Retinal Tears and Retinal Detachments

Fast and complete treatment up to the far periphery

Navilas® 577s supports fast and complete treatment of retinal tears, retinal detachments and lattice degeneration in the far periphery through dedicated widefield objectives.

The most frequent reason for failure of a retinal tear treatment is an incomplete surrounding of the retinal tear1). With Navilas® 577s all laser spots of barrage laser photocoagulation can be preplanned and subsequently applied with computer assistance thus encouraging to complete the treatment. Alternatively, the system supports conventional laser retinopexy treatment in adhoc-mode without pre-planning. For enhanced patient comfort navigated laser can also be used for contact-free treatment in infrared mode.

 

Treatment Videos

Pre-planned laser retinopexy
Pre-planned laser retinopexy
Non-contact retinal tear treatment

Case Example:

Treating a Retinal Tear in the Far Periphery without LIO

 

Non-LIO treatment of a retinal tear using navigated laser

Baseline

A female patient presented with several retinal tears due to lattice degeneration in both eyes (left eye treated before on LIO, right eye schedule for a second visit). Due to significant pain during the treatment of the left eye the patient asked for alternatives to LIO. 

Individual treatment approach courtesy of Dr. Neesurg Mehta, NYEE, New York, US
Non-LIO treatment plan of a retinal tear using navigated laser

Treatment

All lesions could be visualized with Navilas. The treatment plan had been laid out before the treatment was successfully conducted.

Individual treatment approach courtesy of Dr. Neesurg Mehta, NYEE, New York, US
Non-LIO treatment plan of a retinal tear using navigated laser

Treatment

All lesions could be visualized with Navilas. The treatment plan had been laid out before the treatment was successfully conducted.

Individual treatment approach courtesy of Dr. Neesurg Mehta, NYEE, New York, US
Non-LIO treatment documentation of a retinal tear after using navigated laser

Outcome

Despite very far position of retinal tears, lesions could easily be encircled with spots. No switch to LIO was necessary. The patient was compliant during all the procedure and clearly commented on much higher tolerability as compared to the LIO. The patient stated that she is clearly preferring the treatment on Navilas as compared to the LIO. 

Individual treatment approach courtesy of Dr. Neesurg Mehta, NYEE, New York, US

    "Although we did not feel that the Navilas could provide adequate treatment for laser retinopexy, due to the patient's significant discomfort while using the LIO, we decided to use the Navilas. After the treatment, everyone was surprised as to how quickly it was performed and how comfortable the patient was during the procedure. We now understand why Navilas does not provide an LIO adapter."

    Dr. Neesurg Mehta, New York Eye and Ear Infirmary, USA

    On-demand Webinar: Pre-planned Laser Retinopexy

     

    Webinar pre-planned laser retinopexy

    During this live webinar by Dr. Paritosh Shah of Yeovil District Hospital NHS Foundation Trust you will learn how to perform an optimal retinopexy treatment with a navigated laser. An introduction to the concept of navigated retinal laser will be followed by description of the technique and parameters used for optimal results. A few treated cases will be shown to demonstrate the plan layout, effect intensities and outcomes.

    Register to watch recording

    Selected References

    1. Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration Preferred Practice Pattern®. laxel, C. J. et al. Ophthalmology 127, P146–P181 (2020). 
    2. Safety and efficacy of the use of navigated retinal laser as a method of laser retinopexy in the treatment of symptomatic retinal tears. Somoskeoy, T., & Shah, P. (2020). Eye, 1-5. PubMed PMID: 32587386
    3. Navigated Retina Laser Therapy as a Novel Method for Laser Retinopexy of Retinal Tears. Gologorsky, Daniel; Rosen, Richard B.; Giovinazzo, Jerome; Jansen, Michael; Landa, Gennady, Lee, Jessica. Ophthalmic Surgery, Lasers & Imaging Retina. April 2018. 49:e206-e209. PubMed PMID: 30457657
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