Basic studies on laser-assisted phacoemulsification using diode-pumped Er:YAG laser

Florian Hausladen; Holger Wurm; Karl Stock

doi:10.1117/12.2213537

4 March 2016 Basic studies on laser-assisted phacoemulsification using diode-pumped Er:YAG laser

Florian Hausladen, Holger Wurm, Karl Stock

Proceedings Volume 9693, Ophthalmic Technologies XXVI; 96931Y (2016) https://doi.org/10.1117/12.2213537
Event: SPIE BiOS, 2016, San Francisco, California, United States

Abstract

The aim of this study was to determine the potential of a novel diode-pumped Er:YAG laser for phacoemulsification in basic experimental investigations. An appropriate experimental setup was created, including a translation stage for sample movement, a sample holder, a water spray for sample humidification and a surgical microscope with a CCD camera for video documentation. The analysis of the laser cuts and histological sections was done by light microscopy. As samples porcine eye lenses hardened by formalin were used. In ablation experiments with different spot diameters and radiant powers and a constant repetition rate ν_r = 200 Hz the maximum ablation depths of (4.346 ± 0.044) mm have reached at (Ø = 480 μm, Φ = 24.15 W) with a maximum extend of thermal damage of (0.165 ± 0.030) mm. The average ablation efficiency is 0.241 mm³/J. With a spot diameter of 308 μm the maximum ablation depth is (4.238 ± 0.040) mm at 24.65 W with a mean ablation efficiency of 0.293 mm3/J. The extend of the thermally damaged region is (0.171 ± 0.024) mm at this laser power. Using a sapphire cylinder with a diameter of 412 μm (length 38.5 mm) in direct tissue contact with water spray for sample humidification the ablation depth reaches (1.017 ± 0.074) mm at 4.93 W and (1.840 ± 0.092) mm at 9.87 W with a mean efficiency of 0.261 mm3/J. A thermal damage zone of (0.064 ±0.024) mm at 9.87 W was measured. Additionally, at this high power, a progressive contamination and destruction of the cylinder end facet was observed. In conclusion, the investigations show that the diode-pumped Er:YAG laser has considerable potential for cataract surgery.

Citation Download Citation

Florian Hausladen, Holger Wurm, and Karl Stock "Basic studies on laser-assisted phacoemulsification using diode-pumped Er:YAG laser", Proc. SPIE 9693, Ophthalmic Technologies XXVI, 96931Y (4 March 2016); https://doi.org/10.1117/12.2213537

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KEYWORDS

Laser ablation

Er:YAG lasers

Tissues

Lenses

Sapphire

Laser beam propagation

Contamination

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