A comparative study of retinal effects from continuous wave and femtosecond mode-locked lasers

Retinal safety evaluation of two-photon laser scanning in rats

Safe use of retinal imaging with two-photon excitation in human eyes is crucial, as the effects of ultrashort pulsed lasers on the retina are relatively unknown. At the time of the study, the laser safety standards were inadequate due to the lack of biological data. This article addresses the feasibility of two-photon retinal imaging with respect to laser safety. In this study, rat retinas were evaluated at various laser exposure levels and with different laser parameters to determine the effects of laser-induced optical damage. The results were experimentally verified using confocal reflectance imaging, two-photon fluorescein angiography, immunohistochemistry, and correlated to the IEC 60825-1 laser safety standard.

Comparative study of retinal injuries induced by a 420-750 nm supercontinuum source and a 532 nm laser

With the rapid developments and widespread applications of supercontinuum (SC) sources, ocular damage induced by this new light source becomes possible and receives our concern. To explore the ocular damage effect of an SC source, a series of experiments were conducted in a chinchilla grey rabbit model to determine the in-vivo retinal damage thresholds induced by a 420-750 nm SC source and a 532 nm laser. For the SC source, the beam divergence and the corneal 1/e2 beam diameter were 3.8 mrad and 2.45 mm, respectively. The determined ED50 values given in terms of total intraocular energy (TIE) for exposure durations of 0.1, 1.0, and 10.0 s were 1.57, 12.1, and 86.0 mJ, respectively. For the 532 nm laser, the beam divergence and the corneal 1/e2 beam diameter were 0.9 mrad and 2.25 mm, respectively. The determined ED50 value for an exposure duration of 0.1 s was 1.39 mJ. By employing the retinal thermal action spectrum in the ICNIRP guidelines, the damage thresholds for SC sources could be compared with the exposure limits for incoherent and laser radiation. Between the 420-750 nm SC source and the 532 nm laser, no significant difference could be found for the damage effects including damage threshold, retinal lesion size, and histological damage characteristics.

Comparison of surgical parameters using different lens fragmentation patterns in eyes undergoing laser-assisted cataract surgery

PURPOSE

To compare surgical parameters among eyes undergoing laser-assisted cataract surgery (LACS) using different lens fragmentation patterns (LFP).

METHODS

Prospective, randomized, unmasked clinical trial. One-hundred eyes underwent LACS and were randomly assigned to 1 of 3 LFP treatment groups: (1) laser capsulotomy only; no lens fragmentation (NLF) (n = 34); (2) three-plane chop (TPC) (n = 33); and, (3) pie-cut pattern (PCP) fragmentation (n = 33). Prechop phacoemulsification (PHACO) was performed on all eyes using the same femtosecond (FS) laser and active-fluidics PHACO machine.

MAIN OUTCOME MEASURES

FS laser dock time (s), PHACO time (s), PHACO power (%), cumulative dissipated energy (CDE) (%-s), irrigating fluid volume, and operative time.

RESULTS

The 3 treatment groups were comparable in terms of patient age (P = 0.164) and nuclear density (P = 0.669). FS dock time was higher in the PCP group (184.18 ± 25.86) compared to the TPC (145.09 ± 14.15) group (P < 0.001). PHACO time was significantly shorter in the PCP (23.19 ± 17.20 s) compared to TPC (35.27 ± 17.70) and NLF (46.15 ± 23.72) groups (P < 0.001). PHACO power was lower in the PCP (11.81 ± 3.71) compared to the NLF (14.41 ± 1.88) and TPC (14.04 ± 2.46) groups (P < 0.001). CDE was lower in the PCP (2.85 ± 2.32) compared to NLF (6.55 ± 3.32) and TPC (6.55 ± 5.45) groups (P < 0.001). Fluid volumes and operative times were similar.

CONCLUSION

LFP can influence PHACO surgical parameters. Extensive fragmentation patterns such as PCP appear to lower PHACO time, power, and CDE and may potentially reduce the risk of PHACO related complications.

Intravital Imaging Study on Photodamage Produced by Femtosecond Near-infrared Laser Pulses In Vivo

Ultrashort femtosecond pulsed lasers may provide indispensable benefits for medical bioimaging and diagnosis, particularly for noninvasive biopsy. However, the ability of femtosecond laser irradiation to produce biodamage in the living body is still a concern. To solve this biosafety issue, results of theoretical estimations as well as the in vitro and in situ experiments on femtosecond biodamage should be verified by experimental studies conducted in vivo. Here, we analyzed photodamage produced by femtosecond (19, 42 and 100 fs) near-infrared (NIR; ~800 nm) laser pulses with an average power of 5 and 15 mW in living undissected Drosophila larvae (in vivo). These experimental data on photodamage in vivo agree with the results of theoretical modeling of other groups. Femtosecond NIR laser pulses may affect the concentration of fluorescent biomolecules localized in mitochondria of the cells of living undissected Drosophila larva. Our findings confirm that the results of the mathematical models of femtosecond laser ionization process in living tissues may have a practical value for development of noninvasive biopsy based on the use of femtosecond pulses.

Optical breakdown in transparent media with adjustable axial length and location

We demonstrate a highly elongated (aspect ratio over 500:1) optical breakdown in water produced by a single pulse of a picosecond laser focused with a combination of an axicon and a lens. Locations of the proximal and distal ends of the breakdown region can be adjusted by modifying radial intensity distribution of the incident beam with an amplitude mask. Using Fresnel diffraction theory we derive a transmission profile of the amplitude mask to create a uniform axial intensity distribution in the breakdown zone. Experimentally observed dynamics of the bubbles obtained with the designed mask is in agreement with the theoretical model. A system producing an adjustable cylindrical breakdown can be applied to fast linear or planar dissection of transparent materials. It might be useful for ophthalmic surgical applications including cataract surgery and crystalline lens softening.

Application of femtosecond ultrashort pulse laser to photodynamic therapy mediated by indocyanine green

BACKGROUND/AIMS

To evaluate treatment with high peak power pulse energy by femtosecond ultrashort pulse laser (titanium sapphire laser) delivered at an 800 nm wavelength for corneal neovascularisation using photodynamic therapy (PDT) mediated by indocyanine green (ICG).

METHODS

Using a gelatin solid as an in vitro corneal model, the safety of laser power was studied to determine if it degenerated gelatin with or without ICG. The authors then induced corneal neovascularisation in rabbit eyes by an intracorneal suturing technique. Fluorescein angiography was used to evaluate occlusion before PDT and 0, 1, 3, and 10 days after PDT. The authors performed light microscopy with haematoxylin eosin staining and transmission electron microscopy to determine thrombosis formation in the neovascular regions.

RESULTS

The threshold of peak laser power density ranged from 39 to 53 W/cm(2). Laser irradiation was started 30 seconds after a 10 mg/kg ICG injection, and all irradiated segments were occluded at 0, 1, 3, and 10 days at 3.8 J/cm(2). Light and electron microscopy documented thrombosis formation in the neovascular region.

CONCLUSION

Femtosecond pulse laser enhanced by ICG can be used for PDT. Because of effective closure of corneal neovascularisation at a low energy level, the high peak power pulse energy of the femtosecond pulse laser might be more efficacious than continuous wave laser for use with PDT.