Authors performed transscleral diode laser retinopexy through the conjunctiva, muscle and silicone scleral exoplant to evaluate its safety and efficacy in experimental rabbit eyes. Transscleral applications required energies of average 325. 2 mWwith duration of 0.5 second. The mean power required to produce comparable lesions through the conjunctiva, muscle and the buckle(MIRA #276)was 27%, 20%, and 33%higher, respectively. These results demonstrate that the diode laser photocoagulation applied through a scleral buckle is capable to produce chorioretinal scars without damaging the scleral tissue nor the buckling elements employed.
Cicatrix ; Conjunctiva ; Lasers, Semiconductor* ; Light Coagulation* ; Silicones*

Circumscribed choroidal hemangioma is a rare, benign, vascular hamartom located frequently at the posterior pole. This may lead to symptomatic visual loss when serous retinal detachment occurs at macular area. WE treated successfully a case of circumscribed choroidal hemangioma associated with serous retinal detachment with laser photocoagulation. So, we report this case with a review of the literatures.
Choroid* ; Hemangioma ; Light Coagulation ; Retinal Detachment* ; Retinaldehyde*

Artificial chorioretinal inflammation was produced by the application of the cryothermy, diathermy, or photocoagulation in man. The inflammatory reactions were followed-up by fluorescein angiography. Inflammatory lesion showed fluorescein leakage and pooling at the first postoperative day Cessation of leakage was seen niter the 10th postoperative dey regardless of method of inflammation production. Pigment stippling was seen at about 4-5 days after moderate to heavy cryo-application, but about 11-12 days after moderate intensity of photocoagulation and diathermy.
Diathermy ; Fluorescein Angiography ; Fluorescein* ; Inflammation* ; Light Coagulation

Optic disc pits are an uncommon congenital anomaly of the optic nerve head. Serous detachment of the macula is a well known complication in patients with an optic disc pit Although spontaneous reattachment has been reported, most eye with macular detachment associated with optic disc pit have a poor visual prognosis inspite of treatments. We have experienced a case of optic disc pit associated with serous macular detachment, that has been treated with argon pure green laser photocoagulation, reporting it with a review of literature.
Argon ; Humans ; Light Coagulation ; Optic Disk ; Prognosis

Diabetic maculopathy which is the major cause of blindness in nonproliferative diabetic retinopathy, has been treated clinically with laser photocoagulation. We reviewed 21 cases(26 eyes) of diabetic maculopathy which were treated by focal laser treatment and followed up for more than 6 months from January 1984 to December 1988. The results were as follows: 1. There was improvement of the visual acuity in 19 eyes(71.1%), no changes in 5 eyes(19.2%), and only two eyes(7.7%) showed worsened visual acuity. 2. The two eyes which showed worsened visula acuity after treatment showed stage IV of diabetic maculopathy.
Blindness ; Diabetic Retinopathy ; Light Coagulation ; Visual Acuity

In this study, we evaluated the effect of the argon indirect laser photocoagulation for patients with central serous chorioretinopathy (CSC), whose leaking points were indentified near the fovea or inside the papillomacular bundle. Among the 99 eyes of CSC, 62 eyes were assigned to group one, in which leaking points were located outside the papillomacular bundle or at more than 500 microdistance from fovea, and 37 eyes were assigned to group two, in which leaking points were located inside of papillomacular bundle or within 500 microdistance from fovea. Among the eyes in group one, 22 eyes had undergone direct laser photocoagulation treatment; among the eyes in group two, 27 eyes undergone indirect laser photocoagulation treatment; the rest 50 eyes were untreated. With theses results, We concluded that indirect laser treatment may not be in shortening the duration of central serous chorioretinopathy or in improving the vision. Its reccurence rate was higher than the rest of the modalities.
Argon ; Central Serous Chorioretinopathy* ; Humans ; Light Coagulation*

Subretinal neovascular membrane associated with retinochoroidal colooma is a rare finding. The authors report a case of retinochoroidal coloboma associated with subretinal neovascular membrane, which was treated with Yellow Dye laser photocoagulation (wave length: 590 nm, spot size: 150-200 micro gram, power: 200-300 mW, shooting time: 60, G3 coagulation).
Coloboma* ; Lasers, Dye ; Light Coagulation ; Membranes*

We reviewed 92 eyes(65 patients) of diffuse diabetic macular edema which were treated with grid laser photocoagulation and followed up for more than 4 months from March 1992 to March 1997. There were improvements of visual acuity in 24 eyes(26.1%)and non changes in 50 eyes(54.3%), and 18 eyes(19.6%) showed worsened visual acuity. Initial visual acuity, presence of clinically significant macular edema and severity of retinopathy had not significant effects on visual outcome(P>0.05). Patients with grid photocoahulation without panretinal photocoagulation showed significantly good results than panretinal photocoagulation before or after grid photocoagulation(p<0.05).
Humans ; Light Coagulation* ; Macular Edema* ; Visual Acuity

PURPOSE: To determine the relationship between changes in the tear film according to the classification of diabetic retinopathy in patients with diabetes. METHODS: A total of 117 newly detected diabetic patients were included in this study. The classification of diabetic retinopathy was performed based on the Early Treatment Diabetic Retinopathy Study (ETDRS). The duration of diabetes and HbA1c were also investigated in patients who had undergone panretinal photocoagulation or insulin treatment. To examine the tear film function, we performed the tear break-up time test, the Schirmer I test, and the diagnostic fluorescein staining test of the ocular surface. The Cochet-Bonnet esthesiometer was also employed to examine the corneal sensitivity. RESULTS: As the severity of diabetic retinopathy progressed, the degree of ocular surface fluorescein staining increased significantly. There was no relationship between the duration of diabetes and the results of the tear film function test. Patients who had high blood HgA1c levels showed significant increases in tear break-up time and degree of ocular surface fluorescein staining. The patients who had undergone panretinal photocoagulation showed significant differences in tear break-up time and degree of ocular surface fluorescein staining. CONCLUSIONS: The diabetic patients with progressed diabetic retinopathy, uncontrolled blood HgA1c levels and who had previously undergone panretinal photocoagulation should be managed more carefully since those patients are more susceptible to ocular surface disorder with aggravation of tear film function.
Classification* ; Diabetic Retinopathy* ; Fluorescein ; Humans ; Insulin ; Light Coagulation ; Tears*

Laser irradiation of the iris can induce acute increase in intraocular pressure (IOP) as well as hypotony. the author evaluated the effect of the prostaglandin on the biphasic IOP response. Of 14 animals, 7 experimental eyes were treated with topical indomethacin(indomethacin group) and 7 experimental eyes received topical saline(no indomethacin group) prior to laser photocoagulation, and the contralateral eyes were used as control eyes. Change in IOP was defined as [IOP of the experimental eye-IOP of the control eye]. Mean change in IOP reached its highest level 1 hour after laser treatment and subsequently decreased in the no indomethacin group(p=<0.0001, repeated measures ANOVA).However, indomethacin pretreatment showed no statistically significant changes throughtout the experimental period as compared with the baseline value(p=0.4, repeated measures ANOVA). Since indomethacin is known to be a potent ingibitor of prostaglandin synthase, our trsults suggest that prostaglandin plays a role on the biphasic IOP change.
Animals ; Indomethacin* ; Intraocular Pressure* ; Iris* ; Light Coagulation ; Prostaglandin-Endoperoxide Synthases