{"key":"op_411_XK","page":{"url":"https://ru.bookimed.com/clinics/country=respublika-kosovo/procedure=fotokoagulyaciya/","procedure":{"id":411,"slug":"fotokoagulyaciya","name":"Фотокоагуляция","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"ophthalmology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":374,"iso":"XK","name":"Республика Косово"},"currency":"USD","data_date":"2025-07-31"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=respublika-kosovo/procedure=fotokoagulyaciya/","cost_url":"https://ru.bookimed.com/clinics/country=respublika-kosovo/procedure=fotokoagulyaciya/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":170,"to":320,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":1200,"to":2800},"uk":{"from":650,"to":1300},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Приштина","from":170}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":130,"to":280},{"country_iso":"FR","from":450,"to":900},{"country_iso":"GB","from":650,"to":1300},{"country_iso":"US","from":1200,"to":2800},{"country_iso":"IL","from":900,"to":1600},{"country_iso":"TR","from":300,"to":450},{"country_iso":"MX","from":450,"to":900},{"country_iso":"DE","from":450,"to":1000},{"country_iso":"CA","from":650,"to":1300},{"country_iso":"AE","from":450,"to":900},{"country_iso":"TH","from":450,"to":700},{"country_iso":"PL","from":180,"to":420},{"country_iso":"KR","from":350,"to":850},{"country_iso":"CZ","from":350,"to":600},{"country_iso":"AT","from":450,"to":900},{"country_iso":"ES","from":280,"to":600},{"country_iso":"IT","from":350,"to":800},{"country_iso":"CN","from":400,"to":650},{"country_iso":"AU","from":900,"to":1800},{"country_iso":"IN","from":250,"to":650},{"country_iso":"MY","from":450,"to":900},{"country_iso":"VN","from":280,"to":450},{"country_iso":"BR","from":250,"to":650}],"base_country":"US","base_is_fallback":false},"savings":{"pct":86,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":6939,"name":"Italian Eye Hospital","city":"Prishtina","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["American Academy of Ophthalmology"],"rank":1,"has_procedure":true,"why_ranked":"Specializes in advanced retinal treatments with modern laser suites. 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A dull eye ache or headache may follow for some hours.","preparation":["Dilated retinal exam, usually with OCT; sometimes fluorescein angiography","Dilating drops and topical anesthetic on the day","Arrange a companion or transport; vision blurs after dilation","Bring medication list and sunglasses","Inform the team of any allergies","Continue usual diabetes and blood pressure care"],"recovery_timeline":[{"phase":"Day of each session (first hours)","description":"Home the same day, no overnight stay. Glare, blurred vision and mild ache while dilation wears off.","restrictions":["Arrange a companion or transport","Avoid driving until vision is clear","Wear sunglasses for light sensitivity"]},{"phase":"Days 1-7","description":"Gradual return to usual vision. Walking and light activity are fine. 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the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New peripheral vision loss","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aao.org/education/current-insight/retinal-vein-occlusion","host":"aao.org","quote":"Significant complications––similar to those seen after photocoagulation for diabetic retinopathy––can develop after treatment, including loss of night vision, inadvertent foveal burn, scotomas, loss of peripheral vision, loss of accommodation, and anterior segment ischemia if treatment is applied over the long posterior ciliary arteries and nerves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"New blind spots","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aao.org/education/current-insight/retinal-vein-occlusion","host":"aao.org","quote":"Significant complications––similar to those seen after photocoagulation for diabetic retinopathy––can develop after treatment, including loss of night vision, inadvertent foveal burn, scotomas, loss of peripheral vision, loss of accommodation, and anterior segment ischemia if treatment is applied over the long posterior ciliary arteries and nerves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Increased flashes or floaters","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"New eye pain","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"New eye redness","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["topical"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Counted from each session. 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Arrange home retinal follow-up."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"After the last session: dilated exam, often with OCT, to check macular edema and plan fill-in laser."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"After the last session: review of neovascularization regression and disease stability by the retinal specialist."}}],"indications":["Proliferative diabetic retinopathy, especially high-risk disease","Severe non-proliferative diabetic retinopathy at high risk of progression","Diabetic macular edema, particularly when non-center-involving","Symptomatic retinal tears and selected lattice degeneration","Neovascular glaucoma or rubeosis from retinal ischemia","Retinal vein occlusion with neovascularization","Selected retinal vascular lesions such as macroaneurysm or telangiectasia"],"main_risks":["Reduced peripheral, night vision and contrast, especially after panretinal laser","Transient blurred vision and glare","Worsening of existing or new macular edema after laser","Inadvertent foveal burn or central scotoma","Permanent scotomas and visual field loss","Vitreous hemorrhage","Exudative or choroidal detachment from too many burns at once","Subretinal fibrosis and choroidal neovascularization after macular laser","Rarely angle closure or raised eye pressure"],"pain":"Usually mild to moderate: brief stinging or aching with each burst, more noticeable in panretinal treatment and near the periphery. A dull eye ache or headache may follow for some hours.","preparation":["Dilated retinal exam, usually with OCT; sometimes fluorescein angiography","Dilating drops and topical anesthetic on the day","Arrange a companion or transport; vision blurs after dilation","Bring medication list and sunglasses","Inform the team of any allergies","Continue usual diabetes and blood pressure care"],"recovery_timeline":[{"phase":"Day of each session (first hours)","description":"Home the same day, no overnight stay. Glare, blurred vision and mild ache while dilation wears off.","restrictions":["Arrange a companion or transport","Avoid driving until vision is clear","Wear sunglasses for light sensitivity"]},{"phase":"Days 1-7","description":"Gradual return to usual vision. Walking and light activity are fine. 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No formal rehabilitation is needed."},"result_longevity":"Scars are permanent, and neovascularization control often lasts years with well-controlled diabetes. Durability varies; some eyes later need fill-in laser, anti-VEGF injections or vitrectomy.","revision_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Additional laser, anti-VEGF or vitrectomy beyond planned sessions within 12 months of panretinal laser for proliferative diabetic retinopathy."},"scars":"No external scars and no skin entry mark. Laser creates small chorioretinal scars inside the retina that may cause blind spots, especially after dense treatment.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Panretinal laser sessions; extra fill-in sessions may be needed."},"stages":[{"code":"session_1","label":"First panretinal laser session","after":{"min":0,"max":0,"unit":"days","qualifier":"Reference event: first session."}},{"code":"session_2","label":"Second laser session, completing the next portion of the retina","after":{"min":7,"max":28,"unit":"days","qualifier":"After the first session."}},{"code":"session_3","label":"Further session to complete the pattern or fill in, if planned","after":{"min":14,"max":28,"unit":"days","qualifier":"After the first session."}}],"qualifier":"Panretinal laser for proliferative diabetic retinopathy in 2-3 sessions; intervals vary. Focal or tear laser is usually 1 session."},"success":{"metric":"Regression or stabilization of retinal neovascularization without need for further treatment","value":60,"unit":"percent","horizon":"About 1-3 months after the last session","population":"Adults with proliferative diabetic retinopathy treated with the primary panretinal protocol","evidence_status":"limited"},"techniques":[{"name":"Panretinal (scatter) photocoagulation","suits_whom":"Proliferative diabetic retinopathy or ischemic retinal neovascularization.","recovery":"Often split into several sessions. Peripheral and night vision may be reduced afterward."},{"name":"Focal or grid macular laser","suits_whom":"Selected diabetic macular edema, particularly non-center-involving.","recovery":"Brief blur and glare. Effect is judged over weeks to months."},{"name":"Barrier (retinopexy) laser around retinal tears","suits_whom":"Symptomatic retinal tears without significant detachment.","recovery":"Scar adhesion strengthens over about 1-2 weeks; avoid strenuous activity meanwhile."},{"name":"Indirect ophthalmoscope laser delivery","suits_whom":"Peripheral lesions, small pupils, or patients who cannot sit at a slit lamp.","recovery":"Similar to slit-lamp laser; may need additional anesthesia such as a regional block."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per laser session in the primary panretinal protocol, laser time only. Excludes dilation and observation time."},"initial_assessment_documents":["Recent dilated fundus photos of both eyes","Macular OCT scans","Fluorescein angiography report (if available)","Ophthalmologist report with diagnosis and prior laser","Recent HbA1c and diabetes treatment summary","Visual acuity and eye pressure results"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"2-3 office laser sessions 1-4 weeks apart; one 2-4 week stay is possible, otherwise a second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the specialist explains the risks and benefits of the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/diabetic-retinopathy/treatment/","host":"nhs.uk","quote":"They'll explain the risks and benefits of the procedure, and what will happen.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that the treatment is given by an eye 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concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"New peripheral vision loss","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aao.org/education/current-insight/retinal-vein-occlusion","host":"aao.org","quote":"Significant complications––similar to those seen after photocoagulation for diabetic retinopathy––can develop after treatment, including loss of night vision, inadvertent foveal burn, scotomas, loss of peripheral vision, loss of accommodation, and anterior segment ischemia if treatment is applied over the long posterior ciliary arteries and nerves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"New blind spots","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aao.org/education/current-insight/retinal-vein-occlusion","host":"aao.org","quote":"Significant complications––similar to those seen after photocoagulation for diabetic retinopathy––can develop after treatment, including loss of night vision, inadvertent foveal burn, scotomas, loss of peripheral vision, loss of accommodation, and anterior segment ischemia if treatment is applied over the long posterior ciliary arteries and nerves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Increased flashes or floaters","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"New eye pain","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"New eye redness","urgency":"contact_clinic","general":false,"source":{"url":"https://eyewiki.aao.org/Panretinal_Photocoagulation","host":"eyewiki.aao.org","quote":"Patients who experience unusual symptoms after PRP, such as an increase in flashes, floaters, pain, redness, a significant decrease in vision, or the sensation that their field of vision is obscured by black curtain, should call their surgeon immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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Effect is judged over weeks to months."},{"id":"barrier-laser-around","name":"Barrier (retinopexy) laser around retinal tears","how_it_works":{"id":"H1","text":"Small, controlled burns are made around the retinal tear","source":{"url":"https://www.dgft.nhs.uk/pil/argon-laser-retinopexy-photocoagulation-for-retinal-tear-break/","host":"dgft.nhs.uk","quote":"It creates small, controlled burns around the retinal tear.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Symptomatic retinal tears without significant detachment.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Scar adhesion strengthens over about 1-2 weeks; avoid strenuous activity meanwhile."},{"id":"indirect-ophthalmoscope","name":"Indirect ophthalmoscope laser delivery","how_it_works":{"id":"H1","text":"A special device worn on the doctor's head sends the 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