Laser diodo vermelho com oftalmoscopia indireta no tratamento da retinopatia diabética proliferativa

Laser diodo vermelho com oftalmoscopia indireta no tratamento da retinopatia diabética proliferativa

Autores:

Maria Cândida Sotto-Maior,
Michel Eid Farah,
Fausto Uno

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.1 São Paulo fev. 1998

http://dx.doi.org/10.5935/0004-2749.19980097

SUMMARY

Purpose:

To evaluate the technique, indications and results of the photocoagulation in Proliferative Diabetic Retinopathy using infrared diode laser with indirect ophthalmoscopy.

Patients and Methods:

Twenty one patients with or without restrictions to the photocoagulation on the slit-lamp were treated with the indirect infrared (81 0 nm) diode laser.

Results:

Thirteen patients have completed the treatment and presented stability or improvement of the proliferation. Fifteen eyes have interrupted the treatment due to intolerable pain, system a/terations, worsening of the cataract or vitreous hemorrhage.

Conclusions:

The indirect infrared diode laser is important for the treatment of Diabetic Retinophaty when it demands photocoagulation of the retina / periphery in eyes with media opacities. The infrared diode laser was effective to control the PDR when the patients have completed the treatment.

REFERÊNCIAS

1 Benson WE, Tasman W. Treatment of nonproliferative diabetic retinopathy. Clinical Decisions in Clinical Medical Diseases 1994; Cap 9, pp 152-61.
2 Diabetic Retinopathy Group. Photocoagulation of proliferative diabetic retinopathy study findings. Ophthalmology 1978;85:82-102.
3 Diabetic Retinopathy Study Research Group. Photocoagulation treatment of proliferative diabetic retinopathy: clinical application of diabetic retinopathy study (DRS) findings. DRS report number 8. Ophthalmology 1981;88:583-660.
4 Obana A, Lorenz B, Gassier A, Birngruber R. The therapeutic range of chorioretinal photocoagulation with diode and argon lasers: an experimental comparison. Lasers and Light in Ophthalmology 1992;4:147-56.
5 Mizuno K. Binocular indirect argon laser photocoagulator. British Journal of Ophthalmology 1981;65:425-8.
6 Bloom SM, Murphy SF, Brier ME. Laser indirect ophthalmoscope photocoagulation and scleral depression for rhegmatogenous retinal detachment. Retina 1995;15:224-32.
7 Smiddy WE, Hernandez E. Histopathologic results of retinal diode laser photocoagulation in rabbit eyes. Archives of Ophthalmology 1992;110:693-98.
8 Gonçalves JCM. Laser de diodo. Arquivos Brasileiros de Oftalmologia 1996; 59:103-4.
9 Mchugh JDA e col. Initial clinical experience using a diode laser in the treatment of retinal vascular disease. Eye 1989;3:516-27.
10 Zahl K. Regional anesthesia for intraocular surgery. Ophthalmology Clinics of North America, cap l, 1990. pp 1-11.
11 Schulenburg WE, Hamilton AM, Blach RK. A comparative study of argon laser and krypton laser in the treatment of diabetic optic disc neovas-cularisation. British Journal of Ophthalmology 1979;63:412-7.
12 Vander JF, Duker JS, Benson WE, Brown GC, McNamara JA, Rosenstein RB. Long-term stability and visual outcome after favorable initial response of proliferative diabetic retinopathy to panretinal photocoagulation, 1991;98:1575-9.
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