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Proceedings Paper

Alternatives to excimer laser refractive surgery: UV and mid-infrared laser ablation of intraocular lenses and porcine cornea
Author(s): A. A. Serafetinides; M. Makropoulou; E. Spyratou; C. Bacharis
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Paper 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.

Paper Details

Date Published: 13 March 2007
PDF: 13 pages
Proc. SPIE 6604, 14th International School on Quantum Electronics: Laser Physics and Applications, 660427 (13 March 2007); doi: 10.1117/12.727214
Show Author Affiliations
A. A. Serafetinides, National Technical Univ. of Athens (Greece)
M. Makropoulou, National Technical Univ. of Athens (Greece)
E. Spyratou, National Technical Univ. of Athens (Greece)
C. Bacharis, National Technical Univ. of Athens (Greece)

Published in SPIE Proceedings Vol. 6604:
14th International School on Quantum Electronics: Laser Physics and Applications
Peter A. Atanasov; Tanja N. Dreischuh; Sanka V. Gateva; Lubomir M. Kovachev, Editor(s)

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