It is extremely important to monitor the condition of the retina — the thinnest light-sensitive membrane of the eye, which lines its inner surface. The retina is responsible for visual perception.
There are many causes that can lead to impaired blood circulation or even damage to the integrity of the retina:
Diabetic retinopathy
Due to high blood sugar levels, blood vessels become damaged, thinning and weakening over time. In the proliferative form, neovascularization occurs — the formation of new blood vessels; however, these vessels are very fragile and tend to bleed frequently.
Central serous chorioretinopathy
Fluid accumulation in the macula leads to image distortion and also impairs cellular nutrition, which can result in irreversible damage.
Peripheral retinal dystrophy (PRD) or peripheral degenerative changes of the retina
It is performed to strengthen weak areas of the retina. The laser creates microscopic burns that later scar and firmly reinforce the retina. This helps prevent a serious condition such as retinal detachment.
How are these abnormalities detected?
During the consultation, the ophthalmologist dilates the pupil using eye drops, which allows a clear and detailed view of the retina. If necessary, optical coherence tomography (OCT) is performed, which visualizes the optic nerve head, macula, and retina. The doctor then examines the peripheral retina.
In certain cases, laser coagulation may be prescribed as a treatment option.
- peripheral prophylactic laser coagulation for retinal dystrophy;
- barrier laser coagulation for retinal tears or localized retinal detachment;
- focal or panretinal laser coagulation for diabetic retinopathy.
What are the benefits of laser coagulation?
- prevents the progression of retinal tears to retinal detachment;
- “seals” abnormal or leaking blood vessels in diabetic retinopathy;
- reduces the eye’s oxygen demand by excluding non-functional retinal areas affected by diabetic or occlusive lesions. As a result, oxygen is redirected toward the macula, helping preserve central vision.
How does this happen?
During the consultation with the doctor, you agree on a treatment plan and possible methods. Then a laser surgeon evaluates the case, determines the necessity and type of coagulation, and explains how the procedure will be performed. If desired, it can be done on the same day without a separate appointment.
The procedure is performed under topical (drop) anesthesia and takes 10–15 minutes.
It is important for 2 weeks after the procedure not to lift heavy objects (up to 5 kg), avoid intense physical activity, and not visit swimming pools or saunas.
Frequently asked questions:
As with any procedure, temporary blurred vision and increased light sensitivity may occur, but these are temporary.
Yes, the retina can “react” this way, and it usually resolves over time.
Yes. However, it is advisable to wear sunglasses, as dilated pupils are very sensitive to light.
Yes, you can. However, active visual strain should be coordinated with your doctor.
When it comes to the retina — timing and control are essential. Do not postpone preventive visits, as they help preserve your vision and quality of life.
Kushnir Nataliya
Ophthalmologist, Candidate of Medical Sciences

