Ultraviolet solid-state laser (213-nm) photorefractive keratectomy: In vitro study

Q. Ren, G. Simon, Jean-Marie A Parel

Research output: Contribution to journalArticle

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Abstract

Background: Replacing the gas argon fluoride (193 nm) excimer laser with a solid-state laser source in the far-ultraviolet spectrum region would eliminate the hazards of a gas laser and would reduce its size, which is desirable for photorefractive keratectomy. The authors investigated corneal reshaping using a frequency-quintupled (213 nm) pulsed (10 ns) neodymium:YAG laser coupled to a computer-controlled optical scanning delivery system. Methods: A 250 ± 15-mJ/cm2 radiant exposure was used to ablate a 5-mm optical zone in human cadaver eyes and rabbit eyes. The 213-nm laser pulses were delivered through and shaped by a computer-controlled optical scanning delivery system, producing a 0.5-mm spot with a quasi-Gaussian energy distribution on the cornea. Corneal surface changes were documented by computer-assisted corneal topography. Light microscopy, scanning electron microscopy, and transmission electron microscopy were performed to examine the effects on corneal surface quality and cellular components. Results: Corneal topographic measurements showed myopic corrections ranging from 2.3 to 6.1 diopters. Results of postoperative examination with the slit lamp and operating microscope demonstrated a smoothly ablated surface without corneal haze. Histologic results showed a smoothly sloping surface without recognizable steps. The surface quality and cellular effects were similar to that of previously described excimer photorefractive keratectomy. Conclusion: The authors demonstrated that an ultraviolet (213-nm) solid-state laser coupled to an optical scanning delivery system is capable of reshaping the corneal surface with smooth transition. The scanning beam delivery system may offer the advantage of producing spatially resolved, customized, aspheric corrections to optimize the quality of vision after photorefractive keratectomy.

Original languageEnglish
Pages (from-to)1828-1834
Number of pages7
JournalOphthalmology
Volume100
Issue number12
StatePublished - Jan 1 1993

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Photorefractive Keratectomy
Solid-State Lasers
Corneal Topography
Neodymium
Excimer Lasers
Gas Lasers
Normal Distribution
Transmission Electron Microscopy
Cadaver
Electron Scanning Microscopy
Cornea
Microscopy
Lasers
Gases
Rabbits
Light
In Vitro Techniques

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Ultraviolet solid-state laser (213-nm) photorefractive keratectomy : In vitro study. / Ren, Q.; Simon, G.; Parel, Jean-Marie A.

In: Ophthalmology, Vol. 100, No. 12, 01.01.1993, p. 1828-1834.

Research output: Contribution to journalArticle

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