[The development of laser technologies in vitreoretinal surgery (publications review)]

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Mar;31(2):210-214. doi: 10.32687/0869-866X-2023-31-2-210-214.
[Article in Russian]

Abstract

The article presents review of scientific publications on development of laser treatment methods in vitreoretinal surgery. The use of photo-therapy in medicine dates back to ancient times, when people began to use sunlight as treatment of various diseases. The heyday of photo-therapy falls on the second half of the XIX century, which was associated with the invention of first electric lamps. In 1960, T. Maiman developed the world's first laser, revolutionizing precision and control of light delivery. This was the beginning of heyday of laser surgery primarily in ophthalmology, where potential of lasers was instantly recognized. The subsequent discovery of argon laser in 1964 by W. Bridges (USA) marked new era in retinal photo-coagulation. Then new types of lasers with various systems of delivering laser radiation appeared that significantly expanded range of application of laser technologies in ophthalmology and vitreoretinal surgery. Currently, the lasers are applied in oculoplasty, refractive and corneal surgery, in laser support of phacoemulsification of cataract, in treatment of glaucoma, in laser coagulation of retina and thermotherapy. In vitreoretinal surgery laser technologies remain at the level of the XX century. Thus, they are still applied only for endolaser coagulation of retina. And this despite the fact that there is immense potential for applying lasers as "laser scalpel" to remove vitreous humor, epiretinal fibrosis, retinotomy and choroidotomy.

Keywords: CO-2 laser; Er:YAG laser; Nd:YAG laser; laser ablation; laser vitrectomy; mid-infrared spectrum; precision surgery; vitrectomy; vitreoretinal surgery.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Humans
  • Lasers
  • Ophthalmology*
  • Retina / surgery
  • Vitreoretinal Surgery*
  • Vitreous Body / surgery