title: Transscleral diode laser retinopexy in retinal detachment surgery: results of a multicenter trial.
abstract: OBJECTIVE
  To evaluate the safety and efficacy of transscleral diode laser for retinopexy in rhegmatogenous retinal detachment surgery in a multicenter trial.
  
  
  METHODS
  Seventy-two patients with primary rhegmatogenous retinal detachments were enrolled. No patient with chronic detachment, a retinal break greater than 90 degrees, history of uveitis or infectious retinopathy, or proliferative vitreoretinopathy was enrolled.
  
  
  RESULTS
  Information from follow-up of 6 months or longer was available on 65 eyes. Retinas were attached at 6 months with a single operation in 58 (89%) of these eyes. Complications included apparent pinpoint breaks in Bruch's membrane in 15 eyes, scleral-thermal effect in 14 eyes, and limited hemorrhage, which was intraretinal in 10 eyes and extended into the vitreous in 3 eyes. In one case, hemorrhage was judged perhaps to have contributed to initial surgical failure. The other complications had no known adverse effects. Complications were significantly associated with the physician's experience in using transscleral laser retinopexy.
  
  
  CONCLUSIONS
  In this multicenter study, transscleral diode laser retinopexy served as a safe and effective means of creating chorioretinal adhesion during retinal reattachment surgery. Minor complications were minimized by increasing experience with the technique.
authors.affiliation: Wilmer Eye Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Haller
authors.forename: N
authors.initials: N
authors.lastname: Blair
authors.forename: E
authors.initials: E
authors.lastname: de Juan
authors.forename: S
authors.initials: S
authors.lastname: De Bustros
authors.forename: M F
authors.initials: MF
authors.lastname: Goldberg
authors.forename: T
authors.initials: T
authors.lastname: Muldoon
authors.forename: K
authors.initials: K
authors.lastname: Packo
authors.forename: K
authors.initials: K
authors.lastname: Resnick
authors.forename: R
authors.initials: R
authors.lastname: Rosen
authors.forename: M
authors.initials: M
authors.lastname: Shapiro
authors.forename: W
authors.initials: W
authors.lastname: Smiddy
authors.forename: J
authors.initials: J
authors.lastname: Walsh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012590:Sclera / Q000601:surgery; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity