Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients

Introduction: Demarcation laser photocoagulation (DLP) is an infrequently utilized modality for limited retinal detachments. The current study, a retrospective consecutive case series, reviewed anatomic and visual outcomes in these patients at a single academic center. Case Presentations:...

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Main Authors: Jeffrey A. Brown, Louis Z. Cai, Jesse D. Sengillo, James Lin, Harry W. Flynn Jr.
Format: Article
Language:English
Published: Karger Publishers 2025-01-01
Series:Case Reports in Ophthalmology
Online Access:https://karger.com/article/doi/10.1159/000543240
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author Jeffrey A. Brown
Louis Z. Cai
Jesse D. Sengillo
James Lin
Harry W. Flynn Jr.
author_facet Jeffrey A. Brown
Louis Z. Cai
Jesse D. Sengillo
James Lin
Harry W. Flynn Jr.
author_sort Jeffrey A. Brown
collection DOAJ
description Introduction: Demarcation laser photocoagulation (DLP) is an infrequently utilized modality for limited retinal detachments. The current study, a retrospective consecutive case series, reviewed anatomic and visual outcomes in these patients at a single academic center. Case Presentations: A search of the electronic medical record identified 10 eyes of 10 patients. Five of the 10 patients were asymptomatic at the time of initial treatment. Five patients had symptoms corresponding to retinal detachment. The asymptomatic patients remained stable without progression at the last follow-up (range 1–8 years). In 2 of 5 symptomatic patients, the retinal detachment progressed through the laser demarcation and, subsequently, underwent vitreoretinal surgery. At the last follow-up, the retina was attached in all five symptomatic patients. Conclusion: In this small series of patients undergoing DLP, the retina remained stable in asymptomatic patients but the retinal detachment progressed through the laser demarcation in the majority of symptomatic patients.
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spelling doaj-art-8a32c35e1351469f825dc223610244482025-08-20T01:51:04ZengKarger PublishersCase Reports in Ophthalmology1663-26992025-01-0116111412310.1159/000543240Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic PatientsJeffrey A. BrownLouis Z. CaiJesse D. SengilloJames LinHarry W. Flynn Jr. Introduction: Demarcation laser photocoagulation (DLP) is an infrequently utilized modality for limited retinal detachments. The current study, a retrospective consecutive case series, reviewed anatomic and visual outcomes in these patients at a single academic center. Case Presentations: A search of the electronic medical record identified 10 eyes of 10 patients. Five of the 10 patients were asymptomatic at the time of initial treatment. Five patients had symptoms corresponding to retinal detachment. The asymptomatic patients remained stable without progression at the last follow-up (range 1–8 years). In 2 of 5 symptomatic patients, the retinal detachment progressed through the laser demarcation and, subsequently, underwent vitreoretinal surgery. At the last follow-up, the retina was attached in all five symptomatic patients. Conclusion: In this small series of patients undergoing DLP, the retina remained stable in asymptomatic patients but the retinal detachment progressed through the laser demarcation in the majority of symptomatic patients. https://karger.com/article/doi/10.1159/000543240
spellingShingle Jeffrey A. Brown
Louis Z. Cai
Jesse D. Sengillo
James Lin
Harry W. Flynn Jr.
Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
Case Reports in Ophthalmology
title Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
title_full Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
title_fullStr Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
title_full_unstemmed Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
title_short Demarcation Laser Photocoagulation for Rhegmatogenous Retinal Detachment: Outcomes in Symptomatic and Asymptomatic Patients
title_sort demarcation laser photocoagulation for rhegmatogenous retinal detachment outcomes in symptomatic and asymptomatic patients
url https://karger.com/article/doi/10.1159/000543240
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