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July 1973, Vol 90, No. 1 >
ARTICLE | July 1973

Argon Laser Photocoagulation of Proliferative Sickle Retinopathy FREE

Morton F. Goldberg, MD; Irineo Acacio, MD
[+] Author Affiliations

Submitted for publication June 7,1972.

Reprint requests to Eye and Ear Infirmary, 1855 W Taylor, Chicago 60612 (Dr. Goldberg).


Arch Ophthalmol. 1973;90(1):35-44. doi:10.1001/archopht.1973.01000050037008
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Retinal neovascular proliferations in 21 eyes of patients with sickling disorders were treated by argon laser photocoagulation. Nineteen eyes (90.5%) were free of perfused neovascular tissue at the time of follow-up, and 73 of 75 discrete neovascular patches (97%) were obliterated or non-perfused. The most effective technique of photocoagulation involved closure of feeder arterioles as they entered the neovascular patches. Vitreous hemorrhage occurred immediately or within the first week after photocoagulation in 14% of treatment sessions. All hemorrhages were minimal in amount and apparently inconsequential. Only one eye had a late, spontaneous vitreous hemorrhage. Induced field defects were clinically insignificant. Evidence suggests that argon laser photocoagulation is an effective treatment for proliferative sickle retinopathy. Whether or not it is more effective and less dangerous than xenon arc photocoagulation requires further evaluation.

REFERENCES

1 +
L'Esperance FA Jr:  An ophthalmic argon laser photocoagulation system: Design, construction, and laboratory investigations . Trans Am Ophthalmol Soc 66:827-904, 1968;.
2 +
L'Esperance FA Jr:  The treatment of ophthalmic vascular disease by argon laser photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 73:1077-1096, 1969;.
3 +
Peabody RR, Zweng HC, Little HL:  Treatment of retinal vascular disease with argon laser slit lamp photocoagulation . Trans Pac Coast OtoOphthalmol Soc 51:307 -326, 1970;.
4 +
Little HL, Zweng HC, Peabody RR:  Argon laser slit-lamp retinal photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 74:85-97, 1970;.
5 +
Patz A:  A guide to argon laser photocoagulation . Survey Ophthalmol 16:249-257, 1972;.
6 +
Patz A, Maumenee AE, Ryan SJ:  Argon laser photocoagulation: Advantages and limitations . Trans Am Acad Ophthalmol Otolaryngol 75:569-579, 1971;.
7 +
Pomerantzeff O et al:  Clinical importance of wavelengths in photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 75:557-568, 1971;.
8 +
Goldberg MF:  Classification and pathogenesis of proliferative sickle retinopathy . Am J Ophthalmol 71:649-665, 1971;.
9 +
Goldberg MF:  Natural history of untreated proliferative sickle retinopathy . Arch Ophthalmol 85:428-437, 1971;.
10 +
Goldberg MF:  Treatment of proliferative sickle retinopathy . Trans Am Acad Ophthalmol Otolaryngol 75:532-556, 1971;.
11 +
Goldberg MF, Charache S, Acacio I:  Ophthalmologic manifestations of sickle cell thalassemia . Arch Intern Med 128:33-39, 1971;.
12 +
Okun E:  Development of sickle cell retinopathy . Doc Ophthalmol 26:574-587, 1969;.
13 +
Welch RB, Goldberg MF:  Sickle-cell hemoglobin and its relation to fundus abnormality . Arch Ophthalmol 75:353-362, 1966;.
14 +
Goldberg MF:  Retinal detachment associated with proliferative retinopathies . Ophthalmol Surg 2:222-231, 1971;.
15 +
Ryan SJ, Goldberg MF:  Anterior segment ischemia following scleral buckling in sickle cell hemoglobinopathy . Am J Ophthalmol 72:35-50, 1971;.
16 +
Archer D, Krill AE, Newell FW:  Fluorescein angiographic evaluation of the effects of photocoagulation in three retinal vascular diseases . Trans Ophthalmol Soc UK 90:677-699, 1970;.
17 +
Goldberg MF, Herbst RW:  Acute complications of argon laser photocoagulation: Epipapillary and peripapillary neovascularization . Arch Ophthalmol 89:311-318, 1973;.
18 +
Fankhauser F:  Optischer Zusatz zum Lichtkoagulator von Zeiss-Oberkochen fur das Arbeiten mit dem Spiegelkontaktglas von Goldmann . Klin Monatsbl Augenheilkd 160:218-220, 1972;.
19 +
Marshall J et al:  Pathology of short pulse retinal photocoagulations using the Goldmann contact lens . Graefe Arch Ophthalmol 182:154-169, 1971;.
20 +
Apple D, Goldberg MF, Wyhinny G: Histopathology and ultrastructure of the argon laser lesion in human retinal and choroidal vasculature. Read before the Wilmer Residents' Meeting, Baltimore, 1972; and the Association for Research in Vision and Ophthalmology Meeting, Sarasota, Fla, 1972.

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1 +
L'Esperance FA Jr:  An ophthalmic argon laser photocoagulation system: Design, construction, and laboratory investigations . Trans Am Ophthalmol Soc 66:827-904, 1968;.
2 +
L'Esperance FA Jr:  The treatment of ophthalmic vascular disease by argon laser photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 73:1077-1096, 1969;.
3 +
Peabody RR, Zweng HC, Little HL:  Treatment of retinal vascular disease with argon laser slit lamp photocoagulation . Trans Pac Coast OtoOphthalmol Soc 51:307 -326, 1970;.
4 +
Little HL, Zweng HC, Peabody RR:  Argon laser slit-lamp retinal photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 74:85-97, 1970;.
5 +
Patz A:  A guide to argon laser photocoagulation . Survey Ophthalmol 16:249-257, 1972;.
6 +
Patz A, Maumenee AE, Ryan SJ:  Argon laser photocoagulation: Advantages and limitations . Trans Am Acad Ophthalmol Otolaryngol 75:569-579, 1971;.
7 +
Pomerantzeff O et al:  Clinical importance of wavelengths in photocoagulation . Trans Am Acad Ophthalmol Otolaryngol 75:557-568, 1971;.
8 +
Goldberg MF:  Classification and pathogenesis of proliferative sickle retinopathy . Am J Ophthalmol 71:649-665, 1971;.
9 +
Goldberg MF:  Natural history of untreated proliferative sickle retinopathy . Arch Ophthalmol 85:428-437, 1971;.
10 +
Goldberg MF:  Treatment of proliferative sickle retinopathy . Trans Am Acad Ophthalmol Otolaryngol 75:532-556, 1971;.
11 +
Goldberg MF, Charache S, Acacio I:  Ophthalmologic manifestations of sickle cell thalassemia . Arch Intern Med 128:33-39, 1971;.
12 +
Okun E:  Development of sickle cell retinopathy . Doc Ophthalmol 26:574-587, 1969;.
13 +
Welch RB, Goldberg MF:  Sickle-cell hemoglobin and its relation to fundus abnormality . Arch Ophthalmol 75:353-362, 1966;.
14 +
Goldberg MF:  Retinal detachment associated with proliferative retinopathies . Ophthalmol Surg 2:222-231, 1971;.
15 +
Ryan SJ, Goldberg MF:  Anterior segment ischemia following scleral buckling in sickle cell hemoglobinopathy . Am J Ophthalmol 72:35-50, 1971;.
16 +
Archer D, Krill AE, Newell FW:  Fluorescein angiographic evaluation of the effects of photocoagulation in three retinal vascular diseases . Trans Ophthalmol Soc UK 90:677-699, 1970;.
17 +
Goldberg MF, Herbst RW:  Acute complications of argon laser photocoagulation: Epipapillary and peripapillary neovascularization . Arch Ophthalmol 89:311-318, 1973;.
18 +
Fankhauser F:  Optischer Zusatz zum Lichtkoagulator von Zeiss-Oberkochen fur das Arbeiten mit dem Spiegelkontaktglas von Goldmann . Klin Monatsbl Augenheilkd 160:218-220, 1972;.
19 +
Marshall J et al:  Pathology of short pulse retinal photocoagulations using the Goldmann contact lens . Graefe Arch Ophthalmol 182:154-169, 1971;.
20 +
Apple D, Goldberg MF, Wyhinny G: Histopathology and ultrastructure of the argon laser lesion in human retinal and choroidal vasculature. Read before the Wilmer Residents' Meeting, Baltimore, 1972; and the Association for Research in Vision and Ophthalmology Meeting, Sarasota, Fla, 1972.

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