Semih S. Kumru

Trends in retinal damage thresholds from 100-millisecond near-infrared laser radiation exposures: A study at 1,110, 1,130, 1,150, and 1,319 nm

Retinal damage thresholds from 100‐millisecond exposures to laser radiation for wavelengths between 1,100 and 1,350 nm have never previously been established. We sought to determine the retinal damage threshold for 100‐millisecond exposures of near‐infrared (NIR) laser radiation wavelengths at 1,110, 1,130, 1,150, and 1,319 nm. These data were then used to create trends for retinal damage thresholds over the 1,100–1,350 nm NIR region based upon linear absorption of laser radiation in ocular media and chromatic dispersion of the eye.

Infrared skin damage thresholds from 1940-nm continuous-wave laser exposures

Abstract. A series of experiments were conducted in vivo using Yucatan miniature pigs (Sus scrofa domestica) to determine thermal damage thresholds to the skin from 1319-nm continuous-wave Nd:YAG laser irradiation. Experiments employed exposure durations of 0.25, 1.0, 2.5, and 10 s and beam diameters of ∼0.6 and 1 cm. Thermal imagery data provided a time-dependent surface temperature response from the laser. A damage endpoint of fifty percent probability of a minimally visible effect was used to determine threshold for damage at 1 and 24 h postexposure. Predicted thermal response and damage thresholds are compared with a numerical model of optical-thermal interaction. Resultant trends with respect to exposure duration and beam diameter are compared with current standardized exposure limits for laser safety. Mathematical modeling agreed well with experimental data, predicting that though laser safety standards are sufficient for exposures <10  s, they may become less safe for very long exposures.

Precision Targeting with a Tracking Adaptive Optics Scanning Laser Ophthalmoscope

Precise targeting of retinal structures including retinal pigment epithelial cells, feeder vessels, ganglion cells, photoreceptors, and other cells important for light transduction may enable earlier disease intervention with laser therapies and advanced methods for vision studies. A novel imaging system based upon scanning laser ophthalmoscopy (SLO) with adaptive optics (AO) and active image stabilization was designed, developed, and tested in humans and animals. An additional port allows delivery of aberration-corrected therapeutic/stimulus laser sources. The system design includes simultaneous presentation of non-AO, wide-field (~40 deg) and AO, high-magnification (1-2 deg) retinal scans easily positioned anywhere on the retina in a drag-and-drop manner. The AO optical design achieves an error of <0.45 waves (at 800 nm) over ±6 deg on the retina. A MEMS-based deformable mirror (Boston Micromachines Inc.) is used for wave-front correction. The third generation retinal tracking system achieves a bandwidth of greater than 1 kHz allowing acquisition of stabilized AO images with an accuracy of ~10 μm. Normal adult human volunteers and animals with previously-placed lesions (cynomolgus monkeys) were tested to optimize the tracking instrumentation and to characterize AO imaging performance. Ultrafast laser pulses were delivered to monkeys to characterize the ability to precisely place lesions and stimulus beams. Other advanced features such as real-time image averaging, automatic highresolution mosaic generation, and automatic blink detection and tracking re-lock were also tested. The system has the potential to become an important tool to clinicians and researchers for early detection and treatment of retinal diseases.

Infrared laser damage thresholds for skin at wavelengths from 0.810 to 1.54 microns for femtosecond to microsecond pulse durations

In this paper we report on our combined measurements of the visible lesion thresholds for porcine skin for wavelengths in the infrared from 810 nm at 44 fs to 1318 nm at pulse durations of 50 ns and 350&mgr;s to 1540 nm including pulse durations of 31 ns and 600 &mgr;s. We also measure thresholds for various spot sizes from less than 1 mm to 5 mm in diameter. All three wavelengths and five pulse durations are used extensively in research and the military. We compare these minimum visible lesion thresholds with ANSI standards set for maximum permissible exposures in the infrared wavelengths. We have measured non-linear effects at the laser-tissue interface for pulse durations below 1&mgr;s and determined that damage at these short pulse durations are usually not thermal effects. Damage at the skin surface may include acoustical effects, laser ablation and/or low-density plasma effects, depending on the wavelength and pulse duration. Also the damage effects may be short-lived and disappear within a few days or may last for much longer time periods including permanent discolorations. For femtosecond pulses at 810 nm, damage was almost instant and at 1 hour had an ED50 of 8.2 mJ of pulse energy. After 24 hours, most of the lesions disappeared and the ED50 increased by almost a factor of 3 to 21.3 mJ. There was a similar trend for the 1.318 &mgr; laser for spot sizes of 2 mm and 5 mm where the ED50 was larger after 24 hours. However, for the 1.54 &mgr; laser with a spot size of 5 mm, the ED50 actually decreased by a small amount; from 6.3 Jcm-2 to 6.1 Jcm-2 after 24 hours. Thresholds also decreased for the 1314 nm laser at 350 &mgr;s for spot sizes of 0.7 mm and 1.3 mm diameter after 24 hours. Different results were obtained for the 1540 nm laser at 600 &mgr;s pulse durations where the ED50 decreased for spot sizes 1 mm and below, but increased slightly for the 5 mm diameter spot size from 6.4 Jcm-2 to 7.4 Jcm-2

Porcine skin damage thresholds for 0.6 to 9.5 cm beam diameters from 1070-nm continuous-wave infrared laser radiation.

Abstract. There is an increasing use of high-power fiber lasers in manufacturing and telecommunications industries operating in the infrared spectrum between 1000 and 2000 nm, which are advertised to provide as much as 10 kW continuous output power at 1070 nm. Safety standards have traditionally been based on experimental and modeling investigations with scant data available for these wavelengths. A series of studies using 1070-nm infrared lasers to determine the minimum visible lesion damage thresholds in skin using the Yucatan miniature pig (Sus scrofa domestica) for a range of beam diameters (0.6, 1.1, 1.9, 2.4, 4.7, and 9.5 cm) and a range of exposure durations (10 ms to 10 s) is presented. Experimental peak temperatures associated with each damage threshold were measured using thermal imaging. Peak temperatures at damage threshold for the 10-s exposures were ∼10°C lower than those at shorter exposures. The lowest and highest experimental minimum visible lesion damage thresholds were found to have peak radiant exposures of 19 and 432  J/cm2 for the beam diameter-exposure duration pairs of 2.4 cm, 25 ms and 0.6 cm, 10 s, respectively. Thresholds for beam diameters >2.5  cm had a weak to no effect on threshold radiant exposure levels for exposure times ≤0.25  s, but may have a larger effect on thresholds for exposures ≥10  s.

Limiting mechanism for NIR laser retinal damage

Near-infrared (NIR) laser exposures to the retina are affected by intraocular absorption, chromatic aberration and retinal absorption. We present the latest results of retinal exposure to wavelengths between 1.0 to 1.319 micrometers and show how the trends for long-pulse exposure are dramatically affected by intraocular absorption in the anterior portion of the eye.

Visible lesion thresholds and model predictions for Q-switched 1318-nm and 1540-nm laser exposures to porcine skin

Skin damage thresholds were measured and compared with theoretical predictions using a skin thermal model for near-IR laser pulses at 1318 nm and 1540 nm. For the 1318-nm data, a Q-switched, 50-ns pulse with a spot size of 5 mm was applied to porcine skin and the damage thresholds were determined at 1 hour and 24 hours postexposure using Probit analysis. The same analysis was conducted for a Q-switched, 30-ns pulse at 1540 nm with a spot size of 5 mm. The Yucatan mini-pig was used as the skin model for human skin due to its similarity to pigmented human skin. The ED50 for these skin exposures at 24 hours postexposure was 10.5 J/cm2 for the 1318-nm exposures, and 6.1 J/cm2 for the 1540-nm exposures. These results were compared to thermal model predictions. We show that the thermal model fails to account for the ED50 values observed. A brief discussion of the possible causes of this discrepancy is presented. These thresholds are also compared with previously published skin minimum visible lesion (MVL) thresholds and with the ANSI Standards MPE for 1318-nm lasers at 50 ns and 1540-nm lasers at 30 ns.

Skin damage thresholds with continuous-wave laser exposures at the infrared wavelength of 1319 nm

ABSTRACT Damage thresholds (ED50) for skin using Yucatan mini-pig (Sus scrofa domestica) have been determined at the operational wavelength of 1319 nm with beam diameters of 0.61 cm and 0.96 cm. Exposure durations of 0.25, 1.0, 2.5 and 10 seconds were used to determine trends in damage threshold with respect to exposure time and beam diameter at this moderately-high penetrating wavelength. A relatively narrow range of total radiant exposure from 37.4 J/cm2 to 62.3 J/cm2 average was observed for threshold damage with laser parameters encompassing a factor of two in beam area and a factor of forty in exposure duration.

In vivo investigation of near infrared retinal lesions utilizing two adaptive optics enhanced imaging modalities

Near threshold retinal lesions were created in the eyes of non-human primate (NHP) subjects in the near infrared (NIR) wavelength range of 1100 to 1319 nm, with 80 to 100 ms laser exposures. Two new in vivo imagining techniques, Adaptive Optic enhanced-Spectral Domain Optical Coherence Tomography (AO-SDOCT) and Adaptive Optic enhanced confocal Scanning Laser Ophthalmoscope imagery (AOcSLO) were utilized to pinpoint areas of chronic damage within the retinal layers resulting from laser exposure. Advantages and limitations of each technology with regard to the study of laser retinal tissue interaction are highlighted.

Theoretical and experimental bioeffects research for high-power terahertz electromagnetic energy

Historically, safety analyses for radio frequency emission and optical laser exposures have been designed to define the threshold level for tissue damage. To date, no experimental studies have documented damage thresholds to living tissues in the terahertz (THz) range of electromagnetic frequencies (0.1 - 10 THz). Exposure limits exist as extrapolated estimates at the extreme bounds of current occupational safety standards for lasers and radio frequency sources. Therefore, due to the lack of published data on the safety of terahertz emissions, an understanding of the bioeffects of tissue exposures to terahertz beams is necessary. The terahertz frequency band represents an intermediate range in which both optical and radiofrequency methods of theory and experimentation can be selectively employed and compared for consistency. We report on work recently completed to reconcile the theoretical methods of optical and radio-frequency radiative transport modeling, while additionally discussing preliminary theoretical estimates of damage thresholds to skin tissue from terahertz energy and work planned to validate these findings experimentally.