Prophylactic laser photocoagulation for acute retinal necrosis. Does it raise more questions than answers?

Acute retinal necrosis in the United Kingdom: results of a prospective surveillance study

“…21,22 In some papers on the topic it appears that those patients with severe disease and a poor view due to extensive vitritis tend not to undergo laser, whereas milder cases will be lasered. 23,24 This can obviously lead to selection bias in the interpretation of results in that patients with clearer media are lasered.…”

Necrose retiniana aguda por presumível etiologia viral por herpes simples resultando em endoftalmite: relato de caso

“…O uso do laser não reduz a progressão da retinite, e repetidas sessões de fotocoagulação são necessárias. Park et al (11) consideraram que as questões sobre profilaxia com laser pode influenciar no risco de descolamento de retina, depender do grau de retinite e vitreíte e necessita de estudos multicêntrico randomizado prospectivo.…”

Posterior Uveitis

“…Prophylactic vitrectomy and laser photocoagulation ( [ 196 ] (EBM: 4, D)) are associated with a variable visual function and are still controversial. Very recently, Wong et al ([ 274 ] (EBM: 2++, B)) have proposed to treat ARN with intravitreal foscarnet.…”