Prophylactic laser treatment to fellow eyes of unilateral retinal pigment epithelial tears

Mirjam Gross-Jendroska, Sarah L. Owens, Chris J. Flaxel, Robyn H. Guymer, Alan C. Bird

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

PURPOSE: To evaluate prophylactic laser treatment of the macula in reducing the risk of visual loss in the fellow eye of patients with a retinal pigment epithelial tear caused by age-related macular degeneration in the first eye. METHODS: In a prospective study, 12 patients with a retinal pigment epithelial tear in one eye caused by age-related macular degeneration and drusen in the fellow eye received prophylactic laser treatment of the retina in their fellow eyes and were followed up for 2 years or more after prophylactic treatment. RESULTS: In 12 fellow eyes that received prophylactic laser treatment, a reduction in best-corrected visual acuity to 20/80 or worse occurred in one (8%) of 12 eyes in the first year and two (18%) of the remaining 11 eyes in the second year after treatment. The cumulative risk of visual loss in the treated fellow eye was 25% in 2 years. CONCLUSIONS: In historical control subjects in a natural history study of patients with retinal pigment epithelial tear in one eye, central visual loss occurred in 16 (37%) of 43 eyes in the first year and in seven (30%) of 23 eyes in the second year for a cumulative loss of 59% in the first 2 years. Compared with these historical control subjects, our findings suggest that visual loss in the fellow eyes of patients with a retinal pigment epithelial tear in the first eye is reduced by prophylactic low intensity laser photocoagulation of the macula.

Original languageEnglish (US)
Pages (from-to)77-81
Number of pages5
JournalAmerican journal of ophthalmology
Volume126
Issue number1
DOIs
StatePublished - Jul 1998

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint Dive into the research topics of 'Prophylactic laser treatment to fellow eyes of unilateral retinal pigment epithelial tears'. Together they form a unique fingerprint.

  • Cite this