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Proceedings Paper

Laser thermokeratoplasty: determination of biomechanical properties of the cornea
Author(s): Juergen Kampmeier; Ralf Brinkmann; Reginald Birngruber
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Paper Abstract

Laser thermokeratoplasty (LTK) is a minimally invasive method to correct hyperopia and astigmatism. The alteration in refractive power of the eye is achieved by thermally induced shrinkage of stromal collagen in the corneal periphery with a mid-IR laser system ((lambda) equals 1.4 - 2.5 micrometers ) and thereby mechanically increasing the central corneal curvature. In order to evaluate the best choice of laser parameters and exposure geometry a mechanical model of the cornea, which is highly dependent on the material parameters of the corneal tissue, is to be developed. For this reason uniaxial tensile tests were performed on specimens of porcine cornea to determine their nonlinear stress-strain relations and their viscoelastic behavior. Laser induced stress has been measured while corneal stripes were being exposed to a pulsed Cr:Tm:Ho:YAG laser ((lambda) equals 2.12 micrometers ) system. The stresses observed correlated just beyond the threshold qualitatively well with the number of applied pulses. For larger pulse energies the stress stabilized after a few pulses, which means further laser application could neither increase nor decrease the level of stress. After the end of the last laser pulse the specimens relaxed within several minutes down to a level of residual stress, which is probably to be held responsible for the refractive change in LTK.

Paper Details

Date Published: 10 January 1996
PDF: 10 pages
Proc. SPIE 2624, Laser-Tissue Interaction and Tissue Optics, (10 January 1996); doi: 10.1117/12.229564
Show Author Affiliations
Juergen Kampmeier, Medizinisches Laserzentrum Luebeck (Germany)
Ralf Brinkmann, Medizinisches Laserzentrum Luebeck (Germany)
Reginald Birngruber, Medizinisches Laserzentrum Luebeck (Germany)

Published in SPIE Proceedings Vol. 2624:
Laser-Tissue Interaction and Tissue Optics
Guy P. Delacretaz; Rudolf W. Steiner; Lars Othar Svaasand; Hansjoerg Albrecht; Thomas H. Meier, Editor(s)

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