Evidence mapPaperPMID 39407788Full record

ReviewJournal of clinical medicine2024

Settings and Clinical Applications of Subthreshold Micropulse Laser Therapy: A Review.

Tania Sorrentino, Davide Allegrini, Giacomo De Rosa, Francesco Santoru, Lorenzo Crepaldi, Alessandro Feo, Giacomo Zanellati, Stefania Marconi, Ferdinando Auricchio, Mario R Romano

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Clinical outcomes of 577-nm subthreshold micropulse laser therapy in chronic central serous chorioretinopathy: influence of retinal pigment epithelium alterations and baseline OCT characteristics.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tania Sorrentino⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.
Davide AllegriniEye Center, Humanitas Gavazzeni-Castelli, 24128 Bergamo, Italy.
Giacomo De Rosa⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.
Francesco Santoru⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.ORCID 0000-0002-7463-2479
Lorenzo Crepaldi⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.ORCID 0009-0007-9800-6513
Alessandro Feo⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.ORCID 0009-0005-2999-6782
Giacomo ZanellatiDepartment of Civil Engineering and Architecture, University of Pavia, Via Ferrata 3, 27100 Pavia, Italy.ORCID 0009-0002-1734-2325
Stefania MarconiDepartment of Civil Engineering and Architecture, University of Pavia, Via Ferrata 3, 27100 Pavia, Italy.
Ferdinando AuricchioDepartment of Civil Engineering and Architecture, University of Pavia, Via Ferrata 3, 27100 Pavia, Italy.
Mario R Romano⁠Department of Biomedical Sciences, Humanitas University, Via Rita Levi, Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subthreshold lasers operate below the threshold of visible tissue damage, thereby preventing ophthalmoscopically visible thermal damage to the chorio-retinal layers. They could represent a safe and effective alternative and/or adjunctive procedure to conventional lasers in treating diabetic macula edema (DME), central serous chorioretinopathy (CSCR), and branch retina vein occlusion (BRVO). This review focuses on the use of subthreshold micropulse laser (SMPL), its settings, and clinical applications. Despite their widespread use, a standardized protocol for sub-threshold laser settings has not been established yet, and thus, there is uncertainty in selecting effective and safe parameters for any specific situation. We conducted a comprehensive overview of the existing indications for subthreshold laser therapy and their settings for different retinal diseases. The debate revolves around which parameters could guarantee the safety of the procedure for each case, depending on the duty cycle, the laser wavelength, the spot duration, and the power, with laser power titration on one side or choosing a fixed lowered power value on the other side. SMPL therapy for DME, CSCR, and BRVO-associated macular edema has shown significant effectiveness in reducing the macular thickness, facilitating subretinal fluid absorptions, increasing the best corrected visual acuity (BCVA) and reducing the number of intravitreal injections (IVI) required annually. We presented a broad list of the laser parameters reported in the literature, organized into different tables divided based on the specific pathology, with the aim of providing a useful tool for future studies.

Indexed as

lasermacular edemamicropulseretinasettingssubthreshold

Identifiers

PMID39407788
PMCPMC11477394

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.