Threshold for retinal damage associated with the use of high-power neodymium-YAG lasers in the vitreous.

Abstract:

:Ultrashort, Q-switched or mode-locked, neodymium-YAG laser pulses focused within 2 mm of the retina caused reproducible retinal damage in four eyes of two monkeys and in four eyes of three rabbits. The distance of the laser focus from the retina for clinically observed threshold retinal damage was characterized for pulse energies up to 9 mJ. For the 2- to 6-mJ pulse energies necessary to rupture vitreal membranes in clear media in rabbits, the high-power laser pulses could not be focused within 2 mm of the retina without substantial risk of damaging the underlying retina. These laser pulses did not rupture vitreal membranes in hazy ocular media that prevented precise focusing. The retinal damage was somewhat greater than expected for retinal absorption of 1.06-micron laser energy, suggesting that secondary effects such as self-focusing and shock waves emanating from the focus may be important.

journal_name

Am J Ophthalmol

authors

Bonner RF,Meyers SM,Gaasterland DE

doi

10.1016/s0002-9394(14)77782-7

subject

Has Abstract

pub_date

1983-08-01 00:00:00

pages

153-9

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)77782-7

journal_volume

96

pub_type

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