Transscleral Diode Laser Retinopexy in Retinal Detachment Surgery

ABSTRACT

Authors performed transscleral diode laser retinopexy to evaluate its safety and efficacy in human eyes. Transscleral diode laser retinopexy was performed on 75 human eyes of rhegmatogenous retinal detachment. Power setting ranged from 400 to 1,000 mW, duration setting ranged from 0.5 to 1.0 second, and average 107 laser spots(range 15-443 laser spots) were applied. Seventy four of 75 eyes(98.7%) achieved anatomical success in reattachment after 6 months follow-up period. Complications of treatment encountered were minor Bruch's membrane rupture in 2 eyes, small retinal hemorrhage in one eye and mild scleral thermal burn in one eye. These complications did not affect adversely the surgical results. Among the 75 eyes, 21 eyes underwent diode laser choroidotomy for drainage of subretinal fluid with success. Transscleral diode laser retinopexy was considered as a safe and effective mean to obtain chorioretinal adhesion in retinal detachment surgery.