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What are your concerns about the patient impact of green light laser deep coagulation compared to holmium?

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What are your concerns about the patient impact of green light laser deep coagulation compared to holmium?

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I think the result of the deeper coagulation with green light laser is a lot like what we saw with the old Nd:YAG VLAP procedure. A zone of necrotic tissue was formed. We saw in a number of patients that it sometimes took a long time for the tissue to slough. So patients had irritative symptoms for a long time. Or sometimes the tissue did not slough, and that required another surgical treatment to deal with. So that’s my concern. My experience with the green light laser has been that patients have more irritative symptoms than they do when treated with holmium.

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