Lasers in Ophthalmology
Laser treatments
• Lasers to seal up leaky blood
  vessels
• Focal laser for diabetic macular
  edema
• Laser for macro aneurysm
• Laser for wet macular degeneration
  (rarely done today)
• Lasers to destroy damaged retina to
  protect healthy retina
• Pan retinal photocoagulation for
  proliferative diabetic retinopathy or
  sickle retinopathy
• Laser to create an adhesion when
  the retina is torn or detached
• Laser for retinal tear
Basic of LASER
LASER   is an acronym. It stands for
 Light Amplification by Stimulated
 Emission of Radiation.
LASER is a bladeless surgery of
 the eye.
The transparency of the front part
 of the eye, the cornea, allows light
 such as LASER to reach almost all
 the tissues of the eye.
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  LASER Vs. Ordinary light
   Laser         Ordinary light
Monochromatic
Directional
Coherent
Properties of LASER Light
 Monchromatic    - emit only one wave length
 Coherence - all in step with one another and
  improves focusing
 Polarized - in one plane it’s easy to pass
  through media
 Colimated - in one direction & non spreading
 High energy - Intensity measured by Watts J/s
 Laser light can deposit a lot of energy within a
  small area hence it is more hazardous than
  ordinary light
 Laser Power more than 5 mw is harmful to eye
Block Diagram of LASER
Classification of LASER
Solid State – Ruby, Nd.Yag,
 Erbium Yag
Gas – Ion, Argon, Krpton, He-
 Neon, CO2
Metal Vapour – CU, Gold
Dye – Rhodamine
Excimer (excited dimer)– Argon
 Fluoride, Krypton Fluoride,
 Krypton Chloride
Diode – Gallium-Aluminum
Spectrum of Light
Delivery Systems
Trans   pupillary:
 ◦ Slit Lamp
 ◦ Indirect Ophthalmoscope
Trans   scleral:
 ◦ Contact (Glaucoma)
 ◦ Non Contact
Endophotocoagulation:
Green Laser
2xNd:YAG Laser(532nm)   Pulsed Laser
to treat posterior capsular
 opacification after cataract surger
 y
to create a peripheral iridotomy
 in
  patients with narrow angles or
  angle-closure glaucoma.
treatment of retinal vascular
 abnormalities and choroidal
 neovascularization
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       Argon Laser (488-514)
       Blue green-Green
•   Retinal Photocoagulation
•   Iridotomy
•   Trabeculectomy
•   Vitreoretinal surgery
•   Choroid/Retinal tumors
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               Yellow Laser
          Wavelength 577 nm   Diode Laser
Treating macular degeneration
          Red Laser
          Wavelength 810 nm
Red Laser has more penetrating
power.
So it can be used to treat Choroid