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Laser energy reaching the posterior pole during transscleral cyclophotocoagulation.

Publication ,  Journal Article
Myers, JS; Trevisani, MG; Imami, N; Herndon, LW; Wolbarsht, ML; Allingham, RR; Straub, KD; Shields, MB
Published in: Arch Ophthalmol
April 1998

OBJECTIVE: To measure scattered laser energy reaching the posterior pole during transscleral cyclophotocoagulation. METHODS: Transscleral cyclophotocoagulation was performed on 4 cadaver eyes with Nd:YAG noncontact, Nd:YAG contact, and diode contact lasers. Energy was measured with a photodiode through a 7-mm trephined hole in the posterior pole. Average percentage power, average power, and average energy transmission were calculated. American Conference of Governmental Industrial Hygienists (ACGIH) guidelines were used to calculate allowable energy exposures for each laser. RESULTS: All 3 lasers transmitted 3% to 5% of the power to the posterior pole. The average energy transmission was 240 to 260 mJ for all lasers. The contact lasers had an average power transmission of 120 mW. The noncontact Nd:YAG laser, with shorter pulse duration, had an average power transmission of 13,000 mW, significantly greater than that of the other lasers. The ACGIH guidelines for allowable energy exposures were 93 mJ for the noncontact Nd:YAG laser, 1300 mJ for the contact Nd:YAG laser, and 440 mJ for the contact diode laser. CONCLUSIONS: Three percent to 5% of laser power delivered during cyclophotocoagulation reaches the posterior pole. Exposure energies may approach or exceed ACGIH guidelines. The clinical significance of these findings remains to be shown.

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Published In

Arch Ophthalmol

DOI

ISSN

0003-9950

Publication Date

April 1998

Volume

116

Issue

4

Start / End Page

488 / 491

Location

United States

Related Subject Headings

  • Vision Disorders
  • Sclera
  • Scattering, Radiation
  • Retina
  • Radiation Injuries
  • Practice Guidelines as Topic
  • Ophthalmology & Optometry
  • Maximum Allowable Concentration
  • Laser Coagulation
  • Humans
 

Citation

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ICMJE
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Myers, J. S., Trevisani, M. G., Imami, N., Herndon, L. W., Wolbarsht, M. L., Allingham, R. R., … Shields, M. B. (1998). Laser energy reaching the posterior pole during transscleral cyclophotocoagulation. Arch Ophthalmol, 116(4), 488–491. https://doi.org/10.1001/archopht.116.4.488
Myers, J. S., M. G. Trevisani, N. Imami, L. W. Herndon, M. L. Wolbarsht, R. R. Allingham, K. D. Straub, and M. B. Shields. “Laser energy reaching the posterior pole during transscleral cyclophotocoagulation.Arch Ophthalmol 116, no. 4 (April 1998): 488–91. https://doi.org/10.1001/archopht.116.4.488.
Myers JS, Trevisani MG, Imami N, Herndon LW, Wolbarsht ML, Allingham RR, et al. Laser energy reaching the posterior pole during transscleral cyclophotocoagulation. Arch Ophthalmol. 1998 Apr;116(4):488–91.
Myers, J. S., et al. “Laser energy reaching the posterior pole during transscleral cyclophotocoagulation.Arch Ophthalmol, vol. 116, no. 4, Apr. 1998, pp. 488–91. Pubmed, doi:10.1001/archopht.116.4.488.
Myers JS, Trevisani MG, Imami N, Herndon LW, Wolbarsht ML, Allingham RR, Straub KD, Shields MB. Laser energy reaching the posterior pole during transscleral cyclophotocoagulation. Arch Ophthalmol. 1998 Apr;116(4):488–491.

Published In

Arch Ophthalmol

DOI

ISSN

0003-9950

Publication Date

April 1998

Volume

116

Issue

4

Start / End Page

488 / 491

Location

United States

Related Subject Headings

  • Vision Disorders
  • Sclera
  • Scattering, Radiation
  • Retina
  • Radiation Injuries
  • Practice Guidelines as Topic
  • Ophthalmology & Optometry
  • Maximum Allowable Concentration
  • Laser Coagulation
  • Humans