Chua 4 Flashcards

1
Q

How is laser energy produced

A

Pumping - atoms absorb energy to elevate electrons from ground state to higher energy level

Spontaneous emission
Excited electrons accumulate at the upper laser energy level
Excited electrons spontaneously return to ground state by emitting light energy - incoherrent

Stimulated emission
If excited electron is stimulated further by photon whose wavelength is that which the excited electron would naturlaly emit, resulting emission is coherent

Resonance
Active laser medium in tube with mirror at each end
One mirror is paritally transparent
Distance between mirrors equals multiple of wavelength of light emitted

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2
Q

What are properties of laser light

A

Coherent (wavefronts in phase)
Monochormatic ( mostly of one wavelength)
Collimated (parallel)

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3
Q

What does 5 lumen light from laser have intensity?

A

500 million candela - as light is in fine parallel beam (not scattered)

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4
Q

What is laser transverse mode?

A

Comparison of cross section of laser beam at different points

Point along laser beamwhere light is least divergent - energy focused to smallest spot - fundamental mode

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5
Q

What is Q switching?

A

Delivering energy over a shorter time means increased power

Brief pulse of laser light

Pulsed laser such as NdYAG has peak of power

Shutter is placed infront of one of the mirrors in laser tube. This limits energy loss.
Opening shutter allows oscillation to occur and produce single pulsed surge of stimulated emission

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6
Q

What is mode locking

A

Refinement of Q switching which synchronises various wavelengths so that periodically they are in phase and summate

Pulse lasts 30 picoseconds and produces up to 100 times as much pwoer for the same energy compared with Q swiching

duration of pulse shorter than Q switch

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7
Q

What is ionising laser? Example

A

Pulse duration < nanosecond
Strip electrons to form plasma
High temp - suffiecient to displace tissue

NdYAG and Excimer lasers

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8
Q

What are thermal lasers, example

A

Light energy converted into heat energy if wavelegnth conincides with absoption spectrum of tissue pigment and microseconds pulsee

MElanin - RPE and choroid - absorbs visible spectrum

Xanthophyll - macula - absorbs blue light

REsults in photocoagulation and thermal burns

CO2 and Argon laser

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9
Q

What are classes of laser safety?

A

1 Blue/green/red <0.024mV safe

2 Visible <1mV safe

3a 1-5mV Safet

3b 5-500 damage

4 >500 irreversible damage

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10
Q

What lasers are deterimental to human eye?

A

> 5mV
Class 3b or above

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11
Q

What does Argon laser emit

A

Blue 488nm
Green 514nm

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12
Q

What laser is used for photocoagulation? What do xanthophyl at macula absorb?

A

Argon green laser

Xanthophyll absorb blue light - contraindicated

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13
Q

What is diode laser used for?

A

Infrared continuous wave laser

Photocoagulation

Photocycloablation - transparency of sclera allows ablation of ciliary body

Dacrocystorhinostomy

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14
Q

What does ndYAG laser emit? What mode is used to treat the eye?

A

neodymium, yttrium, aluminium, gaarnet

1064nm infrared

Q switched to trat eye

Requires He-Ne laser red aiming beam

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15
Q

What is frequency doubled YAG used for?

A

532 nm

Photocoagulation

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16
Q

What energy is required for lighter vs pigmented fundus

A

Higher energy for lighter fundus as less melanin to absorb

17
Q

What is excimer laser?

A

AR-F
193nm UV light

High level of energy to small volume of tissue causes ablation

(Photorefractive keratectomy

Laser intrastromal keratomileusis LASIK)

Phototherapeutic keratectomy PTK)

18
Q

What laser techniques can be used to monitor glaucoma progression?

A

Confocal scanning laser tomography - 3d map of optic nerve head

Scanning laser polarimetry - measures thickenss of RNFL

19
Q

What is the function of laser interferometry?

A

Tests potential visual acuity of a patient with dense cataract

20
Q

What is confocal microscopy used for?

A

Study the conrea