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Treatment of diabetic traction retinal detachment with the pulsed neodymium-YAG laser
Authors:G C Brown  W E Benson
Affiliation:1. Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania;1. Laboratory for Research in Applied Biochemistry, Section of Postgraduate Studies and Research, Department of Basic Disciplinary Training, Higher School of Medicine, National Polytechnic Institute, Mexico City, Mexico;2. Research Laboratory in Chronic Degenerative Diseases, Section of Postgraduate Studies and Research, Higher School of Medicine, National Polytechnic Institute, Mexico City, Mexico;3. Department of Basic Interdisciplinary Training, Interdisciplinary Center for Health Sciences-Santo Tomás Unit, National Polytechnic Institute, Mexico City, Mexico;1. Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland;2. Division of Ophthalmology, Faculty of Health Sciences, University of Stellenbosch, Tygerberg, South Africa;3. Retina and Vitreous Department, Clínica Privada de Ojos, Mar del Plata, Buenos Aires, Argentina;4. Vitreoretinal and Uveitis Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia;5. Retina Division, Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo (UNIFESP), Sao Paulo, Brazil;6. Instituto Docente de Especialidades Oftalmológicas (IDEO), Maracaibo, Venezuela;7. Instituto de Cirugia Ocular, San Jose, Costa Rica;8. Department of Ophthalmology, University of Puerto Rico, San Juan, Puerto Rico;9. Asociación para Evitar la Ceguera en México, Mexico City, Mexico;10. Clinica Oftalmologica Centro Caracas and the Arevalo-Coutinho Foundation for Research in Ophthalmology, Caracas, Venezuela;11. Fundacion Conde Valenciana, Mexico City, Mexico;12. Clínica de Olhos Gávea, Rio de Janeiro, Brazil;13. OFTALMOS Universidad de Buenos Aires, Facultad de Medicina, Buenos Aires, Argentina;14. Consorcio Hospital, General Universitario de Valencia, Valencia, Spain
Abstract:Three patients with diabetic traction retinal detachment not involving the central macula were treated with the pulsed neodymium-YAG laser. In each case, with energy levels of 9 to 11 mJ, vitreous traction bands were sectioned and the traction retinal detachment diminished or disappeared. Other than a small choroidal hemorrhage in one instance, no adverse side effects occurred. The pulsed neodymium-YAG laser may provide a new therapeutic modality in a few selected cases of diabetic traction retinal detachment.
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