In Vitro Videographic Comparison of Argon and Nd:YAG Laser Iridotomy

Autor: Dyson Hickingbotham, D. B. Chandler, Bruce E. Prum, M. Bruce Shields, Steven R. Shields
Rok vydání: 1991
Předmět:
Zdroj: American Journal of Ophthalmology. 111:589-594
ISSN: 0002-9394
DOI: 10.1016/s0002-9394(14)73704-3
Popis: We used an in vitro technique with high-magnification video recording to evaluate from the posterior side of the iris the immediate sequence of events during argon and Nd:YAG laser peripheral iridotomy. The observed effects differed strikingly. The argon laser caused a gradual mounding up of iris pigment epithelium with each successive energy application before final penetration. This effect was reduced but not eliminated with higher power levels. The Nd:YAG laser caused complete disruption and dispersal of the pigment epithelium with a single pulse of energy. Additionally, a multiple focal point configuration of the Nd:YAG laser was observed to produce a significantly larger iridotomy than a single focal point configuration for comparable energy settings. These observations may in part explain the observed clinical advantage of the Nd:YAG laser over the argon laser for creation of a patent iridotomy.
Databáze: OpenAIRE