophotocoagulation of the retina. Arch Ophthalmol. 1987 Mar;105(3):424–427. doi: 10.1001/archopht.1987.01060030144046. [DOI] [PubMed] [Google Scholar]
  20. Schatz H., Patz A. Exudative senile maculopathy. I. Results of argon laser treatment. Arch Ophthalmol. 1973 Sep;90(3):183–196. doi: 10.1001/archopht.1973.01000050185003. [DOI] [PubMed] [Google Scholar]
  21. Singerman L. J. Red krypton laser therapy of macular and retinal vascular diseases. Retina. 1982;2(1):15–28. doi: 10.1097/00006982-198200210-00003. [DOI] [PubMed] [Google Scholar]

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