Transscleral diode laser retinopexy in retinal detachment surgery: Results of a multicenter trial

Julia A. Haller, Norman Blair, Eugene De Juan, Serge De Bustros, Morton F. Goldberg, Thomas Muldoon, Kirk Packo, Kenneth Resnick, Richard Rosen, Michael Shapiro, William Smiddy, Joseph Walsh

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Purpose: To evaluate the safety and efficacy of transscleral diode laser for retinopexy in rhegmatogenous retinal detachment surgery in a multicenter trial. Methods: Seventy-two patients with primary rhegmatogenous retinal detachments were enrolled. No patient with chronic detachment, a retinal break greater than 90°, history of uveitis or infectious retinopathy, or proliferative vitreoretinopathy was enrolled. Results: Information from follow-up of 6 months or longer was available on 65 eyes. Retinas were attached at 6 months with a single operation in 58 (89%) of these eyes. Complications included apparent pinpoint breaks in Bruch's membrane in 15 eyes, scleralthermal effect in 14 eyes, and limited hemorrhage, which was intraretinal in 10 eyes and extended into the vitreous in 3 eyes. In one case, hemorrhage was judged perhaps to have contributed to initial surgical failure. The other complications had no known adverse effects. Complications were significantly associated with the physician's experience in using transscleral laser retinopexy. Conclusions: In this multicenter study, transscleral diode laser retinopexy served as a safe and effective means of creating chorioretinal adhesion during retinal reattachment surgery. Minor complications were minimized by increasing experience with the technique.

Original languageEnglish (US)
Pages (from-to)399-404
Number of pages6
JournalRetina
Volume18
Issue number5
StatePublished - Dec 1 1998

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Keywords

  • Diode laser
  • Retinal detachment
  • Retinal surgery
  • Retinopexy
  • Transscleral laser photocoagulation

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Haller, J. A., Blair, N., De Juan, E., De Bustros, S., Goldberg, M. F., Muldoon, T., Packo, K., Resnick, K., Rosen, R., Shapiro, M., Smiddy, W., & Walsh, J. (1998). Transscleral diode laser retinopexy in retinal detachment surgery: Results of a multicenter trial. Retina, 18(5), 399-404.