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[兔眼前节的激光损伤。使用氩激光、红宝石激光和钇铝石榴石激光对角膜、虹膜、晶状体和巩膜的研究]

[Laser lesions of the anterior segment of the rabbit eye. Studies of cornea, iris, lens and sclera using an argon, ruby and YAG-laser].

作者信息

Dannheim F, Rassow B

出版信息

Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1978 Feb 22;205(3):175-205. doi: 10.1007/BF00414397.

Abstract

The anterior segment of the eye of 100 rabbits was exposed to radiation from Argon, Ruby and YAG lasers. The healing process of liminal and supraliminal lesions was evaluated histologically. The iris is the most sensitive tissue for all three lasers (threshold radiant exposure, Argon: 0.004 kJ/cm2, Ruby: 0.01 kJ/cm2, YAG: 0.05 kJ/cm2). Higher energies necessary for lesions in the transparent media were available only with the Argon and YAG lasers. The Argon laser failed to produce lesions in the lens, and threshold radiant exposure for the central cornea was 8 kJ/cm2. The thresholds for YAG lasers lesions in the central cornea and lens were of the same magnitude. The marked absorption of energy by the iris may lead to an accumulation of heat, resulting in lesions of adjacent tissues or a reduction of threshold for those lesions: The threshold in the peripheral cornea was ten times lower than in the center with the Argon laser, four times lower for the YAG laser. The thresholds for Argon and YAG laser lesions in the peripheral sclera lay between the thresholds for the iris and for the peripheral cornea. A safety standard for the anterior segment of the eye should be based on the lowest threshold (Argon laser lesion of the iris). The application of a factor 100 results in a maximal permissible exposure of 40 mJ/cm2. The influence of the beam diameter could not be evaluated.

摘要

对100只兔子的眼前段进行氩激光、红宝石激光和钇铝石榴石激光照射。通过组织学方法评估阈下和阈上损伤的愈合过程。虹膜是对这三种激光最敏感的组织(阈下辐射暴露量:氩激光为0.004kJ/cm²,红宝石激光为0.01kJ/cm²,钇铝石榴石激光为0.05kJ/cm²)。仅氩激光和钇铝石榴石激光可产生透明介质损伤所需的更高能量。氩激光未能在晶状体中产生损伤,中央角膜的阈下辐射暴露量为8kJ/cm²。钇铝石榴石激光在中央角膜和晶状体中的损伤阈值相当。虹膜对能量的显著吸收可能导致热量积聚,从而导致相邻组织损伤或降低这些损伤的阈值:氩激光照射下,周边角膜的阈值比中央低10倍,钇铝石榴石激光照射下则低4倍。氩激光和钇铝石榴石激光在周边巩膜中的损伤阈值介于虹膜和周边角膜的阈值之间。眼前段的安全标准应基于最低阈值(氩激光对虹膜的损伤)。乘以100的系数后,最大允许暴露量为40mJ/cm²。无法评估光束直径的影响。

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