Cataract surgery with a mid-infrared endo-laser system

Qiushi Ren, Gabriel M.D. Simon, Raymond P.M.D. Gailitis, Jean Marie Parel

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations

Abstract

With most current cataract surgery techniques, an intraocular lens (IOL) is implanted in the capsular bag to emetropize the eye for distance vision. Modern IOLs are made of flexible materials (e.g., silicone and acrylic elastomers) allowing the surgeon to fold and insert the IOL through a smaller limbal incision (4 mm), thus reducing the number of sutures. When using a scleral pocket technique, suturing of such small wounds might not be required. Recently, IOLs having 2 foci (multifocal IOLs) have been introduced. These implants give the patient a second focal plane at normal reading distance, but the double image reduces both visual acuity and contrast sensitivity. However, with all present surgical techniques, the patient loses the natural ability to accommodate. By directing laser energy into a flexible fiber, cataract removal might be performed endoscopically while minimizing trauma to healthy tissue. Bath successfully demonstrated the use of the 308 nm XeCl excimer laser for cataract removal. A significant drawback, however, lies in the fluorescence induced by the 308 nm laser pulses which may cause significant retinal damage. The use of UV radiation also raises serious concerns about carcinogenesis and cataractogenesis risk to both the patient and the surgeon.

Original languageEnglish (US)
Title of host publicationProceedings of SPIE - The International Society for Optical Engineering
PublisherPubl by Int Soc for Optical Engineering
Pages188-192
Number of pages5
ISBN (Print)0819407909
StatePublished - Dec 1 1992
EventOphthalmic Technologies II - Los Angeles, CA, USA
Duration: Jan 19 1992Jan 21 1992

Publication series

NameProceedings of SPIE - The International Society for Optical Engineering
Volume1644
ISSN (Print)0277-786X

Other

OtherOphthalmic Technologies II
CityLos Angeles, CA, USA
Period1/19/921/21/92

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ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Condensed Matter Physics
  • Computer Science Applications
  • Applied Mathematics
  • Electrical and Electronic Engineering

Cite this

Ren, Q., Simon, G. M. D., Gailitis, R. P. M. D., & Parel, J. M. (1992). Cataract surgery with a mid-infrared endo-laser system. In Proceedings of SPIE - The International Society for Optical Engineering (pp. 188-192). (Proceedings of SPIE - The International Society for Optical Engineering; Vol. 1644). Publ by Int Soc for Optical Engineering.