title: Positioning the obese or large-breasted patient for macular laser photocoagulation.
abstract: 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.
authors.affiliation: Charlotte Eye, Ear, Nose, and Throat Associates, Charlotte, North Carolina 28210, USA. djbrowning@carolina.rr.com
authors.forename: David J
authors.initials: DJ
authors.lastname: Browning
mesh_terms: 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