Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases

Diabetic retinopathy and retinal vein occlusion represent two prevalent vision-threatening retinal diseases. Retinal laser therapy still plays an important role in treating these conditions, but its successful administration often requires referral to specialized centers and retina experts. It is, t...

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Main Authors: Andrea Cusumano, Robin Ross, Benedetto Falsini, Marco Lombardo
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Therapeutic Advances in Ophthalmology
Online Access:https://doi.org/10.1177/25158414241311078
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author Andrea Cusumano
Robin Ross
Benedetto Falsini
Marco Lombardo
author_facet Andrea Cusumano
Robin Ross
Benedetto Falsini
Marco Lombardo
author_sort Andrea Cusumano
collection DOAJ
description Diabetic retinopathy and retinal vein occlusion represent two prevalent vision-threatening retinal diseases. Retinal laser therapy still plays an important role in treating these conditions, but its successful administration often requires referral to specialized centers and retina experts. It is, therefore, essential to develop a new treatment methodology that enables patients to benefit from the expertise of specialists from reference centers. For this purpose, we investigated the feasibility of teleguided photocoagulation conducted across continents to determine if different ophthalmologists can consensually devise and safely execute treatment plans remotely. Two patients from Italy (Europe) with diabetic retinopathy and one from Arizona (USA) with central retinal vein occlusion underwent retinal photocoagulation using Navilas ® 577s with remote teleguidance from the corresponding continental counterpart. The process included remote planning and execution, supported by an audio connection for real-time communication. Teletreatment success criteria included treatment plan completion, patient tolerance, remote connection stability, and technical quality. All treatments have been successfully performed with accurate spot application and no technical issues. Follow-ups at three weeks confirmed positive outcomes for each patient. Remote teleguided retinal photocoagulation appears feasible, offering a promising tool for global collaborations in retina care and potential benefits to regions with limited access to expert supervision.
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spelling doaj-art-54e32c4f26884555be6b72c5e25158bc2025-01-16T11:03:28ZengSAGE PublishingTherapeutic Advances in Ophthalmology2515-84142025-01-011710.1177/25158414241311078Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseasesAndrea CusumanoRobin RossBenedetto FalsiniMarco LombardoDiabetic retinopathy and retinal vein occlusion represent two prevalent vision-threatening retinal diseases. Retinal laser therapy still plays an important role in treating these conditions, but its successful administration often requires referral to specialized centers and retina experts. It is, therefore, essential to develop a new treatment methodology that enables patients to benefit from the expertise of specialists from reference centers. For this purpose, we investigated the feasibility of teleguided photocoagulation conducted across continents to determine if different ophthalmologists can consensually devise and safely execute treatment plans remotely. Two patients from Italy (Europe) with diabetic retinopathy and one from Arizona (USA) with central retinal vein occlusion underwent retinal photocoagulation using Navilas ® 577s with remote teleguidance from the corresponding continental counterpart. The process included remote planning and execution, supported by an audio connection for real-time communication. Teletreatment success criteria included treatment plan completion, patient tolerance, remote connection stability, and technical quality. All treatments have been successfully performed with accurate spot application and no technical issues. Follow-ups at three weeks confirmed positive outcomes for each patient. Remote teleguided retinal photocoagulation appears feasible, offering a promising tool for global collaborations in retina care and potential benefits to regions with limited access to expert supervision.https://doi.org/10.1177/25158414241311078
spellingShingle Andrea Cusumano
Robin Ross
Benedetto Falsini
Marco Lombardo
Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
Therapeutic Advances in Ophthalmology
title Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
title_full Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
title_fullStr Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
title_full_unstemmed Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
title_short Teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
title_sort teleguided photocoagulation treatments across continents with a remotely programmed laser for retinal diseases
url https://doi.org/10.1177/25158414241311078
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