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PASCAL anyone?

Discussion in 'Ophthalmology: Eye Physicians & Surgeons' started by monkey7247, May 31, 2008.

  1. monkey7247

    monkey7247 Senior Member 7+ Year Member

    Feb 15, 2005
    Dallas, TX
    This laser rocks! PRP in 5 minutes. We've got one at our program now. I don't know if I'll be able to go back to the standard argon after this. Anyone else use this and love it?

    EDIT: PASCAL is a PAttern SCAn Laser. It lays down multiple spots at once in multiple patterns.
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  3. FlyingDoc

    FlyingDoc Junior Member 5+ Year Member

    Jan 17, 2005
    We've had one at our program for 2 years now, even got the indirect laser module recently (sorry, no patterns with the indirect though ;)

    Love this laser for slit lamp delivered PRP. You have to watch out though... it is very easy to break through Bruch's with this laser. So when you get out into the periphery where there is more pigment, you have to remember to turn the power down.
  4. Pastrami King

    Pastrami King Member 7+ Year Member

    Mar 19, 2005
  5. bucknut101

    bucknut101 7+ Year Member

    Mar 14, 2008
    What a dream come true. At our next meeting I'm going to ask if we can get one of these. The magic sentence will be "Since we can do PRP's in less time, we can get through more patients each laser session, which means more $$$ for the clinic!"
  6. monkey7247

    monkey7247 Senior Member 7+ Year Member

    Feb 15, 2005
    Dallas, TX
    Believe me, it's like night and day. Plus, I no longer get "PRP shoulder" after doing 10 or so in a row.
  7. ophth_not_opth

    ophth_not_opth Junior Member 7+ Year Member

    Sep 12, 2003
    I am ambivalent about it. At our institution, it has become the primary laser, and I sometimes find myself wishing for the argon. My two largest issues are that 1) it doesn't cut through hemorrhage well and 2) the difference in energy and duration used is sufficiently large between a YAG and argon that I find myself wondering whether I have treated to the standards outlined by various landmark studies. Lesser complaints include 3)distortion of the grid pattern at the edge of the condensing lens that can result in an unequal uptake (for example, only 6 of 9 spots taking). 4) An almost obligatory treating of vessels when doing a PRP with a larger grid pattern. 5) The circular patterns are interesting, but I rarely use them since retinopexies rarely follow a perfect shape. 6)I find the thumb joystick(for the aiming beam) location awkward(though useable). 7) The LIO cord is pretty short.

    On the upside, it is a very ergonomically designed system(thumbstick aside), and the touch screen is nice. Overall, the patients do seem more comfortable. I can't comment on postop inflammation, since I typically do divided sessions with either laser type.

    My take: If you primarily do PRP at the slit lamp, it will probably save you some time. If you are proficient with the LIO, it probably won't. Personally, I am undecided on which laser I would purchase.
  8. Free Radicle

    Free Radicle Junior Member 5+ Year Member

    Nov 15, 2005
    We previewed it and ordered it. Saved a tremendous amount of time. I agree with the concern over treatment of vessels.

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