Laser Retinopexy (LRP)
What is Laser Retinopexy?
Laser Retinopexy (LRP), is a laser procedure that uses a focused beam of light to create a series of small, precise burns or "spots" on the retina. These spots create scar tissue that "welds" the retina to the underlying tissue, sealing a retinal tear or hole.
Why is LRP recommended?
The retina is the light-sensitive layer at the back of the eye. It works like the film in a camera. The vitreous, a gel-like substance, fills the center of the eye and is attached to the retina. As we age, the vitreous can shrink and pull on the retina. If the vitreous pulls too hard, it can cause a tear or hole.
If left untreated, fluid can seep through this tear and under the retina, causing it to separate from the back wall of the eye. This is called a retinal detachment, a serious condition that can lead to permanent vision loss.
LRP helps prevent this by creating a seal around the tear, acting as a barrier to prevent fluid from getting underneath the retina. This greatly reduces the risk of a retinal detachment.
What to Expect
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Before the procedure:
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There are no special preparations for your LRP treatment, simply arrive at the office at your scheduled appointment time.
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Dilation drops will be instilled upon your arrival to the office.
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Anesthetic drops will be instilled in your eye(s) immediately before the procedure to numb the eye(s).
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During the procedure:
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You will be seated comfortably.
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A lens will be placed on your eye to reduce movements like blinking.
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The surgeon will then perform the procedure. You will see bright flashes of light. The laser treatment itself mat cause some sharp or aching sensations. This is normal.
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The procedure can take anywhere from 2-10 minutes depending on the amount of laser needed.
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After the procedure:
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You may resume your normal daily activities after receiving LRP treatment unless expressly told otherwise by your surgeon.
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Your vision will be blurred and you may be sensitive to light for a few hours. We recommend you wear sunglasses.
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The eye may feel irritated, or have redness, after the LRP treatment - use artificial tears.
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The laser does not get rid of any flashes or floaters you may have experienced before the procedure. It is possible you may notice new floaters.
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Potential Side Effects and Risks
Laser retinopexy is a very safe and effective procedure, but like any medical treatment, there are some risks and potential side effects.
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Discomfort: It's common to experience some mild discomfort, such as a sharp or aching sensation, during the procedure. Afterward, you may have some eye irritation, redness, or a headache, but this is usually temporary.
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Vision Changes: You will have temporary blurred vision and light sensitivity from the dilating drops and the laser. These effects usually go away within a few hours. In rare cases, the laser spots may be in your line of vision, but this is uncommon.
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Incomplete Treatment: The laser may not completely seal the tear, and you may need a second treatment.
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Retinal Detachment: While the goal of LRP is to prevent a retinal detachment, there is still a small risk that one could occur, especially if a new tear forms.
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New Retinal Tears: This procedure does not prevent new retinal tears from forming in other areas of the retina.
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Macular Damage: In very rare cases, the laser could accidentally hit the macula (the central part of the retina responsible for sharp vision), which could cause permanent vision loss.​
What to Look Out For
Even after the procedure, you should contact our office immediately or proceed to your nearest emergency department if you experience any of the following symptoms:
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A sudden increase in the number of new floaters.
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A sudden increase in flashes of light.
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A "curtain" or "shadow" that comes across your vision.
These could be signs of a new or worsening retinal tear or a retinal detachment, which requires urgent medical attention.
Important Note: Do not drive yourself home after the procedure. Please arrange for someone to pick you up or take public transportation.
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Please ask your doctor if you have any questions.