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Proceedings Paper

Effects of the holmium laser on the human cornea: a preliminary study
Author(s): Linda J. Mueller; Marie Jose Tassignon; Rene Trau; Liesbeth Pels; Gijs F.J.M. Vrensen
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Paper Abstract

Treatment of peripheral post-mortem human corneas with the Holmium laser in a ring pattern resulted in opaque spots. One pair of treated eyes was immediately processed for light and electron microscopy and three other treated eyes were preserved for 4 days in medium in order to compare direct and short-term effects of the Holmium laser. Cross as well as frontal light microscopical sections of all eyes revealed interconnecting bands between the spots. At the ultrastructural level the anterior corneal tissue within these spots was characterized by coagulation of cells and collagen and shoed either a dramatic distorting effect on the epithelium in the eyes processed immediately or a single layer of flattened multi-nucleolated epithelial cells having more than one nucleolus per nucleus in the eyes stored in medium. Furthermore, the spots showed disturbed Bowman's layer, destroyed keratocytes and collagen fibrils which were either coagulated or organized chaotically. The interconnecting bands contained alternating normal and coagulated collagen fibers. The rest of the cornea outside the spots had a normal appearance. In corneas stored in medium, both keratocytes and epithelial cells over the entire cornea exhibited accumulations of cytoplasmic fibrils and glycogen particles. These phenomena were not observed in non-preserved corneas, suggesting that the differences are due to preservation and not due to the laser treatment. It is concluded that morphological changes occur mainly in the treated peripheral cornea whereas the central untreated cornea remains unaffected,indicating that the Holmium laser is a reliable instrument to treat hypermetropic patients.

Paper Details

Date Published: 5 December 1996
PDF: 9 pages
Proc. SPIE 2930, Lasers in Ophthalmology IV, (5 December 1996); doi: 10.1117/12.260865
Show Author Affiliations
Linda J. Mueller, Netherlands Ophthalmic Research Institute (Netherlands)
Marie Jose Tassignon, Univ. of Antwerp (Belgium)
Rene Trau, Univ. of Antwerp (Belgium)
Liesbeth Pels, Netherlands Ophthalmic Research Institute (Netherlands)
Gijs F.J.M. Vrensen, Netherlands Ophthalmic Research Institute (Netherlands)


Published in SPIE Proceedings Vol. 2930:
Lasers in Ophthalmology IV
Reginald Birngruber; Adolf Friedrich Fercher; Philippe Sourdille, Editor(s)

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