Possibilities of Using Laser Radiation in Vitreoretinal Surgery

Currently, laser technologies are widely used in the treatment of diseases of the eye and its accessory apparatus. Basically, they are used in oculoplastic surgery during operations on the accessory apparatus of the eye, in refractive and corneal surgery, laser support for ultrasound cataract surger...

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Main Authors: D. V. Petrachkov, E. N. Korobov
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2023-10-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/2164
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author D. V. Petrachkov
E. N. Korobov
author_facet D. V. Petrachkov
E. N. Korobov
author_sort D. V. Petrachkov
collection DOAJ
description Currently, laser technologies are widely used in the treatment of diseases of the eye and its accessory apparatus. Basically, they are used in oculoplastic surgery during operations on the accessory apparatus of the eye, in refractive and corneal surgery, laser support for ultrasound cataract surgery, laser treatment of glaucoma, laser coagulation of the retina, thermotherapy of choroidal formations. In the 21st century, Nd: YAG laser treatment of floating opacities in the vitreous body began to be actively popularized with mixed results. In vitreoretinal surgery, which is improving every decade, laser technology remains at the level of the 20th century. In endovitreal surgery, the laser is still used only for endolaser coagulation of the retina, despite the fact that there is a huge potential for using lasers as a “laser scalpel” for removing the vitreous, precision removal of a retinal tear, epiretinal fibrosis, precision retinotomy, and choroidotomy. In this regard, it is necessary to search for the most suitable laser radiation, which will make it possible to carry out thin cuts on the retina and choroid with high accuracy, minimal damage to the surrounding tissues, and a sufficient degree of coagulation to prevent hemorrhages. This laser will allow for surgical interventions in the posterior eye segment with a lower risk of intra- and postoperative complications, as well as better anatomical and functional results. With further development, this new approach to laser ablation may become an alternative to mechanical instruments for surgical dissection and removal of pathological tissue from the surface of the retina.
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spelling doaj-art-dc8910ed26014cbb9f398bfd8ad8348f2025-08-20T03:22:16ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452023-10-0120340541310.18008/1816-5095-2023-3-405-4131049Possibilities of Using Laser Radiation in Vitreoretinal SurgeryD. V. Petrachkov0E. N. Korobov1M.M. Krasnov Research Institute of Eye DiseasesM.M. Krasnov Research Institute of Eye DiseasesCurrently, laser technologies are widely used in the treatment of diseases of the eye and its accessory apparatus. Basically, they are used in oculoplastic surgery during operations on the accessory apparatus of the eye, in refractive and corneal surgery, laser support for ultrasound cataract surgery, laser treatment of glaucoma, laser coagulation of the retina, thermotherapy of choroidal formations. In the 21st century, Nd: YAG laser treatment of floating opacities in the vitreous body began to be actively popularized with mixed results. In vitreoretinal surgery, which is improving every decade, laser technology remains at the level of the 20th century. In endovitreal surgery, the laser is still used only for endolaser coagulation of the retina, despite the fact that there is a huge potential for using lasers as a “laser scalpel” for removing the vitreous, precision removal of a retinal tear, epiretinal fibrosis, precision retinotomy, and choroidotomy. In this regard, it is necessary to search for the most suitable laser radiation, which will make it possible to carry out thin cuts on the retina and choroid with high accuracy, minimal damage to the surrounding tissues, and a sufficient degree of coagulation to prevent hemorrhages. This laser will allow for surgical interventions in the posterior eye segment with a lower risk of intra- and postoperative complications, as well as better anatomical and functional results. With further development, this new approach to laser ablation may become an alternative to mechanical instruments for surgical dissection and removal of pathological tissue from the surface of the retina.https://www.ophthalmojournal.com/opht/article/view/2164vitreoretinal surgeryvitrectomyphotovitrectomylaser vitrectomynd:yag laserer:yag laserco2 lasermidinfrared spectrumlaser ablationprecision surgery
spellingShingle D. V. Petrachkov
E. N. Korobov
Possibilities of Using Laser Radiation in Vitreoretinal Surgery
Oftalʹmologiâ
vitreoretinal surgery
vitrectomy
photovitrectomy
laser vitrectomy
nd:yag laser
er:yag laser
co2 laser
midinfrared spectrum
laser ablation
precision surgery
title Possibilities of Using Laser Radiation in Vitreoretinal Surgery
title_full Possibilities of Using Laser Radiation in Vitreoretinal Surgery
title_fullStr Possibilities of Using Laser Radiation in Vitreoretinal Surgery
title_full_unstemmed Possibilities of Using Laser Radiation in Vitreoretinal Surgery
title_short Possibilities of Using Laser Radiation in Vitreoretinal Surgery
title_sort possibilities of using laser radiation in vitreoretinal surgery
topic vitreoretinal surgery
vitrectomy
photovitrectomy
laser vitrectomy
nd:yag laser
er:yag laser
co2 laser
midinfrared spectrum
laser ablation
precision surgery
url https://www.ophthalmojournal.com/opht/article/view/2164
work_keys_str_mv AT dvpetrachkov possibilitiesofusinglaserradiationinvitreoretinalsurgery
AT enkorobov possibilitiesofusinglaserradiationinvitreoretinalsurgery