Chapter 15: Lasers Flashcards

1
Q

What does LASER stand for

A

Light amplification by the stimulated emission of radiation

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2
Q

What are the basic properties of the waves of light from a laser?

A

They are coherent (all waves are in phase)
They are collimated, all waves are parallel
Monochromatic due to being the same wavelenght

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3
Q

Using a laser, describe energy pumping

A

Energy is delivered to an active laser medium, exciting its electrons to a higher energy state. Atoms in higher energy states are unstable when they drop to a lower state or ground state, they release incoherent light in all directions.

However, if an excited atom is excited by a photon of the same wavelength of that which is released when the atom goes from a high to low energy state, coherent light is released (coherent to the stimulating photon)

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4
Q

Regarding lasers, what is resonance?

A

The laser medium is housed in a box with 2 mirrors on either side. The distance between the mirrors is a multiple of the wavelength of light emitted. This ensures light is always coherent. Therefore, light can:
1) undergo contstructive interference
2) stimulate excited atoms to release coherent light of the same wavelength as the incident light, thus amplifying the process.

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5
Q

When using a laser, what is continuous wave (WC) mode and how is it produced.

A

The tube that houses the laser medium has 1 semi transparent mirror. Some light is reflected and contributes to resonance, but some passes through, allowing coherent, collimated and monochromatic light to go through.

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6
Q

In a laser, what is used to pump energy?

A
  1. Electricity
  2. Second laser
  3. Incoherent light
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7
Q

What are transverse electromagnetic modes

A

In reality, lasers aren’t perfectly collimated and are in fact divergent. The point at which the laser is most intense is known as the transverse electromagnetic mode (TEM).
They are particularly important for photo distribution

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8
Q

In a laser, what is the fundamental mode?

A

The point as which the laser beam is least divergent and produces the most focused beam. Laser is less concentrated in the peripheries and follows Gaussian distribution.

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9
Q

What are the units of power?

A

Energy per unit time (joules/ second) =r watts

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10
Q

In lasers, what is q switching/ mode locking

A

A shutter is placed infront of 1 of the 2 mirrors around the laser material. This limits energy loss by spontaneous emission. Opening the shutter allows oscillation between the 2 mirrors allowing a single pulsed laser surge for 2-30 nanoseconds.

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11
Q

In reality, why are lasers from a single unit not always the same wavelength?
How do we get around this?

A

1) the tube is long, and multiple wavelengths can fit inside.
2) in solid state media, heat can cause changes in crystal size, thus changing distance between mirrors
3) in gas media, Doppler effect changes wavelength of light depending on the direction the gas molecule is travelling in relative to the incident light

Via mode locking, summarise various wavelengths so that they are in phase.

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12
Q

What are the 3 effects lasers have on tissue

A
  1. Ionisation
  2. Thermal
  3. Photochemical
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13
Q

Which lasers work by ionisation

A

Nd yag
Argon fluoride excimer laser

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14
Q

Which laser works via thermal effects?

A

Carbon dioxide laser. Causes vaporisation for photocoagulation

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15
Q

What are the photochemical effects of lasers?

A

With prolonged exposure (>10s). Free radicals can be produced which are toxic to cells.
Argon lasers have a filter to protect the operator from such effects

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16
Q

What is an argon blue- green gas laser used for

A

Retinal photocoagulation.
Aims to treat outer retina to avoid damaging nerve layer.

Argon green (blue filtered out) does not damage the retina or and can be used on macula.
Blue argon (green filtered out) contraindicated in macula

Wavelength:488

17
Q

Why is blue argon contraindicated in the macula

A

Xanthophyll in the inner retina (where the nerve fibre layer) is absorbs blue light, which can damage the nerve layer

18
Q

Why might an older individual need high laser power settings.

A

Crystalline lens of older people may cause scatter

19
Q

What do we use a He Ne laser for

A

It is in the visible red spectrum, and is used to aim the beam from laser
Wavelength: 632

20
Q

What are the uses of a diode laser?

A

Has a wavelength of 810nm which is able to go through the sclera to be absorbed by the melanin in the ٍٍRPE.
Can be placed on sclera to ablate ciliary body in end stage glaucoma.
Can also be used endoscopically for dacrocystorhinostomy

21
Q

How can you enhance the ablative power of a diode laser?

A

Inject ICG. ICG absors 800-810nm light which is wavelength of diode laser.

22
Q

What is an Nd-YAG laser used for?

A

Has a wavelength of 1064nm and is in the infrared spectrum, it is qswitched.
Used for PC opacification and PI.
NB: laser is invisible. Need He-Ne laser to as a aiming guide.

23
Q

Why do we sometimes frequency double an Nd-YAG laser and how is this achieved?

A

YAG crystals are suspended in KTP, which converts the laser into 532nm.
This can be used to photoablation like a green Argon (blue free) laser

24
Q

What is an excimer laser and what is it used for?

A

Used in laser eye surgery to ablate tissue (PRK and LASIK). Uses Ar-F system to produce a 193nm UV laser. Very precise and high energy to ablate tissue.

25
Q

What is the erbium YAG laser used for?

A

2940nm IR radiation which is used to emulsify cataract

26
Q

Define confocal optics

A

Imaging system that only collects light from a small spot on a specimen, giving good resolution

27
Q

What is scanning laser polarimetry?

A

A confocal scanning laser ophthalmoscope (CSLO) projects polarised light of 780nm onto the retina. Using the principles of bifringence, we estimate the thickness of the RNFL based on the change in polarisation of light passing through it (called retardation)
Remember: bifrigence = when light is split into 2 beam, each polarised perpendicular to each other

28
Q

What is confocal scanning laser tomography

A

Uses confocal scanning laser ophthalmoscope (CSLO) to produce 3D image of nerve head to evaluate disc damage in glaucoma

29
Q

What is laser interferometry used for

A

Estimating potential visual acuity when the macular can’t be seen due to cataract

30
Q

What is laser microperimetry

A

Laser to determine light sensitive areas of the retina. Can be used to find small scotoma (field abnormalities)

31
Q

What is laser Doppler flowmetry

A

Using Doppler principle to see retinal capillary blood flow

32
Q

What is a holmium laser used for

A

Creating a sclerostomy in glaucoma or thermokeratoplasty

33
Q

What is an Nd:YLF laser used for

A

Can dissect vitreous membrane and ablate cornea

34
Q

What classes of laser are capable of damaging the eye?

A

3b and 4

35
Q

Which classes of laser are visible to the eye

A

2 and 3a

36
Q

Which classes of laser are safe on the eye

A

1-3a