Treatment FAQ

what is photocoagulation treatment

by Catherine Mueller Published 2 years ago Updated 2 years ago
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Full Answer

What is photocoagulation and how does it work?

Photocoagulation takes place by using the laser to create a microscopic burn in the target tissue. The laser spots are usually applied in 1 of 3 patterns. Before the procedure, you will be given eye drops to dilate your pupils.

What is a Photocoagulation laser eye surgery?

Laser photocoagulation is a laser-based eye surgery that destroys abnormal blood vessels. It can help stop further vision loss. It is used by retina specialists for several eye diseases, including diabetic retinopathy and retinal detachment. Risks include a new blind spot and reduced color or night vision.

What is photocoagulation treatment for diabetic retinopathy?

Photocoagulation treatment involves the exposure of the affected tissues to laser rays causing them to heat up. The heat produced by the laser can seal and destroy the abnormal blood vessels and capillaries in the retina thus preventing leakage of blood that is responsible for the development and progress of diabetic retinopathy.

Is laser photocoagulation the best treatment for AMD?

Laser photocoagulation is advised only for the wet type of the disease. Laser photocoagulation is only an option for certain people with wet type AMD. Your eye doctor might advise the procedure if your abnormal blood vessels cluster tightly together. The procedure is less helpful if you have scattered vessels.

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What is photocoagulation and how is it useful?

Laser photocoagulation is a type of laser surgery for the eyes. It is done to treat age-related macular degeneration (AMD). AMD is a condition that can lead to loss of vision. The retina is the layer of cells in the back of your eye that converts light into electrical signals.

What is photocoagulation eye surgery?

Laser photocoagulation is eye surgery using a laser to shrink or destroy abnormal structures in the retina, or to intentionally cause scarring.

How long does it take to recover from laser photocoagulation?

How long is recovery after laser photocoagulation? It can take about two weeks, but the exact recovery time will vary for each person. It's normal for your vision to be blurry the first 24 hours after surgery. Make sure to follow any activity limitations recommended by your doctor to give your eye time to heal.

Is laser photocoagulation safe?

Is laser photocoagulation safe? Laser photocoagulation is both safe and effective in the treatment of retina and glaucoma disorders. The eye is first numbed with special eye drops or other form of local anaesthesia, and the pupil is dilated.

How long does photocoagulation last?

Performed in our office, retinal laser photocoagulation may be combined with other retinal procedures, such as cryopexy (freezing) or an eye injection. Your Texas Retina Associates doctor will determine the best treatment plan for your specific condition. The procedure itself typically takes about 15 minutes.

What should you not do after photocoagulation?

Your vision may be blurry for 24 hours after treatment. Stay in a dimly lit room or wear sunglasses for about six hours after treatment to reduce eye discomfort. You will likely go back to normal activities within a few days. You will need to avoid vigorous activity for two weeks or longer as your eye heals.

What are the side effects of laser coagulation?

RisksMild loss of vision.Reduced night vision.Blind spots.Reduced side vision.Difficulty focusing.Blurred vision.Reduced color vision.

Is laser for retinal tear painful?

This will feel strange but does not cause pain. You may feel the lens moving slightly as the doctor directs the laser. The laser itself may cause a prickly sensation, but usually does not feel like much. If it is causing pain, please let your doctor know and (s)he can lower the power, which should ease the pain.

Does retinal laser hurt?

Most retinal laser treatments involve only mild discomfort. Depending on the type of treatment, different anesthetics are used. Many treatments require only anesthetic eye drops, which numb the eye. Some laser treatments, however, involve greater discomfort, and occasionally an anesthetic injection is required.

What happens if you blink during laser eye surgery?

Yes—patients are awake during LASIK. However, there is no need to worry if you accidentally blink or move your eyes during the surgery. Thanks to advanced LASIK technologies in Billings, your eyes will remain comfortably steady as our doctors provide the vision correction results you need to see as clearly as possible.

How long does it take eye to heal after laser surgery for retinal tear?

For those that have recently undergone laser surgery for a retinal tear or detachment, the healing process could take anywhere from one week to four weeks. It normally takes a full week for the laser treatment to fully seal the tear and prevent detachment, but things can still go wrong once sealed.

What is photocoagulation in diabetic retinopathy?

Laser photocoagulation is an intervention that is commonly used to treat diabetic retinopathy, in which light energy is applied to the retina with the aim of stopping the growth and development of new blood vessels, and thereby preserving vision.

What is laser photocoagulation?

Photocoagulation of the retina or retinal laser photocoagulation is a minimally invasive procedure used to treat various diseases of the retin a. Several conditions may cause the retina to swell due to abnormal leaky blood vessels growing ...

What is a PRP laser?

Panretinal (all over the retina) photocoagulation (PRP) for neovascular diseases (diseases with new blood vessel) and proliferative diseases such as proliferative diabetic retinopathy, sickle cell retinopathy, and venous occlusion disease local or grid photocoagulation, in which a laser is targeted at a specific area.

What is the term for damage to the retina?

Damage to the retina is called retinopathy . Retinopathy has many causes and leads to visual impairment. Early diagnosis and treatment can help stop the progression of the disease as well as loss of vision, and aid in vision restoration.

Can laser photocoagulation cause retinal tears?

Laser photocoagulation can also cause fibro sis and seal retinal tears. In cases of vision loss due to retinal disease, laser photocoagulation usually cannot restore vision that has already been lost, but it can prevent the disease from worsening, reduce the risk of further vision loss, and preserve remnant vision.

What is laser treatment for macular oedema?

Laser treatment in the context of macular oedema is kept to very specific cases, as currently the treatment of choice is intravitreal injections. Another of the main indications of laser photocoagulation is treatment for retinal tears.

What is laser photocoagulation?

It involves the emission of a beam of light concentrated on a single point (laser) of high energy that has an overheating effect on the retina tissue by generating a selective burn.

What is the main indication of diabetic retinopathy?

In the case of diabetic retinopathy, the main indication is to destroy a large part of the retina that lacks oxygen (ischaemic) in order to avoid the growth of new vessels (neovessels) and to prevent haemorrhages in the vitreous gel which would require surgery (vitrectomy).

How long does a laser treatment last?

In general, the laser treatment is perfomed in a few minutes although it will depend on the retinal tissue to be covered. In the case of panphotocoagulation, the session may last longer than one performed on a small retinal tear.

Is there a laser for retina lesion?

Furthermore, in the context of retina lesion treatment, a non-thermal laser is applied in photodynamic therapy to activate the active ingredient named Verteporfin.

Can lasers help with retinopathy?

Another indication of laser is treatment for premature retin opathy where the aim is the ablation of retina tissue without blood supply which could be responsible for the growth of neovessels causing, in advanced cases, the formation of retina detachments that are difficult to manage with surgery. Diabetic retinopathy.

Can corneal contact lens erosions heal?

A corneal contact lens has to be put in position which may make small erosions. These lesions heal soon after topical treatment has been applied without leaving any kind of sequelae.

How long does it take to recover from laser photocoagulation?

Full recovery from laser photocoagulation may take several weeks. Your vision may be blurry for about 24 hours after the surgery, but this initial blurriness should clear up.

What is the treatment for focal macular edema?

In the case of diffuse macular edema, where the leaking is more widespread, the doctor will perform a grid laser photocoagulation treatment over a general area.

Why do we need laser photocoagulation?

Laser photocoagulation may be performed to seal damaged or abnormal blood vessels and prevent them from leaking. This diabetic retinopathy treatment does not restore lost vision, but it can prevent further deterioration, which is why early diabetic retinopathy diagnosis through routine eye exams is imperative.

How often should diabetics have a photocoagulation exam?

In order to get an early diabetic retinopathy diagnosis, all diabetics should have a thorough eye exam by a qualified ophthalmologist every year.

What is the purpose of a slit lamp?

This device is a microscope which uses a line of light, or a slit, to assist your doctor in clearly viewing the portions of the eye which will be operated on. Next, your doctor will place a specially designed contact lens over your cornea.

Can laser photocoagulation cure diabetic retinopathy?

Laser photocoagulation is not meant to cure diabetic retinopathy, nor will it restore lost vision. Laser photocoagulation is meant to seal leaking blood vessels and slow the progression of diabetic retinopathy. The earlier the disease is caught and treated, the better your chances for success with laser photocoagulation.

Can laser photocoagulation cause vision loss?

Laser photocoagulation can cause some permanent vision loss, but patients will still retain more vision with the surgery than without it. Although laser photocoagulation will slow the progression of diabetic retinopathy, it will not restore vision that has already been lost to the disease, and it is not a cure.

What is laser photocoagulation?

Laser photocoagulation is eye surgery using a laser to shrink or destroy abnormal structures in the retina, or to intentionally cause scarring.

How does photocoagulation work?

Photocoagulation takes place by using the laser to create a microscopic burn in the target tissue. The laser spots are usually applied in 1 of 3 patterns. Before the procedure, you will be given eye drops to dilate your pupils. Rarely, you will get a shot of a local anesthetic. The shot may be uncomfortable.

Why do diabetics need laser photocoagulation?

In laser photocoagulation for diabetic retinopathy, laser energy is aimed at certain areas of the retina to prevent abnormal vessels from growing or sh rink those that may already be there. Sometimes it is done to make edema fluid in the center of the retina (macula) go away.

What is laser photocoagulation?

Laser photocoagulation is a type of laser surgery for the eyes. It is done to treat age-related macular degeneration (AMD). AMD is a condition that can lead to loss of vision. The retina is the layer of cells in the back of your eye that converts light into electrical signals. Your retina then sends these signals to your brain.

What are the risks of laser eye surgery?

The procedure has some other possible risks as well. These include: 1 Accidental treatment of the central macula, which causes a worse blind spot 2 Bleeding into the eye 3 Damage to the retina from the laser scar, immediately or years later

What do eye doctors do to make sure you don't feel anything?

The eye doctor will use anesthetic eye drops and injections to make sure you don’t feel anything. Someone will put a special type of contact lens into the affected eye, after you have had numbing drops placed on the eye. This lens helps focus a beam of laser light on the retina using something called a slit lamp.

How to treat AMD?

Other treatment options for AMD include drugs that decrease abnormal blood vessel growth. Your doctor may advise the use of drugs and laser photocoagulation. Talk with your healthcare provider about the risks and benefits of all your treatment options.

What is the macula?

The macula is the sensitive, central part of your retina. This area is responsible for the detailed vision in the middle of your visual field. AMD damages your macula. Blood vessels may grow beneath your macula, causing blood and fluid to leak beneath it. This excess blood and fluid can lead to vision loss.

Is AMD a dry type?

AMD has two types: dry type and wet type. Abnormal blood vessel growth is present in only the wet type. Laser photocoagulation is advised only for the wet type of the disease. Laser photocoagulation is only an option for certain people with wet type AMD. Your eye doctor might advise the procedure if your abnormal blood vessels cluster tightly ...

Can laser photocoagulation cause blindness?

Laser photocoagulation is one type of treatment for AMD. AMD is a common cause of severe vision loss in older adults. In rare cases, it can result in total blindness. Because AMD affects the macula, you may still have your side (peripheral) vision, but you may have a gradual or sudden loss of central vision.

What is PRP treatment?

Panretinal photocoagulation (PRP) is an extensive laser treatment applied to the peripheral retina inside of your eye. This treatment is recommended when abnormal blood vessels are growing inside of your eye. If left untreated, these abnormal blood vessels can cause severe and sometimes permanent vision loss or even blindness. PRP reduces the long term risk of vision loss or blindness due to abnormal blood vessel growth inside of the eye but does not completely eliminate the risk of vision loss. PRP has been around for decades as a treatment for abnormal blood vessel growth in the eye and has a proven track record of effectively and safely reducing the risk of severe vision loss and blindness in people who suffer from complications of diabetic retinopathy and retinal vein occlusion.

How to treat retinal numbed eye?

Once your eye has been numbed with either an eye drop or an injection of anesthetic, your doctor will use a very bright light to apply the laser treatment to your retina. This may be done either with you sitting upright with your head placed into a special device or with you lying back in the treatment chair.

Why do you need an injection under your eyelid?

Sometimes, your doctor will recommend an injection of anesthetic under your eyelid and behind your eye in order to minimize any discomfort during the procedure. This anesthetic injection can be initially uncomfortable as it will cause you to feel pressure behind your eye but will last only briefly.

How long does it take for a black eye to go away?

Possible side effects of treatment include but are not limited to: A temporary mild ache of the eye or area around your eye. A “black eye” that may last for several days. Blurred vision that typically lasts for a few days to a week. Decreased peripheral (or side) vision. Decreased color vision.

How long does it take for laser eye surgery to work?

The chances of maintaining your vision, however, are greatly improved with treatment. The effects of laser treatment may take several months to become evident. Your doctor will arrange for follow-up evaluations to monitor your response to laser treatment.

How long does it take to get rid of a swollen eye?

If the discomfort is anything more than mild you must let your doctor know immediately. The treatment will take about 15 minutes. After completion of treatment your doctor may put an eye patch over the eye.

Who performs retinal surgery?

The procedure is performed by your retina specialist who is a specially trained medical doctor (M.D.) who has extensive training in the diagnosis and treatment of retinal disease. It is performed in the office and there is no special preparation like fasting necessary before treatment is administered.

Why do you need dark sunglasses for PRP?

You may be asked to bring dark sunglasses to your PRP appointment. Your pupils will be dilated (widened) to help your provider see your retina more easily. Your pupils will absorb more harmful sunlight than usual while they are dilated. You will need to wear the dark sunglasses during your ride home.

How to do PRP?

What will happen during PRP? 1 You may be given local anesthesia as eyedrops or shots to help prevent discomfort. You may still feel a mild ache during the procedure, but you should not feel pain. A contact lens will be placed on your cornea. The lens will keep your eye still and help the laser focus. 2 The machine used for the procedure is similar to the machine used during a regular eye exam. You will sit with your chin on the chinrest and your forehead against the headrest. You may be asked to look at a target with the eye that is not being treated. This helps you keep your treated eye where your provider wants it during treatment. 3 The laser will be directed at many blood vessels in the peripheral (outer) part of the retina. You may see flashes of bright light during the procedure. Tell your provider if you feel severe pain while the laser is being used. He or she may need to make changes to your procedure. 4 Anti-vascular endothelial growth factor (anti-VEGF) treatment may be given to reduce swelling and improve vision. Medicine is injected into the vitreous of the eye. The vitreous is the gel-like material that fills the inside of the eye.

What is PRP used for?

PRP is a procedure used to treat leaking blood vessels in the retina. Certain conditions weaken the blood vessels, causing them to leak. Proliferative diabetic retinopathy is the most common condition PRP is used to treat. This condition causes the retina to create new, weak blood vessels that also leak.

Why do I lose my eyelid?

Your eyelid may droop. New blood vessels may grow, and you may need PRP to control the growth. PRP can also cause edema that puts pressure on blood vessels. The pressure can cause more leaking that leads to vision loss. You may still lose your vision even with successful PRP.

How does a contact lens work?

A contact lens will be placed on your cornea. The lens will keep your eye still and help the laser focus. The machine used for the procedure is similar to the machine used during a regular eye exam. You will sit with your chin on the chinrest and your forehead against the headrest.

What is anti vascular endothelial growth factor?

He or she may need to make changes to your procedure. Anti-vascular endothelial growth factor (anti-VEGF) treatment may be given to reduce swelling and improve vision. Medicine is injected into the vitreous of the eye. The vitreous is the gel-like material that fills the inside of the eye.

Where does the laser go during retinal surgery?

The laser will be directed at many blood vessels in the peripheral (outer) part of the retina . You may see flashes of bright light during the procedure. Tell your provider if you feel severe pain while the laser is being used.

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