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(Investigative Ophthalmology and Visual Science. 2000;41:505-512.)
© 2000 by The Association for Research in Vision and Ophthalmology, Inc.

Erbium:YAG Laser Ablation of Retinal Tissue under Perfluorodecaline: Determination of Laser–Tissue Interaction in Pig Eyes

Thomas Wesendahl1, Peter Janknecht1, Bea Ott2 and Martin Frenz2

1 From the Department of Ophthalmology, University of Freiburg, Germany; and 2 the Institute of Applied Physics, University of Berne, Switzerland.

PURPOSE. To evaluate the effect of Er:YAG laser on pig retina using a perfluorodecaline/retina interphase with the goal of precisely determining the extent of retinal tissue ablation.

METHODS. Free running ({tau} = 250 µsec) Er:YAG laser pulses were transmitted through a zirconium fluoride (ZrF4) fiber guarded by quartz rod (d = 1000 µm). Laser pulses were applied to the retinal surface of enucleated pig eyes. Eyes were mounted in a specially designed rotating sample holder. The fiber probe was elevated 1.0 ± 0.3 mm above the retinal surface with perfluorodecaline serving as transmitting medium. The laser energy was applied in a circular pattern with a radius of 3.0 mm. Radiant exposures were set to 1, 3, 5, and 10 J/cm2.

RESULTS. Tissue ablation linearly increased with radiant exposure from 3.2 ± 3.7 µm at 1 J/cm2 up to 40.9 ± 12.9 µm at 10 J/cm2. Thermal tissue changes extended 70 ± 10 µm vertically into the retina and 25 ± 5 µm horizontally. Distortion of outer photoreceptor segments was noticed when the retina was exposed to radiant exposures of 3 J/cm2 or higher.

CONCLUSIONS. The Er:YAG laser in combination with perfluorodecaline produced precise ablation of the pig retina, which suggests the feasibility of this technique for safe ablation of epiretinal membranes.




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[Abstract] [Full Text] [PDF]




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