Alternatives to excimer laser refractive surgery: UV and mid-infrared laser ablation of intraocular lenses and porcine cornea

A. A. Serafetinides; M. Makropoulou; E. Spyratou; C. Bacharis

doi:10.1117/12.727214

13 March 2007 Alternatives to excimer laser refractive surgery: UV and mid-infrared laser ablation of intraocular lenses and porcine cornea

A. A. Serafetinides, M. Makropoulou, E. Spyratou, C. Bacharis

Author Affiliations +

Proceedings Volume 6604, 14th International School on Quantum Electronics: Laser Physics and Applications; 660427 (2007) https://doi.org/10.1117/12.727214
Event: 14th International School on Quantum Electronics: Laser Physics and Applications, 2006, Sunny Beach, Bulgaria

Abstract

Despite the fact that the laser applications in human ophthalmology are well established, further research is still required, for better and predictable ablation dosimetry on both cornea tissue and intraocular lenses. Further studies for alternative laser sources to the well established excimer lasers, such as UV or mid-infrared solid state lasers, have been proposed for refractive surgery. The precise lens ablation requires the use of laser wavelengths possessing a small optical penetration depth in the cornea and in the synthetic lenses, in order to confine the laser energy deposition to a small volume. In order to eliminate some very well known problems concerning the reshaping of cornea and the modification of the optical properties of the intraocular lenses, ablation experiments of ex vivo porcine cornea, acrylic PMMA and hydrophilic lenses were conducted with an Er:YAG laser (2.94 &mgr;m) and the fifth harmonic of a Nd:YAG laser (213 nm). The morphology of cornea was recorded using a cornea topography system before and immediately after the ablation. Histology analysis of the specimens was obtained, in order to examine the microscopic appearance of the ablated craters and the existence of any thermal damage caused by the mid-infrared and UV laser irradiation. The macroscopic morphology of the intraocular lens craters was inspected with an optical transmission microscope. Measurements of the ablation rates of the lenses were performed and simulated by a mathematical model.

Citation Download Citation

A. A. Serafetinides, M. Makropoulou, E. Spyratou, and C. Bacharis "Alternatives to excimer laser refractive surgery: UV and mid-infrared laser ablation of intraocular lenses and porcine cornea", Proc. SPIE 6604, 14th International School on Quantum Electronics: Laser Physics and Applications, 660427 (13 March 2007); https://doi.org/10.1117/12.727214

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