The use of laser therapy in retinal diseases: Part I. Laser therapy methods Review article

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Katarzyna Warzecha
Agnieszka Tronina
Erita Filipek


Retinal diseases account for the vast majority of ophthalmologic disorders. Over recent years, laser-based approaches have been successfully used for treatment. Despite the introduction of other potentially innovative, beneficial, and successful therapeutic methods, lasers are still considered the gold standard. This review discusses the spectrum of currently available laser methods and new insights into novel perspectives and techniques of the laser management of retinal disorders. This review is divided into three sections. First, we present the methodology and spectrum of laser-based techniques. Second, we conducted a literature review to investigate existing knowledge of the laser management of diabetic retinopathy, diabetic macular edema, and vascular retinal disorders. Third, we outline the principles that guide the laser treatment of retinal tears, retinal degeneration, retinopathy of prematurity, age-related macular degeneration, and other retinal diseases.

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Warzecha K, Tronina A, Filipek E. The use of laser therapy in retinal diseases: Part I. Laser therapy methods. Ophthatherapy [Internet]. 2020Jun.30 [cited 2020Aug.10];7(2):123-7. Available from:
Surgery and laser therapy


1. Kaczmarek R, Misiuk-Hojło M, Wykrota H. Terapia laserowa w chorobach siatkówki niezwiązanych z cukrzycą. Górnicki Wydawnictwo Medyczne, Wrocław 2009: 2-6, 34-40, 44-62, 78-90.
2. Kuklo P, Kuklo M, Pieczyński J et al. Laserowe leczenie chorób obturacyjnych naczyń siatkówki. Okul Dypl. 2019; 9(6): 5-9.
3. Meyer-Schwickerath G. Light coagulation. Buch Augenarzt. 1959; 33: 1.
4. Bowling B. Okulistyka Kliniczna Kanski. Wydanie 8. Edra Urban & Partner, Wrocław 2017: 506-8, 520-56, 561-9, 603-4, 615-7, 623-30, 681-700, 797-8.
5. Latalska M, Mackiewicz J. Cukrzycowy obrzęk plamki – diagnostyka i leczenie. Okul Dypl. 2018; 8(2): 5-10.
6. Vujosevic S, Bottega E, Casciano M et al. Microperimetry and fundusautofluorescence. In: diabetic macularedema: subthreshold micropulse diode laser versus modified early treatment diabetic retinopathy study laser photocoagulation. Retina. 2010; 30(6): 908-16.
7. Lavinsky D, Cardillo JA, Melo LA. Randomized Clinical Trial Evaluating mETDRS versus Normal or High-Density Micropulse Photocoagulation for Diabetic Macular Edema. Invest Ophtalmol Vis Sci. 2011; 52(7): 4314-23.
8. Latalska M, Prokopiuk A, Wróbel-Dudzińska D et al. Subtreshold micropulse yellow 577nm laser therapy of diabetic macular edema in rural and urban patients of south-eastern Poland. Ann Agric Environ Med. 2017; 24(1): 96-9.
9. Scholz P, Altay L, Fauser S. A Review of Subthreshold Micropulse Laser for Treatment of Macular Disorders. Adv Ther. 2017; 34(7): 1528-55.
10. McHugh J, Marshall J, Ffytche T et al. Macular photocagulation of human retina with a diode laser: a comparative histopathological study. Lasers Light Ophthalmol. 1990; 3(1): 11-28.
11. Vogel A, Birngruber R. Temperature profiles in human retina and choroid during laser coagulation with different wave lengths ranging from 514 to 810 nm. Lasers Light Ophthalmol. 1992; 5(1): 9-16.
12. Peyman G, Raichand M, Zeimer R. Oculareffects of various laser wave lengths. Surv Ophthalmol. 1984; 28(5): 391-404.
13. Friberg T, Karatza E. The treatment of macular disease using a micropulsed and continuous wave 810-nm diode laser. Ophthalmology. 1997; 104(12): 2030-8.
14. Friberg T, Venkatesh S. Alteration of pulse configuration affects the pain response during diode laser photocoagulation. Lasers Surg Med. 1995; 16(4): 380-3.
15. Mainster M. Wave length selection in macular photocoagulation: tissue optics, thermal effects, and laser systems. Ophthalmology. 1986; 93(7): 952-8.
16. Gawęcki M. Micropulse Laser Treatment of Retinal Diseases. J Clin Med. 2019; 8(2): 242.
17. Gaca-Wysocka M, Grzybowski M. Zastosowanie lasera nanosekundowego 2RT w leczeniu cukrzycowego obrzęku plamki. OphthaTherapy. 2017; 4(2): 81-4.
18. Chidlow G, Shibeeb O, Plunkett M et al. Glial cell and inflammatory responses to retinal laser treatment: comparison of a conventional photocoagulator and a novel, 3-nanosecond pulse laser. Invest Ophthalmol Vis Sci. 2013; 54: 2319-32.
19. Pelosini L, Hamilton R, Mohamed M et al. Retina rejuvenation therapy for diabetic macular edema. Retina. 2013; 33: 548-58.
20. Laser mikropulsowy z funduskamerą Navilas 577. Opis producenta.
21. Maltsev D, Kulikov A, Uplanchiwar B et al. Direct navigated laser photocoagulation as primary treatment for retinal arteria macroaneurysms. Int J Retina Vitreous. 2018; 4: 28.
22. Ramel J. Treatment of macroaneurisms in macular oedema: Navigated laser leeds the next generation of photocoagulation therapy. Ophthalmology Times. 2018; 14(10): 27.