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Contact-free treatment
Contact-free treatment
Microsecond pulsing
Focal OCT-guided treatment
Retinopexy treatment
Speed PRP treatment
Intuitive Microsecond Pulsing Treatment - Software 3.4
Navigated non-contact PRP
Iridotomy treatment
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Success with Microsecond Pulsing in a Patient with Recurrent CSCR and Subfoveal Leakage

Dr. Wolf Baseline

Baseline
Blue laser autofluorescence (BAF), early phase fluorescence angiography (FA) and indocyanin green angiography (ICGA) images were used to detect the source of subfoveal leakage for a patient with recurrent CSCR. 

Individual treatment approach courtesy of Dr. Waltraud Wolf, MVZ Prof. Neuhann GmbH, Munich, Germany.
Dr. Wolf Treatment

Treatment
A confluent pattern with microsecond pulses was placed covering the leakage source of the CSCR subfoveal fluid. Caution zones were placed over healthy and sensitive tissue. Titration was performed in continuous wave mode outside of the large vascular arches. 

Individual treatment approach courtesy of Dr. Waltraud Wolf, MVZ Prof. Neuhann GmbH, Munich, Germany.
Dr. Wolf Outcome

Outcome
After one single Navilas MSP laser therapy, the subfoveal edema resolved completely within a time period of 12 weeks.

Individual treatment approach courtesy of Dr. Waltraud Wolf, MVZ Prof. Neuhann GmbH, Munich, Germany.

    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

      Microsecond Pulsing Treatment in Branch Vein Occlusion

      Baseline

      A male middle-aged patient presented with severe BRVO. Little to no improvement was achieved despite several anti-VEGF injections. A single µs treatment was attempted to reduce injection burden.

      Individual treatment approach courtesy of Dr. Wayne Solley, Texas Retina, Arlington, TX

      Treatment

      The treatment plan was outlined as confluent grid covering thickened area (100µm, 100ms). After titration in continuous wave mode (endpoint barely visible burn) and switch to 10% Duty Cycle with the same power as in titration.

      Individual treatment approach courtesy of Dr. Wayne Solley, Texas Retina, Arlington, TX

      Outcome

      During the 3 month follow up the patient returned with significant reduction of edema and an improved best corrected visual acuity to 20/52-1

      Individual treatment approach courtesy of Dr. Wayne Solley, Texas Retina, Arlington, TX

        Microsecond Pulsing Treatment in Central Serous Chorioretinopathy

        Baseline

        46 year old male presented with decreased vision (20/25) and thickened foveal area due to non-resolving CSCR.

        Individual treatment approach courtesy of Dr. Jay Chhablani, LV Prasad Eye Institute.

        Treatment

        Treatment was performed with a confluent 3x3 grid. Parameters were adjusted to 5%DC, 100µm & 100ms. Titration was done in microsecond mode and power turned down to 30%.

        Individual treatment approach courtesy of Dr. Jay Chhablani, LV Prasad Eye Institute.

        Outcome

        On the 4 month follow patient presented with completly resolved subretinal fluid and improved vision from 20/25 to 20/20.

        Individual treatment approach courtesy of Dr. Jay Chhablani, LV Prasad Eye Institute.

          Branch Retinal Vein Occlusion (BRVO)

          Baseline

          Patient 60 years, male presented with decreased vision. Color fundus photographs demonstrate extensive retinal hemorrhages and cotton-wool spot formation.Vein obstruction is localized at the arterial venous crossing.

          Individual treatment approach courtesy of Dr. Ober, Retinal Consultants of Michigan.

          Diagnosis

          Medical evaluation revealed a short term history of hypertension. Moderate macular edema is also present and documented on central sub-field and superior aspect OCT.

          Individual treatment approach courtesy of Dr. Ober, Retinal Consultants of Michigan.

          Treatment

          A series of individual focal spots and grid patterns were planned on the corresponding FA. A total of 490 laser spots were applied (100µm, average of 97mW, 100ms).

          Individual treatment approach courtesy of Dr. Ober, Retinal Consultants of Michigan.

          Outcome

          Six weeks post-operative exam reveals a significantly flattened macula per OCT compared to baseline (upper left). VA improved to 20/20. 

          Individual treatment approach courtesy of Dr. Ober, Retinal Consultants of Michigan.

            Idiopathic Perifoveal Teleangiectasia

            Baseline

            Patient 56 years, male presented with a vision of 20/32. Clinical ophthalmoscopy revealed a blunt foveal reflex, a small lesion in the macula. Medical evaluation was negative for diabetes or other causes of macular edema.

            Individual treatment approach courtesy of William R. Freeman, MD;University San Diego La Jolla.

            Diagnosis

            Fluorescein angiography (FA) demonstrated a macular lesion with a spot of hyperfluorescence adjacent to it.

            Individual treatment approach courtesy of William R. Freeman, MD;University San Diego La Jolla.

            Treatment

            Using a Navilas FA image the treatment was planned to specifically target teleangiectasia and the adjacent area. Navigated treatment was performed using 120µm, 100ms, 100mW.

            Individual treatment approach courtesy of William R. Freeman, MD;University San Diego La Jolla.

            Outcome

            Post-treatment representation showing the reduction of the teleangiectasia over the period of 1 (middle) and 3 (bottom) months compared to intial (top).

            Individual treatment approach courtesy of William R. Freeman, MD;University San Diego La Jolla.

              Diabetic Macular Edema (DME)

              Baseline

              This 65-year-old Asian male with type II diabetes presented with decreased VA of 20/60 in his left eye and 20/80 in his right eye associated with macular edema. 

              Individual treatment approach courtesy of William R. Freeman, MD; UCSD

              Diagnosis (1)

              Ocular exam revealed pre-proliferative diabetic retinopathy bilaterally with clinically significant macular edema, intraretinal hemorrhages and cotton-wool spots in both eyes.

              Individual treatment approach courtesy of William R. Freeman, MD; UCSD

              Diagnosis (2)

              Both eyes on Spectral OCT showed significant retinal fluid, the left eye demonstrating more.

              Individual treatment approach courtesy of William R. Freeman, MD; UCSD

              Treatment

              Bilateral image-stabilized treatments were planned directly on Navilas FA: Subthreshold treatment of perifoveal disease within 500 microns from the foveal center and threshold treatment of all extrafoveal microaneurysms.

              Individual treatment approach courtesy of William R. Freeman, MD; UCSD

              Outcome

              The perifoveal swelling in the left eye disappeared. SD-OCT after Navilas showed resolution of macular edema as compared to pre-operative OCT. 3 months after treatment the VA improved to 20/20 OU and the patient was symptom-free. 

              Individual treatment approach courtesy of William R. Freeman, MD; UCSD
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