Treatment Overview
Endolaser Photocoagulation is a precise laser-based therapy used to treat wet Age-Related Macular Degeneration (AMD) characterized by choroidal neovascularization (CNV). The procedure uses a laser applied internally (endolaser) to seal abnormal blood vessels, reduce leakage, and prevent further vision loss. It is often combined with anti-VEGF therapy for enhanced outcomes in selected cases.
In Korea, endolaser photocoagulation is performed using advanced imaging, AI-assisted planning, and minimally invasive techniques:
- High-resolution OCT and fluorescein angiography (FA) to locate CNV and leakage
- AI-assisted lesion mapping for targeted laser delivery
- Microincision endolaser probes for internal retinal application
- Combination with vitrectomy or anti-VEGF injections for complex cases
- Digital imaging systems for treatment planning and follow-up
- Precision energy settings to minimize collateral retinal damage
- Outpatient or day-surgery setting for patient convenience
Endolaser photocoagulation provides targeted therapy for CNV, reducing leakage and preserving central vision in wet AMD patients.
Purpose & Benefits
Purpose
- Seal leaky choroidal neovascular membranes
- Reduce macular edema and subretinal fluid
- Prevent progression of wet AMD and central vision loss
- Complement anti-VEGF therapy in refractory or localized lesions
- Target treatment to specific retinal areas while sparing surrounding tissue
Benefits
- Minimally invasive and precise retinal therapy
- Rapid reduction of leakage and stabilization of vision
- Can be combined with anti-VEGF or steroid therapy for enhanced effect
- AI-assisted planning ensures accurate lesion targeting
- Short procedure with minimal recovery time
- Suitable for patients who cannot tolerate frequent intravitreal injections
Ideal Candidates
Endolaser Photocoagulation for Wet AMD in Korea is ideal for:
- Patients with focal or extrafoveal CNV
- Individuals with active leakage not fully responsive to anti-VEGF monotherapy
- Patients seeking adjunctive therapy to reduce injection frequency
- Individuals with stable ocular health and well-defined lesions
- Patients in whom laser therapy is feasible without risking central vision
Possible Risks & Complications
Minor / Transient Issues
- Mild eye irritation or redness
- Temporary blurred vision
- Light sensitivity after procedure
- Minor floaters
Rare / Serious Risks
- Retinal scarring or pigment changes at the laser site
- Central vision loss if fovea is affected
- Retinal tear or detachment (rare)
- Infection (very rare)
- Hemorrhage or temporary increase in intraocular pressure
How Korean Clinics Minimize Risks
- Preoperative OCT and FA to map lesions accurately
- AI-assisted laser targeting to protect healthy retina
- Experienced retinal surgeons performing endolaser therapy
- Careful energy calibration to avoid overtreatment
- Postoperative OCT monitoring for early detection of complications
Related Diagnostic & Treatment Techniques
- Optical Coherence Tomography (OCT) – Monitor fluid and macular thickness
- Fluorescein Angiography (FA) – Identify and map CNV lesions
- OCT-Angiography (OCT-A) – Optional microvascular assessment
- Anti-VEGF Intravitreal Injections – Combined therapy for wet AMD
- Vitrectomy – For patients requiring intraocular access or complex CNV
- Low-Vision Rehabilitation – Support visual function after treatment
Treatment Process in Korea
Step 1 – Preoperative Assessment
- Comprehensive eye exam including visual acuity and intraocular pressure
- OCT and FA to evaluate CNV location and leakage
- AI-assisted lesion mapping for targeted laser delivery
- Explanation of procedure, risks, and follow-up schedule
Step 2 – Endolaser Procedure
- Local or general anesthesia applied
- Microincision vitrectomy access if required for endolaser probe
- Laser applied directly to CNV with calibrated energy settings
- Immediate OCT monitoring in select clinics
- Optional combination with anti-VEGF injection
Step 3 – Postoperative Follow-Up
- Examination within 24–48 hours post-procedure
- OCT imaging at 1 week, 1 month, and 3 months
- Additional therapy if leakage persists
- Long-term monitoring every 3–6 months
Duration: 30–90 minutes (depending on complexity)
Setting: Advanced retinal surgery or day-surgery suite
Recovery & After-Care
After-Care Guidelines
- Mild eye discomfort, redness, or blurred vision is normal
- Avoid strenuous activity or eye rubbing for a few days
- Use prescribed antibiotic or anti-inflammatory drops as needed
- Attend all scheduled follow-up imaging sessions
- Report sudden vision changes, flashes, or pain immediately
Recovery Timeline
Immediate: Mild visual fluctuation or blurred vision
24–48 Hours: Minor discomfort subsides
1–4 Weeks: Retinal healing and CNV stabilization
Long-Term: Regular OCT monitoring ensures continued efficacy
Results & Longevity
Expected Results
- Effective reduction in CNV leakage
- Stabilization of vision and prevention of further central vision loss
- Complementary effect when combined with anti-VEGF therapy
- Targeted therapy minimizes damage to surrounding retina
- Improved visual outcomes in focal or extrafoveal lesions
Longevity
- Long-term results depend on lesion characteristics and disease progression
- Follow-up OCT monitoring ensures early detection of recurrence
- Repeat laser or adjunct therapy may be required for persistent CNV
Why Korea Is a Top Destination
- Highly experienced retinal surgeons specializing in endolaser therapy
- Advanced OCT and FA imaging for precise lesion mapping
- AI-assisted treatment planning for accurate and safe laser application
- Combination therapy with anti-VEGF or vitrectomy when necessary
- Minimally invasive microincision techniques
- English-friendly clinics with structured postoperative care
- High safety standards and modern surgical facilities
Unique Korean Innovations
- AI-guided CNV mapping and laser targeting
- Microincision endolaser delivery for minimal retinal trauma
- Digital monitoring dashboards for long-term visual outcomes
- Combination therapy planning with anti-VEGF and vitrectomy
- Optimized laser protocols to preserve central vision
Cost Range (Indicative Estimate)
| Package | Price (KRW) | Approx. USD | Inclusions |
|---|---|---|---|
| Single Endolaser Photocoagulation | ₩1,500,000 – ₩3,500,000 | ~$1,150 – $2,650 | Laser therapy + imaging + consultation |
| Combination Therapy (Endolaser + Anti-VEGF) | ₩3,000,000 – ₩6,500,000 | ~$2,300 – $4,950 | Laser + injection + OCT/FA + follow-up |
| Follow-Up Imaging Package | ₩300,000 – ₩800,000 | ~$230 – $620 | OCT + FA + consultation |
Popular Clinics in Korea
- Kim’s Eye Hospital Retina Center (Seoul)
- Gangnam Severance Hospital Retina Clinic
- Seoul National University Hospital Retina Center
- B&VIIT Eye Center (Gangnam)
- BGN Eye Clinic (Seoul & Busan)
- NUNE Eye Hospital (Daegu)
- Glory Seoul Eye Clinic
- Dream Eye Center (Seoul)
