Single session of Pascal versus multiple sessions of conventional laser for panretinal photocoagulation in proliferative diabetic retinopathy: a comparitive study

Retina. 2011 Jul-Aug;31(7):1359-65. doi: 10.1097/IAE.0b013e318203c140.

Abstract

Background: Panretinal photocoagulation remains the gold standard for treatment of proliferative diabetic retinopathy, which can be done in a single session or in multiple sessions. However, because of different reasons, single session is less frequently practiced. We describe the results of a single session of pattern scan laser versus multiple sessions of conventional laser in cases of proliferative diabetic retinopathy.

Methods: A prospective study was performed on 50 patients (100 eyes), in whom proliferative diabetic retinopathy was diagnosed recently. Two eyes of an individual patient were randomly assigned, one for a single session of panretinal photocoagulation using pattern scan laser and the other for multiple sessions of conventional laser.

Results: Our study confirms that single session is effective and even better than conventional laser in relation to the effect of treatment.

Conclusion: Complications and the associated pain are less; thus, the patient's acceptance of PASCAL was high, and a single session was well tolerated with topical anesthesia alone.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Diabetic Retinopathy / surgery*
  • Eye Pain / etiology
  • Female
  • Fluorescein Angiography
  • Humans
  • Laser Coagulation / instrumentation
  • Laser Coagulation / methods*
  • Male
  • Middle Aged
  • Pain, Postoperative
  • Prospective Studies
  • Retreatment