Original articleClinical Evaluation and Treatment Accuracy in Diabetic Macular Edema Using Navigated Laser Photocoagulator NAVILAS
Section snippets
Patients
This was an interventional case series of 86 eyes of 61 patients (32 women, 25 bilateral treatments) with diabetic retinopathy treated with the NAVILAS. The patients were enrolled and treated at the following institutions: Jacobs Retina Center at the University of California, San Diego, in La Jolla, California, and Instituto de Sub-Especialidades Oftalmologicas A.C. in Tijuana, Baja California, Mexico. Institutional review board approval was obtained at both sites. Four eyes of 4 patients
Results
This was a consecutive case series of eyes treated with the NAVILAS system. The diagnoses for which laser photocoagulation was used included clinically significant DME and extramacular diabetic retinopathy (86 eyes). The visual acuity of enrolled eyes ranged between 20/40 and 20/400.
Discussion
Retinal laser photocoagulation as a standard of care has been performed manually using a slit lamp. For precise photocoagulation, a contact lens system with anesthesia is necessary, and laser treatment is performed under bright white light illumination. Precision treatment of microaneurysms such as that prescribed by the ETDRS protocol is difficult and requires projecting a good-quality angiographic image and having the retina specialist attempt to locate each aneurysm seen on the angiogram on
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Cited by (0)
Manuscript no. 2010-864.
Financial Disclosure(s): The author(s) have made the following disclosure(s): William R. Freeman - Consultant - OD-OS GmbH. Dennis Dowell - Employee - OD-OS GmbH.
Supported in part by the University of California San Diego, La Jolla, California; and by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York.