Navigierte fokale retinale Lasertherapie mit dem NAVILAS®-System bei diabetischem Makulaödem

Kernt, Marcus; Cheuteu, Raoul; Liegl, Raffael; Seidensticker, Florian; Cserhati, S.; Hirneiß, Christoph; Haritoglou, Christos; Kampik, Anselm; Ulbig, Michael W.; Neubauer, Aljoscha S.

doi:10.1007/s00347-012-2559-2

Cited by 28 publications

(4 citation statements)

References 27 publications

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“…In our case series we observed a rate of 76 % posttreatment visible laser effects, consistent to other reports [5]. The loss of laser effects could be explained with the process of semiautomatic pattern laser and irregular edematous retina in diabetic macular edema.…”

Section: Discussionsupporting

confidence: 92%

Accuracy of Focal Laser Treatment Based on External Imaging (OCT) Using a Navigated Retinal Laser System – a Case Series

Voegeli

Howell

Martí³

et al. 2017

Klin Monatsbl Augenheilkd

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The navigated laser photocoagulation system (NAVILAS®, OD-OS GmBH, Teltow, Germany) is a laser treatment device that provides navigated laser treatment of the retina based on a fundus image. The purpose of this study was to investigate the accuracy of laser treatment based on external optical coherence tomography (OCT) images - a new application of the device. This retrospective case series evaluated the accuracy of laser spot placement in 7 eyes after using overlaid external OCT images for planning NAVILAS laser treatment. After a mean time of 33 days, a post-treatment OCT was obtained and compared with the pretreatment plan on the previous OCT. Laserspots touching or overlapping the planned 100 µm laser spots were classified as "match" and invisible laser spots as "laser spot not evolved". A total of 477 laser spots in 7 eyes were evaluated (mean: 68 spots per eye). Of all planned laser spots, 361 (75.7 %) were visible on post-treatment OCT. 58.7 % of these spots matched the pretreatment plan. Non-matching laser spots showed no uniform pattern of dislocation. Planning navigated NAVILAS Laser treatment based on manually imported OCT images seems to be less accurate than planning with NAVILAS integrated imaging. These findings warrant further evaluation, not only regarding the recently installed automated picture importing tool but also concerning its clinical impact, which is possibly outweighed by the advantages of the additional image information.

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Section: Discussionsupporting

confidence: 92%

Accuracy of Focal Laser Treatment Based on External Imaging (OCT) Using a Navigated Retinal Laser System – a Case Series

Voegeli

Howell

Martí³

et al. 2017

Klin Monatsbl Augenheilkd

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“…Only one facility in the world uses digital techniques to support laser photocoagulation, the NAVILAS facility [ 5 , 10 , 12 , 14 , 16 ]. We are developing a more advanced technology that will help physicians plan retinal surgeries to prevent blindness in diabetic patients.…”

Section: Methods For Automated Decision Making In the Treatment Of Di...mentioning

confidence: 99%

Application of Artificial Intelligence in Ophthalmology for the Diagnosis and Treatment of Eye Diseases

Ilyasova

Демин²

2022

Pattern Recognit. Image Anal.

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In this paper, we present the main aspects of artificial intelligence application in ophthalmology for the diagnosis and treatment of eye diseases on the example of developing a computer system for personalizing retinal laser photocoagulation. Approaches to the automation of eye disease prediction and treatment based on fundus images are described. Four problems of applying the neural network approach are highlighted. Decision support information technology for personalizing laser treatment of diabetic macular edema and identifying prognostic factors of surgical outcome using methods of intellectual analysis of large unstructured data is described. The system allows the doctor to form a plan of optimal coagulation arrangement for retinal laser coagulation for each case, to predict the quality of laser coagulation depending on the initial data on the localization and severity of edema and to improve his skills by comparing the result of coagulation performed and the coagulation plan proposed by the system.

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“…This greatly benefits teaching and for the first time enables telemedicine: a plan can be e-mailed to another expert for review and applied later with or without revisions. 20,21,24,25…”

Section: Figure 2: Treatment With Plan Overlaid Onto Live Retinamentioning

confidence: 99%

Navigated Laser Therapy for Diabetic Macular Oedema

Kernt

Ulbig

Neubauer

2010

European Endocrinology

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Navigated laser therapy introduces computerised assistance systems to retinal laser photocoagulation treatment. Some of the main benefits the Navilas system offers over conventional laser include high precision and safety and provides additional advantages in terms of standardisation of planning, execution, documentation, quality assurance and better overall treatment comfort for the patient. Navigated laser therapy is being used with good success in the treatment of diabetic macular oedema (DMO), retinal vein occlusions (RVO) and fastpattern navigated panretinal photocoagulation in proliferative diabetic retinopathy (PDR). In centre-involving DMO, a combination of anti-vascular endothelial growth factor (VEGF) and macular laser may provide advantages over anti-VEGF monotherapy. In terms of navigated laser therapy, recent study data from our clinic and other institutions indicate that combined initial anti-VEGF and navigated macular laser therapy allows treatment success to be achieved and maintained with a significantly reduced number of interventions.

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Navigierte fokale retinale Lasertherapie mit dem NAVILAS®-System bei diabetischem Makulaödem

Abstract: After NAVILAS treatment for DME a high percentage of laser effects could be visualized on post-treatment color images and the location showed high concordance with the preplanning target.

Cited by 28 publications

References 27 publications

Accuracy of Focal Laser Treatment Based on External Imaging (OCT) Using a Navigated Retinal Laser System – a Case Series

Accuracy of Focal Laser Treatment Based on External Imaging (OCT) Using a Navigated Retinal Laser System – a Case Series

Application of Artificial Intelligence in Ophthalmology for the Diagnosis and Treatment of Eye Diseases

Navigated Laser Therapy for Diabetic Macular Oedema

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