Manchester Royal Eye Hospital use three Pascal lasers as preferred treatment protocol for all retinal conditions
Manchester Royal Eye Hospital was the first in the UK to introduce pattern scan retinal laser treatments into regular patient clinic sessions. In fact, Manchester was one of the first sites in the world to do this. The introduction of the Pascal pattern Scan Laser by Prof. Paulo Stanga in 2007 has revolutionised the way in which eye disorders such as diabetic retinopathy, macular oedema and retinal holes etc are treated.
The original Pascal laser uses a 532nm wavelength laser source delivered via slit lamp in various pattern shapes and sizes from small arrays of 4 spots to 25 and 36 spot arrays for pan retinal photocoagulation and full macular treatments. Treatment times per eye for PRP in particular have been reduced from 30 minutes to less than 10 minutes, freeing up clinic time to treat even more patients. The additional benefit of short pulse duration (dose) has also given patients a virtually pain free experience which is welcomed by regular visitors to the laser suite.
In 2009, Manchester added a second Pascal 532nm laser to the retinal service and in late 2011, the addition of a third Pascal Streamline 577nm yellow laser means that every patient requiring treatment will benefit from pattern scan laser therapy.
Prof. Stanga now also treats the retina using “sub threshold” laser protocols and End Point Management which allows the clinician to very gently apply laser energy to the retinal tissue without leaving any visible burns. Land mark burns in the corners of the patterns allow the clinician to still see where the treatment has occurred. These invisible burns then show up very subtly on auto fluorescence and OCT images. The clinical advantage to the patient is minimised tissue damage, reduced field loss and improved outcomes.