Southport, Robina & Coolangatta:  07 5557 8888  |  Fax:  07 5557 8899
OUTLOOK EYE TREATMENTS

Laser Retinopexy

Laser retinopexy refers to the use of laser to “spot-weld” the retina around a retinal tear.

Problem:

A retinal tear can occur when a vitreous detachment occurs. The vitreous is the jelly like material filling the cavity of the eye. During the ageing process, the jelly shrinks and collapses. In the majority of patients there is no consequence from this. In a small group of patients, the vitreous is firmly attached to the retina and can tear when pulled upon. A retinal tear can lead to a retinal detachment which is a potentially blinding condition.

By spot-welding the retina around a tear, the risk of retinal detachment can be minimised

Procedure:

This is performed in the rooms.

  1. A drop is instilled to numb the eye.
  2. A special contact lens is then held to the eye. The laser is performed through the lens and also helps to keep the eye still and the lids apart.
  3. You may see some green flashes of light. You should avoid trying to look at it. In most cases there is minimal discomfort.

Post Laser:

Your eye may be checked again in a week or two to ensure an adequate scarring reaction and ensure no new tears have developed.

Frequently Asked Questions

Laser retinopexy is an urgent laser procedure used to seal retinal tears and prevent retinal detachment. A focused laser creates a series of burns around the tear, forming scar tissue that welds the retina to the underlying eye wall and stops fluid from passing through the tear and lifting the retina.
A retinal tear is a warning sign that a retinal detachment may be imminent. Once fluid passes through a retinal tear and lifts the retina, emergency vitrectomy surgery is required. Laser retinopexy performed promptly after a tear is identified can prevent detachment in the majority of cases and avoids the need for major surgery.
The procedure is performed under topical anaesthetic drops and is generally well tolerated. Some patients experience mild discomfort or a feeling of pressure during the laser application. Sensitivity to light is common for a few hours after the procedure.
Laser retinopexy typically takes 15–30 minutes. It is performed in the consulting rooms and does not require admission to hospital. You will need someone to drive you home as dilating drops are used.
Laser retinopexy successfully prevents retinal detachment in the majority of cases when performed promptly after the retinal tear is identified. However, close monitoring is essential after treatment, and some tears may progress to detachment despite laser treatment, requiring surgical intervention.
Rest is recommended for 24–48 hours following the procedure. Avoid strenuous exercise and heavy lifting for at least 1 week. Most importantly, seek urgent review if you notice a sudden increase in floaters, flashes, or the appearance of a shadow or curtain across your vision; these may indicate that a detachment is developing.
Laser retinopexy treats retinal tears before they lead to detachment. It is a preventive procedure performed in the consulting rooms. If a retinal detachment has already occurred, where the retina has lifted from the back of the eye, laser alone is not sufficient and vitrectomy surgery or scleral buckling is required.
Floaters themselves do not cause retinal tears. However, a sudden onset of many new floaters, particularly if accompanied by flashes of light, can indicate a posterior vitreous detachment (PVD), which is associated with retinal tears in approximately 10–15% of cases. Any sudden change in floaters or new flashes of light should be assessed urgently by an ophthalmologist.
Most retinal tears are fully treated in a single session. Occasionally a second session is required if the scar has not formed adequately or if additional tears are identified at the post-treatment review. Your ophthalmologist will schedule a follow-up examination within 4–6 weeks.
Yes. Laser retinopexy is eligible for a Medicare rebate when performed by a specialist ophthalmologist with a valid referral. As it is often performed urgently, our team will advise on costs at the time of your appointment.