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Learning about Barrage Laser Surgery: What It Is, Why It’s Done, and How Much It Costs

Learning about Barrage Laser Surgery: What It Is, Why It’s Done, and How Much It Costs

May 20, 2025

Vision is probably the most critical sense, and treatment must begin early when it’s under siege—such as with a tear or deterioration in the retina. One treatment for this is barrage laser surgery. However, many patients and their families panic at hearing the words. They ask questions such as: – What is barrage laser surgery? Is it safe? How does it compare with other laser surgeries? And how much is it going to cost?

This article will explain the need for barrage laser surgery, how it is done, what happens after the procedure, and the expenses incurred so that you can make an informed decision.

What Is Barrage Laser Surgery?

Barrage laser therapy is one type of retinal laser therapy applied to close or tighten loose tissue in the retina, the thin layer of light-sensitive tissue at the back of your eye that enables vision. If small holes or tears occur in the retina, fluid from inside your eye can leak through and lead to it detaching from the eye wall—a condition called retinal detachment.

Barrage laser surgery employs a concentrated beam of laser to create a series of minor, controlled cuts around the tear or area of weakness. The cuts create scar tissue as a “barrage” or “barrier” to prevent the tear from advancing or fluid from seeping under the retina.

That’s how it got its name, barrage—it “blocks” the way, just like a dam blocks water.

When Is Barrage Laser Indicated?

An ophthalmologist would recommend barrage laser treatment for the following conditions:-

  • Retinal holes or tears without detachment
  • Lattice degeneration (a peripheral thinning of the retina)
  • Thin retinas due to age or genetics
  • Traumatic retinal damage
  • Family history of retinal detachment with suspicious findings

Most of the time, the patient may not be aware that anything is wrong because changes in the retina can occur without symptoms in the early stages. That’s why eye exams are so important—especially for individuals who have high myopia (minus power), diabetes, or a family history of retinal disease.

How Is the Procedure Done?

Barrage laser is an office procedure that is not surgical and takes only 15 to 10 minutes. That is what is involved:-

1. Eye Examination and Consent:-

Before the procedure, your retina will be examined thoroughly using dilating drops and special lenses. The doctor will share the risks and benefits and ask you to sign a consent form.

2. Preparation:-

Anaesthetic drops will be administered to your eye to anaesthetize the surface. A contact lens will sometimes be applied to aim the laser beam more accurately onto the retina.

3. Laser Application:-

The area of the tear or weakness is treated with the laser. You might notice flashing bright red or green lights. You might experience some discomfort or heat sensation over the laser spots, but this is usually not painful.

4. Post-Procedure Observation:-

Your vision blurs for a few hours after the laser. You are monitored for a short while and then discharged home.

What to Expect After the Procedure

Most of the patients will return to regular activity within a day or two, although some precautions should be observed:-

  • Avoid heavy lifting, heavy exercise, or sudden head movement for several days.
  • Comply with any eye drop post-laser treatment guidelines.
  • Attend follow-up appointments to verify the laser treatment and the retina are settled.

It should be noted that the barrage laser does not treat lost vision—it is only a preventative measure to help maintain current vision and prevent future loss. Surgery may be needed if the retina still detaches after the laser.

Is Barrage Laser Surgery Safe?

Yes, barrage laser is a safe and effective surgery. It has been utilized for numerous decades of retinal treatment. However, as with all medical treatment, it does carry some risks:-

  • Temporary blurred vision
  • Mild eye discomfort
  • Inflammation of the eye (rare)
  • Semi-blockage of the tear, requiring additional laser or surgery
  • Your doctor will discuss these complications and determine if this procedure suits your case.

Myths & Dispelling Them

“Is this the same as LASIK?”

No. LASIK is a laser that remodels the cornea to correct for refractive errors such as myopia or astigmatism. Barrage laser is an assault on the retina with a specific purpose and mechanism.

“Will I lose vision after the laser?”

Barrage laser does not cause vision loss—it’s performed to prevent possible blindness due to retinal detachment. Diminished peripheral or night vision can be seen in some instances.

“Can I get out of surgery with this laser?”

Yes, in most instances. Barrage laser can prevent more severe surgery by fixing the problem in time. However, laser treatment alone may not be sufficient if retinal detachment has already occurred.

How Much Will Barrage Laser Surgery Cost?

The cost of barrage laser surgery can differ depending on:-

  • The city and hospital where it is performed
  • Whether a veteran retinal specialist performs it
  • Type of equipment used (some of the newer lasers are more precise and expensive)
  • Follow-up and any additional imaging, such as OCT or retinal scans

The cost of barrage laser treatment in India can range from Rs. 5,000 to Rs. 20,000 per eye. Charitable trusts or government hospitals might provide it at a subsidised price. High-tech eye hospitals might charge slightly higher because of the quality of care and the equipment used.
Depending on your condition and the kind of treatment you require, it is always best to contact the hospital directly for an estimate.

Conclusion

Barrage laser surgery is an old tried-and-true technique to guard against serious complications in the retina. It is techno-jargon and scares even some people at face value. Still, in simple terms, it is a fast, precautionary laser treatment that saves your vision and prevents having to undergo more dangerous treatments. Don’t panic if your eye doctor says you need this surgery. Ask questions, learn about the advantages, and move fast—because with retinal treatment, time can be the difference between saving your vision. To learn more or to arrange a retinal consultation, please do not hesitate to call our eye hospital. Our experts are here to assist you.

Ojas Eye Hospital A Center of Excellence for Contoura Vision, Femto Bladefree Lasik in Mumbai, India.