Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1995 Dec;79(12):1083–1087. doi: 10.1136/bjo.79.12.1083

Diode laser contact transscleral retinal photocoagulation: a clinical study.

D A McHugh 1, S Schwartz 1, J G Dowler 1, M Ulbig 1, R K Blach 1, P A Hamilton 1
PMCID: PMC505345  PMID: 8562540

Abstract

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.

Full text

PDF
1083

Images in this article

1083Image
on p.1083
1084Image
on p.1084
1084Image
on p.1084
1085Image
on p.1085
1085Image
on p.1085

Selected References

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

  1. Balles M. W., Puliafito C. A., D'Amico D. J., Jacobson J. J., Birngruber R. Semiconductor diode laser photocoagulation in retinal vascular disease. Ophthalmology. 1990 Nov;97(11):1553–1561. doi: 10.1016/s0161-6420(90)32377-1. [DOI] [PubMed] [Google Scholar]
  2. Gaasterland D. E., Pollack I. P. Initial experience with a new method of laser transscleral cyclophotocoagulation for ciliary ablation in severe glaucoma. Trans Am Ophthalmol Soc. 1992;90:225–246. [PMC free article] [PubMed] [Google Scholar]
  3. Geeraets W. J., Berry E. R. Ocular spectral characteristics as related to hazards from lasers and other light sources. Am J Ophthalmol. 1968 Jul;66(1):15–20. doi: 10.1016/0002-9394(68)91780-7. [DOI] [PubMed] [Google Scholar]
  4. Glaser B. M., Vidaurri-Leal J., Michels R. G., Campochiaro P. A. Cryotherapy during surgery for giant retinal tears and intravitreal dispersion of viable retinal pigment epithelial cells. Ophthalmology. 1993 Apr;100(4):466–470. doi: 10.1016/s0161-6420(93)31620-9. [DOI] [PubMed] [Google Scholar]
  5. Haller J. A., Lim J. I., Goldberg M. F. Pilot trial of transscleral diode laser retinopexy in retinal detachment surgery. Arch Ophthalmol. 1993 Jul;111(7):952–956. doi: 10.1001/archopht.1993.01090070070022. [DOI] [PubMed] [Google Scholar]
  6. Hennis H. L., Assia E., Stewart W. C., Legler U. F., Apple D. J. Transscleral cyclophotocoagulation using a semiconductor diode laser in cadaver eyes. Ophthalmic Surg. 1991 May;22(5):274–278. [PubMed] [Google Scholar]
  7. Jennings T., Fuller T., Vukich J. A., Lam T. T., Joondeph B. C., Ticho B., Blair N. P., Edward D. P. Transscleral contact retinal photocoagulation with an 810-nm semiconductor diode laser. Ophthalmic Surg. 1990 Jul;21(7):492–496. [PubMed] [Google Scholar]
  8. McHugh D., Marshall J., Ffytche T. J., Hamilton P. A., Raven A. Diode laser trabeculoplasty (DLT) for primary open-angle glaucoma and ocular hypertension. Br J Ophthalmol. 1990 Dec;74(12):743–747. doi: 10.1136/bjo.74.12.743. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. 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]
  10. 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]
  11. Raymond G. L., Lavin M. J., Dodd C. L., McLeod D. Suture needle drainage of subretinal fluid. Br J Ophthalmol. 1993 Jul;77(7):428–429. doi: 10.1136/bjo.77.7.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Steinmetz C. G., 3rd Reaction of the sclera to cryosurgery. Int Ophthalmol Clin. 1967 Summer;7(2):395–403. [PubMed] [Google Scholar]
  13. Vogel A., Dlugos C., Nuffer R., Birngruber R. Optical properties of human sclera, and their consequences for transscleral laser applications. Lasers Surg Med. 1991;11(4):331–340. doi: 10.1002/lsm.1900110404. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES