Treatments and Cases

Reporting

As microsecond pulses were used in a subthreshold treament manner, burns are not visible on the retina. Therefore, it´s impossible to see the treated areas. Only Navilas unique report function allows a documentation by marking treated areas and showing used parameters.

Individual treatment approach of   Dr. Emma Tsarukyan, Ophtalmological Center After S.V.Malayan, Yerevan, Armenia

Treatment

On basis of an imported external OCT image, a confluent subthreshold pattern over the most thickened area was planned. Caution zones were placed directly on the macula and on the optic nerve head to prevent healthy and sensitive tissue from getting damaged. Titration was performed in continuous wave mode outside of the vessel arcs, microsecond pulses were used with 10% duty cycle, power was doubled after creating a barely visible burn while titrating.

Individual treatment approach of   Dr. Emma Tsarukyan, Ophtalmological Center After S.V.Malayan, Yerevan, Armenia

Baseline

A 61years-old patient with proliferative diabetic retinopathy is showing a decreased visual acuity of 20/250 and a refractory macular edema, not responding to Anti-VEGF injections.

Individual treatment approach of   Dr. Emma Tsarukyan, Ophtalmological Center After S.V.Malayan, Yerevan, Armenia

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.

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.

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

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

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.

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

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.

Diagnosis

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

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

Baseline

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

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

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.

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.

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.

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

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

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

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