Treatment to fellow eyes of unilateral retinal pigment epithelial tears with prophylactic laser

Abstract

Purpose. A retinal pigment epithelial tear due to age-related macular disease (AMD) in one eye implies a high risk of visual loss in the fellow eye (Schoeppner G et al.: Am J Ophthalmol. 1989;108:683-685). We propose that this risk may be reduced through prophylactic laser treatment to the fellow eye. Methods. Twelve patients with a pigment epithelial tear in one eye due to AMD received prophylactic laser treatment to their fellow eye, and were reviewed for at least 18 months, ten patients were followed for two years. Twelve Argon green laser burns were placed 600μm to 1000μm away from the foveola. A spot size of 200μm and a duration of 0.2 sec at the lowest possible intensity for achieving ..