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Photocoagulation Surgery

Photocoagulation is a medical procedure that uses intense light, typically in the form of a laser, to destroy tissue. It is primarily used to treat eye conditions such as retinal detachment, diabetic retinopathy, and age-related macular degeneration. Additionally, it can be used to treat certain types of cancer by targeting abnormal tissue. During photocoagulation, a high-energy beam of light is directed through the eye to the retina to eliminate abnormal blood vessels or tissue.

Alternate Name for Photocoagulation

Laser surgery, iridotomy, focal laser therapy, transpupillary thermotherapy (TTT)

Body Location

This procedure targets abnormal blood vessels in the retina and can also be used to shrink tumors or remove tissue for biopsy.

Photocoagulation Procedure Type

Laser surgery

Preparation for Photocoagulation Surgery

  • Pre-operative tests include a physical exam, blood tests, and imaging like X-rays or MRIs to assess the condition.
  • You may be asked to refrain from eating or drinking for several hours before the procedure.
  • Certain medications, including antibiotics, may be prescribed prior to surgery.
  • Local anesthesia will numb the area around the eye, and general anesthesia may be used in some cases.
  • The eye will be positioned for accessibility, and a special microscope and laser will be used to treat the abnormal blood vessels.

Photocoagulation Surgery Procedure

The procedure is performed by delivering a burst of light energy to the retina, causing blood vessels to seal and prevent leaking that could lead to vision loss. The procedure is generally done on an outpatient basis, allowing the patient to go home the same day. During the surgery, the patient will look at a target light, and the doctor will use a specialized instrument to direct the laser energy to the affected area of the eye. While some heat or pressure may be felt, the procedure is generally well tolerated. It may need to be repeated depending on the severity of the condition.

Recovery After Photocoagulation Surgery

After the procedure, you will be observed for a short time in the recovery room. Once you are alert, you can go home. Some mild discomfort or blurred vision may occur for a day or two, and it is important to avoid rubbing your eyes and wear sunglasses outdoors. Specific post-operative care instructions will be provided, and follow-up visits will be scheduled. Depending on the condition being treated, additional sessions may be needed to maintain control, but many patients only need one treatment.

Follow-up After Photocoagulation Surgery

Patients are typically scheduled for a follow-up appointment 100-200 days after the procedure to check how well the eyes have healed and whether the treatment was effective. If necessary, additional treatments may be recommended. For most patients, routine check-ups are sufficient after the initial follow-up.

Risks Associated with Photocoagulation Surgery

  • Infection: As with any procedure, there is a risk of infection, which can be minimized with proper technique.
  • Cataracts or visual problems: Long-term risks may include cataracts or other vision-related issues, requiring ongoing monitoring.
  • Bleeding: There is a small risk of bleeding during or after the procedure, which may require treatment.
  • Permanent blind spots: If too much tissue is destroyed, permanent blind spots can occur, making it important for an experienced surgeon to perform the procedure.
  • Recurrence: If all abnormal blood vessels are not treated effectively, the condition may recur, necessitating additional treatments.

Despite these risks, photocoagulation remains a safe and effective treatment for many eye conditions, and the risks can typically be minimized with proper technique and care. Discussing all potential risks and benefits with your surgeon is important before proceeding with the treatment.

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