Positioning the obese or large-breasted patient for macular laser photocoagulation.
OBJECTIVE
To report a positioning method for macular laser photocoagulation in obese or large-breasted patients.


METHODS
Report of a laser technique.


METHODS
Review of clinical experience.


METHODS
Private retina practice.


RESULTS
Standing the patient up, leaning forward, and using the examination chair as buttocks support allows easier positioning of the obese or large-breasted patient in the slit lamp. The laser surgeon's hand manipulating the slit-lamp joystick does not fatigue, which allows more careful examination and treatment in these delicate cases.


CONCLUSIONS
The technique described may allow more thorough diagnostic evaluation and focal laser treatment of obese and large-breasted patients with macular diseases.
Browning
David J
DJ
Charlotte Eye, Ear, Nose, and Throat Associates, Charlotte, North Carolina 28210, USA. djbrowning@carolina.rr.com
D001940:Breast; D003930:Diabetic Retinopathy / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008269:Macular Edema / Q000601:surgery*; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D011187:Posture