Zaifu Yang

A comparative study on ocular damage induced by 1319nm laser radiation

High energy loss of 1,319 nm laser due to pre‐retinal water absorption makes the ocular axial length more critical, while the relative low absorbance of melanin makes retinal pigmented epithelium less contributing, to retinal damage threshold. However, both have never been illustrated experimentally. Here we determined and compared the retinal damage thresholds at this wavelength in three species with different axial lengths and retinal pigmentations. The corneal damage threshold was also determined for further comparative analysis.

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

Abstract. The corneal damage effects induced by 1319-nm transitional near-infrared laser have been investigated for years. However, the damage threshold dependence on exposure duration has not been revealed. The in vivo corneal damage thresholds (ED50s) were determined in New Zealand rabbits for 1319-nm laser radiation for exposure durations from 75 ms to 10 s. An additional corneal ED50 was determined at 1338 nm for a 5-ms exposure. The incident corneal irradiance diameter was fixed at 2 mm for all exposure conditions to avoid the influence of spot size on threshold. The ED50s given in terms of the corneal radiant exposure for exposure durations of 5 ms, 75 ms, 0.35 s, 2 s, and 10 s were 39.4, 51.5, 87.2, 156.3, and 311.1  J/cm2, respectively. The 39.4  J/cm2 was derived from the ED50 for 1338 nm (27.0  J/cm2). The ED50s for exposure durations of 75 ms to 10 s were correlated by a power law equation, ED50=128.9t0.36 in J/cm2, where t was the input in the unit of second, with correlation coefficient (R) of 0.997. Enough safe margins existed between the ED50s and the maximum permitted exposures from current laser safety standard.

Retinal injury thresholds for 532, 578, and 630 nm lasers in connection to photodynamic therapy for choroidal neovascularization

The purpose of this study was to explore the retinal injury thresholds in rabbits and evaluate the influence of retinal pigmentation on threshold irradiance at laser wavelengths of 532, 578, and 630 nm which might be involved in hypocrellin B (HB) and hematoporphyrin monomethyl ether (HMME) photodynamic therapy (PDT) for choroidal neovascularization (CNV).

Influence of transverse mode on retinal spot size and retinal injury effect: A theoretical analysis on 532-nm laser

The fundamental transverse mode (TEM00) is preferable for experimental and theoretical study on the laser-induced retinal injury effect, for it can produce the minimal retinal image and establish the most strict laser safety standards. But actually lasers with higher order mode were frequently used in both earlier and recent studies. Generally higher order mode leads to larger retinal spot size and so higher damage threshold, but there are few quantitative analyses on this problem. In this paper, a four-surface schematic eye model is established for human and macaque. The propagation of 532-nm laser in schematic eye is analyzed by the ABCD law of Gaussian optics. It is shown that retinal spot size increases with laser transverse mode order. For relative lower mode order, the retinal spot diameter will not exceed the minimum laser-induced retinal lesion (25 ~ 30 μm in diameter), and so has little effect on retinal damage threshold. While for higher order mode, the larger retinal spot requires more energy to induce injury and so the damage threshold increases. When beam divergence is lowered, the retinal spot size decreases correspondingly, so the effect of mode order can be compensated. The retinal spot size of macaque is slightly smaller than that of human and the ratio between them is independent of mode order. We conclude that the laser mode order has significant influence on retinal spot size but limited influence on the retinal injury effect.

Theoretical investigation of thermal retinal response to photodynamic therapy or choroidal neovascularization

To study the risk of thermal injury in photodynamic therapy for choroidal neovascularization by calculating the retinal temperature of rabbits, a mathematical model for laser induced thermal effect on retina was developed. Homogeneous layer retinal models of different pigmented rabbits were presented to analyze the light distribution. The finite element method realized by Matlab software was used to solve classical bio-heat transfer model - Pennis equation, in which heat loss due to choroidal blood flow was considered. The retinal temperature was calculated with different laser parameters, including different wavelengths (532nm, 578nm and 690nm), power density (200~1600 mW/cm2), spot diameter (1mm, 2mm and 3mm) and different pigmented eye fundi. The prediction results showed the retinal temperature increased first, then reached maximum in a few seconds and kept constant during laser irradiation. Once laser exposure ended, the temperature decreased quickly to normal. With the increase of laser power density and spot size, the retinal temperature raised too. The temperature reduced exponentially with the distance from laser spot increased. The maximum temperature of non-pigmented rabbits was lower than that of pigmented rabbits. The temperature induced by 578nm laser irradiation was highest, the next was by 532nm laser and the lowest was by 690nm laser. For current parameters used to treat choroidal neovascularization (690nm, 600mW, 2mm, 83sec), the maximum retinal temperature calculated was less than 45 °C, which indicating no thermal damage induced.

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.

Interaction of 1.319 μm laser with skin: an optical-thermal-damage model and experimental validation

With the widespread use of high-power laser systems operating within the wavelength region of approximately 1.3 to 1.4 μm, it becomes very necessary to refine the laser safety guidelines setting the exposure limits for the eye and skin. In this paper, an optical-thermal-damage model was developed to simulate laser propagation, energy deposition, heat transfer and thermal damage in the skin for 1.319 μm laser irradiation. Meanwhile, an experiment was also conducted in vitro to measure the tempreture history of a porcine skin specimen irradiated by a 1.319 μm laser. Predictions from the model included light distribution in the skin, temperature response and thermal damge level of the tissue. It was shown that the light distribution region was much larger than that of the incident laser at the wavelength of 1.319 μm, and the maximum value of the fluence rate located on the interior region of the skin, not on the surface. By comparing the calculated temperature curve with the experimentally recorded temperautre data, good agreement was shown betweeen them, which validated the numerical model. The model also indicated that the damage integral changed little when the temperature of skin tissue was lower than about 55 °C, after that, the integral increased rapidly and denatunation of the tissue would occur. Based on this model, we can further explore the damage mechanisms and trends for the skin and eye within the wavelength region of 1.3 μm to 1.4 μm, incorporating with in vivo experimental investigations.

Ocular damage induced by a Vis-infrared supercontinuum source

Abstract. 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.

Cutaneous pain effects induced by Nd:YAG and CO 2 laser stimuli

The near infrared laser technique can activate cutaneous nociceptors with high specificity and reproducibility and be used in anti-riot equipment. This study aimed to explore cutaneous pain effect and determine the threshold induced by Nd:YAG and CO2 laser stimuli. The corresponding wavelength was 1.32μm and 10.6μm. The pain effect was assessed in three healthy subjects (1 woman and 2 men) on the skin of dorsum of both hands. The energy of each pulse and whether the subjects felt a painful sensation after each stimulus were recorded. A simplified Bliss Method was used to calculate the pain threshold which were determined under three pulse durations for Nd:YAG laser and one pulse duration for CO2 laser. As a result the pain thresholds were determined to be 5.6J/cm2, 5.4J/cm2 and 5.0J/cm2 respectively when using Nd:YAG laser, 4.0mm beam diameter, 8ms, 0.1s and 1s pulse duration. The pain threshold was 1.0J/cm2 when using CO2 laser, 4.0mm beam diameter and 0.1s pulse duration. We concluded that the threshold of cutaneous pain elicited by 1.32μm laser was independent upon the pulse duration when the exposure time ranged from 8ms to 1s. Under the same exposure condition, the threshold of cutaneous pain elicited by 1.32μm laser was higher than that elicited by 10.6μm laser.

Rabbit electroretinograms evoked by 632.8nm laser flash stimuli

The flash electroretinography is a standard electrophysiological method and widely employed in basic research and ophthalmology clinics, of which the stimulus is usually white flash from dome stimulator. However, little is known about the electroretinograms (ERGs) evoked by monochromatic laser flash stimuli. The goal of this research effort is to quantify the ERGs of dark-adapted New Zealand rabbits elicited by He-Ne laser flash with wavelength 632.8 nm. The flash field was a Maxwellian viewing disc with angular subtense of 8.5°, 13.3° or 20.2°. The stimulus duration was 12 ms, 22 ms, 70 ms or 220 ms. The laser flash power incident on the cornea varied from 2.2 nW through 22 mW. Under the condition of 20 ms stimulus duration and 20.2° flash field, the ERG of New Zealand rabbit was compared with that of Chinchilla gray rabbit. Results showed that for the ERG b-wave, with the increase of laser energy, the amplitude first increased, then met a trough and finally increased again, the implicit time decreased first and then met a platform. While for the ERG a-wave, the amplitude increased and the implicit time decreased monotonically. Longer stimulus duration led to lower b-wave amplitude under equal flash power level. The flash field size showed limited effect on the ERG, especially on the low energy end. As compared with the pigmented rabbit, the albino rabbit was more sensitive and the threshold energy for b-wave excitation was about 10 times lower.