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Double-frequency Nd:YAG laser vs. argon-green laser in the treatment of proliferative diabetic retinopathy: Randomized study with long-term follow-up

✍ Scribed by Bandello, Francesco; Brancato, Rosario; Lattanzio, Rosangela; Trabucchi, Giuseppe; Azzolini, Claudio; Malegori, Angela


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
403 KB
Volume
19
Category
Article
ISSN
0196-8092

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✦ Synopsis


Background and objective:

A randomized clinical trial using the argon-green (514 nm) and the double-frequency nd:yag (532 nm) lasers was carried out on 42 eyes with proliferative diabetic retinopathy (pdr), with the aim of assessing the long-term effects of double-frequency nd:yag panretinal photocoagulation (prp).

Materials and methods:

Twenty-one eyes were randomized to argon laser treatment (alt) and 21 to double-frequency nd:yag laser treatment (ndlt). the mean follow-up was 28.90 months (+/- 6.13) in the alt group and 29.57 months (+/- 5.17) in the ndlt group.

Results:

In the alt group, 20 eyes (95.2%) showed regression of pdr and one eye (4.8%) enlargement of pre-existing new vessels. in the ndlt group, neovascularization regressed in 20 eyes (95.2%) and increased in one (4.8%).

Conclusions:

The long-term efficacy of double-frequency nd: yag laser prp in the treatment of pdr thus appears to be similar to that of argon-green.