Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation

Background: There is no unanimously adopted approach to titrating laser parameters in subthreshold retinal laser photocoagulation without ophthalmoscopically visible fundus changes. Purpose: To investigate the ultrastructural changes in the rabbit chorioretinal complex following 577-nm convention...

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Main Authors: S.A. Fedchenko, O.S. Zadorozhnyy, N.I. Molchaniuk, A.R. Korol
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2017-08-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2017/4/10-fulltext
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author S.A. Fedchenko
O.S. Zadorozhnyy
N.I. Molchaniuk
A.R. Korol
author_facet S.A. Fedchenko
O.S. Zadorozhnyy
N.I. Molchaniuk
A.R. Korol
author_sort S.A. Fedchenko
collection DOAJ
description Background: There is no unanimously adopted approach to titrating laser parameters in subthreshold retinal laser photocoagulation without ophthalmoscopically visible fundus changes. Purpose: To investigate the ultrastructural changes in the rabbit chorioretinal complex following 577-nm conventional, selective or micropulse retinal laser photocoagulation (RLPC). Materials and Methods: Four rabbits (8 eyes) were involved in the experimental study and underwent the RLPC modes with the 577-nm system (Supra 577). Rabbits (n = 2/time point) were euthanized at postlaser days 1 and 14. Ultra-thin sections of their ocular tissue specimens were subjected to electron microscopy. In addition, 2 intact rabbits (4 eyes) were used as controls for comparison. Results: Conventional RLPC resulted in damage to RPE cells, all photoreceptor compartments and choriocapillaries; selective RLPC resulted in damage to RPE cells and photoreceptor outer and inner segments; and micropulse RLPC with the power setting adjusted to 50% threshold resulted in damage mostly to apical aspects of RPE cells and photoreceptor outer segments. Conclusion: 577-nm micropulse RLPC with the power setting adjusted to 50% threshold is a more photoreceptor- and choriocapillaris-sparing approach compared to conventional and selective RLPC, and can be used in clinical practice as a laser treatment approach with the least invasive effect on the chorioretinal complex.
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spelling doaj.art-d3e93c31210d41769665763619feac932024-01-11T12:20:46ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402017-08-014555910.31288/oftalmolzh201745559Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulationS.A. Fedchenko0O.S. Zadorozhnyy1N.I. Molchaniuk2A.R. Korol3Filatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyBackground: There is no unanimously adopted approach to titrating laser parameters in subthreshold retinal laser photocoagulation without ophthalmoscopically visible fundus changes. Purpose: To investigate the ultrastructural changes in the rabbit chorioretinal complex following 577-nm conventional, selective or micropulse retinal laser photocoagulation (RLPC). Materials and Methods: Four rabbits (8 eyes) were involved in the experimental study and underwent the RLPC modes with the 577-nm system (Supra 577). Rabbits (n = 2/time point) were euthanized at postlaser days 1 and 14. Ultra-thin sections of their ocular tissue specimens were subjected to electron microscopy. In addition, 2 intact rabbits (4 eyes) were used as controls for comparison. Results: Conventional RLPC resulted in damage to RPE cells, all photoreceptor compartments and choriocapillaries; selective RLPC resulted in damage to RPE cells and photoreceptor outer and inner segments; and micropulse RLPC with the power setting adjusted to 50% threshold resulted in damage mostly to apical aspects of RPE cells and photoreceptor outer segments. Conclusion: 577-nm micropulse RLPC with the power setting adjusted to 50% threshold is a more photoreceptor- and choriocapillaris-sparing approach compared to conventional and selective RLPC, and can be used in clinical practice as a laser treatment approach with the least invasive effect on the chorioretinal complex. https://www.ozhurnal.com/en/archive/2017/4/10-fulltextchorioretinal complexlaser radiationultrastructural changesrabbit eye
spellingShingle S.A. Fedchenko
O.S. Zadorozhnyy
N.I. Molchaniuk
A.R. Korol
Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
Journal of Ophthalmology
chorioretinal complex
laser radiation
ultrastructural changes
rabbit eye
title Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
title_full Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
title_fullStr Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
title_full_unstemmed Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
title_short Ultrastructural changes in the rabbit chorioretinal complex following 577-nm laser photocoagulation
title_sort ultrastructural changes in the rabbit chorioretinal complex following 577 nm laser photocoagulation
topic chorioretinal complex
laser radiation
ultrastructural changes
rabbit eye
url https://www.ozhurnal.com/en/archive/2017/4/10-fulltext
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AT oszadorozhnyy ultrastructuralchangesintherabbitchorioretinalcomplexfollowing577nmlaserphotocoagulation
AT nimolchaniuk ultrastructuralchangesintherabbitchorioretinalcomplexfollowing577nmlaserphotocoagulation
AT arkorol ultrastructuralchangesintherabbitchorioretinalcomplexfollowing577nmlaserphotocoagulation