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Retina > Retina laser and other treatments

Retina laser and other treatments

There is no single way to treat retinal conditions. There are a number of different treatment options including eyedrops, injections and surgery. 

 Retinal laser treatments

  • Retinal laser. The three most common diseases treated with laser are retinal holes (to seal the retinal layers together), diabetic retinopathy (to stop leakage from small blood vessels which cause swelling or stop new blood vessels from growing) and macular degeneration (to destroy abnormal blood vessels that can cause vision loss).
  • Laser capsulotomy. After cataract or refractive lens exchange surgery, some people develop a wrinkling of the back membrane of the natural lens (this can occur over months or years). If this interferes with vision, your ophthalmologist might suggest a procedure using a YAG laser, which opens the posterior capsule to allow light to pass through.
  • Argon laser. This is used for retinal phototherapy, particularly when treating diabetes, retinal tears, membranes or some tumors.
  • Trabeculoplasty. An argon laser is used to treat glaucoma in an area called the trabecular meshwork. This helps to reduce intraocular pressure caused by open-angle glaucoma by improving drainage of fluid from the eye.
  • Selective laser trabeculoplasty. A milder treatment which targets selective cells rather than the entire trabecular meshwork. This allows for repeat treatments.
  • Laser photo coagulation. Used in the treatment of diabetic retinopathy and aged related macular degeneration, laser photo coagulation uses a laser to cauterise ocular blood vessels with the aiming to lower the risk of severe vision loss.

Other retinal treatments

  • Vitrectomy. A vitrectomy is the removal of vitreous gel. This is performed using the smallest, most advanced surgical technique available – no stitches are needed. It is performed under a local anaesthetic in a day surgery and takes from 30 to 45 minutes. Once the vitreous is removed, the fluid is replaced with air. A vitrectomy is performed for epiretinal membrane (macular pucker), a macular hole, retinal detachment, vitreous haemorrhage, macular oedema and severe cases of floaters.
  • Anti VEGF injections. Vascular Endothelial Growth Factor (VEGF) is a chemical that is present in all parts of the body, including the retina. An excess of VEGF can lead to leakage of the capillaries or the growth of abnormal blood vessels. Injection of drugs that block the action of VEGF – Anti VEGF – will suppress new vessel growth to prevent worsening of vision. This is successful in nearly 95% of patients, with up to 40% of patients finding improvement in vision. However, there is no permanent ‘one-treatment’cure, and patients will most likely require regular injections.
  • Intravitreal steroid injections. Corticosteroids reduce inflammation and also act on other vascular induction chemical other than VEGF, and injections are used to treat many retinal conditions. These include diabetic retinopathy, central retinal vein occlusion and post-operative macular oedema.
  • CryoBuckle surgery. This treatment for a detached retina is performed under an anaesthetic in a day surgery. 
  • Photodynamic therapy. Photodynamic therapy (PDT) is a treatment for wet age-related macular degeneration. A light-sensitive medicine is injected into the bloodstream, and a laser light shone into the eye, activating the medicine, and causing it to create blood clots that block abnormal blood vessels.
  • Transpupillary thermotherapy. Used to treat small melanomas, transpupillary thermotherapy (TTT) uses a diode laser to deliver a beam of light to deliver infrared radiation in the treatment area.
  • Eyedrops. A series of eyedrops are often used to treat glaucoma. 

Why Vision Eye Institute

As Australia’s leading provider of ophthalmic services, we have the ability to ensure our clinics have the latest equipment. However, the latest technology is only as good as the person who uses it – which is why Vision Eye Institute boasts some of the finest retinal surgeons in Australia.

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