Corneal wound healing following infrared laser irradiation at the wavelengths of 1.319 and 10.6 µm.

OBJECTIVES: To investigate the wound healing of rabbit cornea following infrared laser irradiations at the wavelengths of 1.319 and 10.6 µm. MATERIALS AND METHODS: Twelve New Zealand rabbits were selected to establish a corneal injury model. The right and left eyes were irradiated with a neodymium-doped yttrium aluminum garnet laser at the wavelength of 1.319 µm (140 J/cm2 ) for 0.7 s and a CO2 laser at the wavelength of 10.6 µm (5.94 J/cm2 ) for 0.14 s, respectively. The incident spot diameter was 3 mm. Optical coherence tomography (OCT) was used to monitor injuries at 0 h, 0.5 h, 1 h, 3 h, 6 h, 12 h, 18 h, 24 h, 30 h, 36 h, 42 h, 48 h, 54 h, 60 h, 66 h, 3 d, 7 d, 14 d, 28 d, 3 m, and 6 m postexposure. Meanwhile, slit-lamp microscopy and histopathology were performed at 6 h, 24 h, 3 d, 7 d, 14 d, 28 d, 3 m, and 6 m postexposure. RESULTS: After the two types of infrared laser injuries, distinct white circular lesions on the corneal surface were directly observed. Deeper corneal injury, more severe edema, and faster migration of new epithelium were found for the wavelength of 1.319 µm, compared to the wavelength of 10.6 µm. CONCLUSIONS: OCT combined with histopathology and slit-lamp microscopy can clearly observe the dynamic process of corneal wound healing after infrared laser irradiation. The damage characteristics for the two different wavelengths were visibly different, but the whole wound healing process was similar. The obtained results may provide references for the diagnosis, treatment, and evaluation of laser-induced damages.

Corneal damage threshold induced by supercontinuum source: A further study.

OBJECTIVES: Previous report shows that corneal spot size is an important influence factor on damage threshold induced by supercontinumm (SC) source. However, damage thresholds were determined for the spot size of only 0.37 mm due to the low output of the employed SC source at that time. The objectives of this study are to determine the lowest possible corneal damage threshold at a large corneal spot size using a more powerful SC source and provide data for the future possible refinements of laser safety standards. MATERIALS AND METHODS: A series of experiments was conducted in the New Zealand white rabbit model to determine the corneal damage threshold induced by a 900-2000 nm SC source, with corneal 1/e beam diameter of about 1.2 mm. Slit-lamp biomicroscope was employed to reveal the corneal damage characteristics. By employing the action spectra determined through the analysis of current laser safety guidelines and standards, the effective damage threshold could be calculated. RESULTS: The determined damage threshold given in terms of the peak radiant exposure for the exposure duration of 0.14 s was 44.3 J/cm2 . At threshold level, corneal damages involved the epithelium and the shallower stroma. The safety factor between the effective damage threshold and the corresponding maximum permissible exposure (MPE) was about 45. CONCLUSIONS: Present corneal MPEs in the wavelength range of 700-1200 nm may be conservative and corneal damage thresholds for the infrared A wavelengths should be determined in future studies.

Corneal Damage Effects Induced by a 770-2,500 nm Supercontinuum Light Source.

BACKGROUND AND OBJECTIVES: Widespread applications of supercontinuum (SC) source lead to the possibility of ocular damages. However, the corneal damage effects induced by SC have not been explored before. The objectives of this study are to determine the rabbit corneal injury threshold for SC radiation and to examine whether the existing safety guidelines and standards are suitable for the hazard evaluation of this new kind of light source. STUDY DESIGN/MATERIALS AND METHODS: A series of experiments was conducted in the New Zealand white rabbit model to determine the corneal damage thresholds induced by a 770-2,500 nm SC source, with a corneal 1/e beam diameter of 0.37 mm. Through slit-lamp biomicroscope, optical coherence tomography (OCT), and histopathology the corneal damage characteristics at the threshold level were revealed. By employing the action spectra determined through the analysis of safety guidelines and standards, the damage thresholds for SC source could be compared with the corresponding exposure limits. RESULTS: The determined damage thresholds given in terms of the peak radiant exposure for exposure durations of 2.0 and 10.0 seconds were 2.1 × 103 and 7.4 × 103 J/cm2 , respectively. At threshold level, corneal damages involved the epithelium and the shallower stroma, and no obvious changes could be found in the deep stroma, Descemet's membrane, and endothelium. CONCLUSIONS: The exposure limits for the anterior parts of the eye in the wavelength range of 700-1,200 nm are overly conservative. The obtained results contribute to the knowledge base for the hazard evaluation of SC source. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.

Porcine skin damage threshold from mid-infrared optical parametric oscillator radiation at 3.743 µm.

There is increasing use of mid-infrared optical parametric oscillator radiation operating in the wavelength range of 3-5 µm. To expand existing damage data for skin exposure to lasers in this wavelength region, the in-vivo damage threshold at the wavelength of 3.743 µm was determined in a Guizhou miniature pig model for an exposure duration of 1.0 s. The irradiance of the laser spot was nearly Gaussian-distributed and the 1/e2 beam diameter on the animal skin surface was fixed at 0.94 and 0.88 cm along horizontal and vertical directions. Damage lesion determinations were performed at 1- and 24-hour post-exposure. The probit analysis was employed to establish the ED50 values. The ED50 expressed in peak radiant exposure for the Gaussian spot was 4.04 J/cm2 at the 24-hour post-exposure. Sufficient margin existed between the damage threshold and MPE from the current laser safety standard. The obtained data may contribute to the knowledge base for refinement of laser safety standard in the wavelength range of 2.6-1000 µm.

Retinal damage thresholds from 100-millisecond laser radiation exposure at 1319 nm: a comparative study for rabbits with different ocular axial lengths.

With the widespread use of high-power laser systems in the wavelength spectrum between 1300 and 1400 nm, the risk of ocular damage becomes more serious and concerning. Existing ocular bio-effects studies have revealed unique damage characteristics, the damage mechanisms involved, and the trends of damage thresholds in this wavelength range. However, the influence of ocular axial length on retinal damage thresholds has not been investigated quantitatively. In this paper, using a 1319 nm continuous-wave laser, the in-vivo retinal damage thresholds were determined for two groups of chinchilla grey rabbits with the ocular axial lengths of 15.97 and 17.25 mm, respectively. The incident corneal irradiance diameter was fixed at 5 mm and the exposure duration was 0.1 s. The determined ED50 values at 24-h post-exposure for the axial lengths of 15.97 and 17.25 mm were 1.06 and 1.79 J, respectively. Detailed analysis revealed that a sufficient margin existed between the damage threshold and MPE for adult humans, but for the newborn eyes, the safety factor may be less than 2.3.

Comparative study of retinal injuries induced by a 420-750 nm supercontinuum source and a 532 nm laser.

With the rapid developments and widespread applications of supercontinuum (SC) sources, ocular damage induced by this new light source becomes possible and receives our concern. To explore the ocular damage effect of an SC source, a series of experiments were conducted in a chinchilla grey rabbit model to determine the in-vivo retinal damage thresholds induced by a 420-750 nm SC source and a 532 nm laser. For the SC source, the beam divergence and the corneal 1/e2 beam diameter were 3.8 mrad and 2.45 mm, respectively. The determined ED50 values given in terms of total intraocular energy (TIE) for exposure durations of 0.1, 1.0, and 10.0 s were 1.57, 12.1, and 86.0 mJ, respectively. For the 532 nm laser, the beam divergence and the corneal 1/e2 beam diameter were 0.9 mrad and 2.25 mm, respectively. The determined ED50 value for an exposure duration of 0.1 s was 1.39 mJ. By employing the retinal thermal action spectrum in the ICNIRP guidelines, the damage thresholds for SC sources could be compared with the exposure limits for incoherent and laser radiation. Between the 420-750 nm SC source and the 532 nm laser, no significant difference could be found for the damage effects including damage threshold, retinal lesion size, and histological damage characteristics.

Porcine skin damage thresholds and histological damage characteristics from 1319-nm laser radiation.

There is an increasing use of near-infrared lasers in biomedical applications operating in the spectrum between 1300 and 1400 nm. To corroborate and expand the existing safety data for skin exposure to lasers in this wavelength region, the in-vivo ED50 damage thresholds were determined in Guizhou miniature pigs for 1319-nm laser radiation. Exposure durations of 0.4, 1.0, and 3.0 s and 1 / e2 beam diameters of 0.98 and 1.96 cm were employed. Damage lesion determinations were performed at 1- and 24 h post exposure. The Bliss probit analysis was employed to establish the ED50 damage thresholds. Histopathological studies of skin damage were performed at 48 h after irradiation to reveal the damage characteristics. The skin damage thresholds at 1 h post exposure, given in peak radiant exposure, were 35.5, 36.1, and 37.1 J / cm2 at exposure durations of 0.4, 1.0, and 3.0 s with the spot diameter of 0.98 cm, and 28.6 J / cm2 at exposure duration of 3.0 s with the spot diameter of 1.96 cm. At 24 h post exposure, the ED50s increased slightly. Histologically, the thermal damage characteristics at the near-threshold level included gathering of the nuclear chromatin and cell vacuolation in the epidermis and deposition of blood cells in the capillary vessels. However, at the apparently above-threshold level, the damage characteristics included obvious stretching of the nuclear chromatin in the epidermis, closing of the capillary lumen, structural change of collagen fibers, and coagulative necrosis of the hair follicle cells. The damage induced by this laser could go deep into the fatty tissue. The obtained results may contribute to the knowledge base for the damage mechanisms and expand the database for the refinement of laser safety standards in the wavelength range of 1300 to 1400 nm.

Ocular damage effects from 1338-nm pulsed laser radiation in a rabbit eye model.

The ocular damage effects induced by transitional near-infrared (NIR) lasers have been investigated for years. However, no retinal damage thresholds are determined in a wide interval between 0.65 ms and 80 ms, and a definite relationship between corneal damage threshold and spot size cannot be drawn from existing data points. In this paper, the in-vivo corneal damage thresholds (ED50s) were determined in New Zealand white rabbits for a single 5 ms pulse at the wavelength of 1338 nm for spot sizes from 0.28 mm to 3.55 mm. Meanwhile, the retinal damage threshold for this laser was determined in chinchilla grey rabbits under the condition that the beam was collimated, and the incident corneal spot diameter was 5.0 mm. The corneal ED50s given in terms of the corneal radiant exposure for spot diameters of 0.28, 0.94, 1.91, and 3.55 mm were 70.3, 35.6, 29.6 and 30.3 J/cm2, respectively. The retinal ED50 given in terms of total intraocular energy (TIE) was 0.904 J. The most sensitive ocular tissue to this laser changed from the cornea to retina with the increase of spot size.

Retinal thermal damage threshold dependence on exposure duration for the transitional near-infrared laser radiation at 1319 nm.

The retinal damage effects induced by transitional near-infrared (NIR) lasers have been investigated for years. However, the damage threshold dependence on exposure duration has not been revealed. In this paper, the in-vivo retinal damage ED50 thresholds were determined in chinchilla grey rabbits for 1319 nm laser radiation for exposure durations from 0.1 s to 10 s. The incident corneal irradiance diameter was fixed at 5 mm. The ED50 thresholds given in terms of the total intraocular energy (TIE) for exposure durations of 0.1, 1 and 10 s were 1.36, 6.33 and 28.6 J respectively. The ED50 thresholds were correlated by a power law equation, ED50 = 6.31t (0.66) [J] where t is time [s], with correlation coefficient R = 0.9999. There exists a sufficient safety margin (factor of 28~60) between the human ED50 thresholds derived from the rabbit and the maximum permissible exposure (MPE) values in the current laser safety standards.

Ocular damage induced by a Vis-infrared supercontinuum source.

Supercontinuum (SC) source is a new kind of artificial light source, having the characteristics of both laser and traditional incoherent light source, i.e., high brightness, good direction, and super broadband spectrum. The rapid development of SC source stimulates our concern on its ocular damage potency. However, the damage effects of SC source have never been explored. The retinal damage threshold of chinchilla grey rabbit induced by a Vis-infrared SC source was determined for the first time. Additionally, a theoretical method was also developed for analyzing the hazard risks of SC source.