Acute Choroidal Ischemia as a Complication of Photocoagulation

Michael H. Goldbaum*, Spiros O. Galinos, David Apple, George K. Asdourian, Krishan Nagpal, Lee Jampol, Michael B. Woolf, Bruce Busse

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Acute choroidal vascular insufficiency as a complication of photocoagulation has been little noticed. In 17 eyes of 16 patients photocoagulated with either xenon or argon sources for proliferative sickle cell retinopathy, gray lesions of the fundus developed peripheral to the photocoagulation sites. Histologic examination of similar gray lesions produced in monkeys showed necrosis and atrophy of the outer half of the retina. Intense photocoagulation of the human fundus, even with smaller spot sizes, may occlude a choroidal artery, producing separate gray lesions of distinctive shape. The lesions in both the patients and the monkeys progressed to granular hyperpigmentation by two to three weeks after photocoagulation.

Original languageEnglish (US)
Pages (from-to)1025-1035
Number of pages11
JournalArchives of ophthalmology
Issue number6
StatePublished - Jun 1976

ASJC Scopus subject areas

  • Ophthalmology

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