🔷Panretinal photocoagulation🔷
🔶Diabetic retinopathy🔶
🟢 Panretinal photocoagulation (PRP) is a mainstay of therapy for retinal ischemic disease.
🟢 The procedure involves creating thermal burns in the peripheral retina leading to tissue coagulation, the overall consequence of which is improved retinal oxygenation.
🟢 While highly effective, there have been concerns historically regarding the anatomic effects and visual complications following PRP, the most common of which include:
👉 choroidal effusions,
👉 exudative retinal detachments,
👉 macular edema,
👉 visual field deficits, and
👉 night vision defects.
🟢 The occurrence of these complications is closely tied to laser parameters such as:
👉 increased duration and
👉 power and
👉 intensive treatment in a single sitting,
all of which cause increased dispersion of thermal energy within the retina and choroid.
🟢 The advent of newer laser delivery systems, such as the multispot pattern laser, has greatly mitigated but not eliminated these issues.
👤 J.R. Fontenla, MD-PhD.
🏨 Hospital Clinic of Barcelona
👁 YouTube.com/@VisualSystem
🏛 University of Barcelona
📚Text-Reference:
👤 Shivani V Reddy , Deeba Husain.
📖 Panretinal Photocoagulation: A Review of Complications.
👉 Semin Ophthalmol. 2018;33(1):83-88.
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