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

机译:准分子激光屈光手术的替代品:眼压透镜和猪角膜的UV和中红外激光烧蚀

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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.
机译:尽管在人类眼科激光应用已经非常成熟的事实,进一步的研究仍然需要,就这两个角膜组织和人工晶状体更好的和可预测的消融剂量。替代激光源到完善的受激准分子激光,如UV或中红外固态激光器的进一步研究,已经提出了用于屈光手术。精确的透镜消融需要具有在角膜和在合成透镜的小光穿透深度,以便限制所述激光能量沉积到小体积使用激光波长。为了消除一些非常公知的有关角膜的整形和眼内透镜的光学性质的改变的问题,离体猪角膜,丙烯酸PMMA和亲水性镜片用尔进行的消融实验:YAG激光(2.94&经理; m)和第五谐波钕:YAG的激光(213纳米)。之前和消融后立即使用角膜地形系统角膜的形态记录。得到试样的组织学分析,以便检查被消融凹坑的微观外观和所造成的中红外和紫外激光照射任何热损伤的存在。眼内透镜的火山口的宏观形态用光学透射显微镜检查。进行,并通过数学模型来模拟镜片的消融率的测量。

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