Dronka's Review - Martin Flashcards

1
Q

What does LASER stand for

A
Light
Amplification
Stimulated
Emission of
Radiation
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2
Q

Blackbody radiation

  • what
  • ideal blackbody cavity
  • low vs high temps
A

Material that absorbs most of the incident light

The spectrum is independent of the specific absorbing material

Low = radiation is IR - feel but can’t see heat
High = emittence in incr, moving toward higher freq/shorter wavelengths
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3
Q

Characteristic properties of photons

  • in the interaction of radiation with matter, radiation behaves like __ called __
  • photon movement
  • photon mass
A

Particles = photons

Always moving at speed of light in vacuum

  • attempt to stop = absorption
  • travel in straight line

Zero rest mass, but never occur at rest

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4
Q
Electron volt (eV)
-what
A

Energy carried by a single photon

-the amount of energy that an e- gains while moving thru a potential difference of 1V

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5
Q

Bohr Atom Model

  • electrons that orbit the atomic nucleus
  • electron jumping
A

Exist only in discrete energy levels

Emit a photon -> lower level
Absorb a photon -> higher level

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6
Q

Spontaneous Emission

  • an e- stays in an excited state for __ then jumps to a __, emitting a photon in the process
  • an atom will absorb only photons whose energy __ and will release __
A

<8-10 seconds, lower level

Absorb: is the exact amount needed to raise by 1 level
Release: that same wavelength of energy as a photon

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7
Q

Stimulated Emission

  • if a photon of the precise wavelength passes an e- in an elevated energy level of equal gain in energy, that e- will __
  • for each that enters
A

Emit a photon of that same wavelength, direction, phase, coherence, and polarization

2 will leave = amplification

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8
Q

Fluorescent Colors

  • why they stand out
  • the energy that drives the fluorescent radiation comes from __
A

The luminous flux emitted at the fluorescent wavelengths by a fluorescent substance&raquo_space;> luminous flux incident at those wavelengths

An incident higher frequency (shorter wavelength) radiation (UV)

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9
Q

Phosphorescence

-what is it

A

When a metastable with a long lifetime is populated by incident radiation, the material may continue to glow/emit radiation long after the source is removed

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10
Q

Fluorescence vs Phosphorescence

-difference

A

Matter of time

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11
Q

Fluorescent Dye

  • ODs use
  • when is it absorbed
  • peak excitation and emission
A

Sodium fluorescein

Intact corneas do not absorb
Damage membranes absorb

Excitation = ~400nm
Emission = 522nm
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12
Q

Population Inversion

  • electrons of lower levels __
  • electrons of higher levels __
  • amplification occurs when
A

Absorb

Emit

More are at evelated than lower state

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13
Q

Pumping

  • why
  • how
A

Energy must be added to the system to allow e- to be in elevated orbits

Optical, e- emission, chemical reaction, explostive device, electrical
Uses metastable excited state (live very long time)

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14
Q

Cavity Oscillator

  • where/what
  • why
  • how
A

Optical cavity
2 parallel mirrors w/ optical coating -> feedback loop with active medium b/w the mirrors

Builds up strength of avalanche

Stimulated emission causes causes amplification of signal within the optical resonator

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15
Q

Continuous Wave vs Long Pulse

-3 characteristics for each

A

CW:

  • emitted continuously
  • requires continuous pumping (electrical current, light source)
  • thermal effects

LP:

  • pulsed on order of miliseconds
  • pumping typically by xenon flash lamp
  • thermal effects
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16
Q

Q-switching

  • what it is
  • OD example
  • duration
  • intensity
A

Short-pulsed laser

Nd:YAG

Nanosecond duration

High power intensity

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17
Q

Q-switching

  • modulator
  • energy release
  • formation
  • effect
  • pigmentation
A

Shutter or light modulator

Energy builds, then released in sudden burst

Plasma formation

Photodisruptive effect

Less affected by pigmentation

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18
Q

Modes

  • single/fundamental
  • multimode
A

Gaussian = smallest spot size

  • achieves highest power density
  • posterior capsulotomy

Non-Gaussian = larger cross sectional power output

  • 2+ spots
  • vitreolysis
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19
Q

Laser Light Characteristics (3)

A

Coherent
Monochromatic
Collimated

20
Q

Therapeutic Lasers (7)

A
Ion gas
Solid state (Nd:YAG)
Diode
CO2
Excimer
Dye
Femtosecond
21
Q

Energy

  • define
  • units
  • SLT
  • YAG CAP
  • LPI
A

Transferred to an object to perform work/heat an object

Joules

  • 1 joule = 1 watt-second
  • 1 mJ = 1 mW-second

SLT = 0.8-1.2 mJ

YAG CAP = 1.3-1.8 mJ

LPI = 3-6 mJ

22
Q

Power Density

  • define
  • units
  • PD and area, pulse, energy
A

Transfer of an amount of energy per unit time to a given volume of matter

Watt/cm^3

Higher PD = smaller area, shorter pulse, higher energy

23
Q

Photochemical Effects

-describe photoradiation

A

Absorption of light triggers chemical rxn

E.g. radiation therapy in target tissue for cancer tx

24
Q

Photochemical Effects

-describe photoablation

A

Single UV photon breaks chemical bond

High irradiance + short exposure = clean cut (-) collateral

Predictable depth = layer by layer removal

25
Q

Photochemical Effects

  • describe
  • list both
A

<320nm (short wavelength)
Low-mod irradiance
~1ms exposure

Photoradiation
Photoablation

26
Q

Photothermal Effects

  • describe
  • list both
A

Longer wavelength
Low-mod irrandiance
~1ms exposure

Photocoagulation
Photovaporization

27
Q

Photothermal Effects

-describe photocoagulation

A

Incr 10-20 C, overcomes van der Waals -> coagulation

Thermal energy proportional to (irradiance * exposure time)

Higher irradiance needed for immediate effect

Collateral damage

  • heat spread
  • scattered light
28
Q

Photothermal Effects

-describe photovaporization

A

Higher irradiance than coag

Boiling point of water -> explosion -> tissue rips

Cauterization often follows

29
Q

Photodisruptive Effects

-describe secondary/photomechanical

A

Longer wavelength
Higher irradiance
~20ns exposure

Very high irradiance (via Q-switching or mode-lock) + small spot size = ionize material by releasing bound e-

Free e- plasma expands rapidly -> shock wave -> rips tissue

30
Q

Most photocoagulation laser systems have __ control setting

A

Power

  • change power
  • Argon
31
Q

Most photodisruptive lasers have __ setting since duration is fixed

A

Energy

  • change energy
  • Nd:YAG 1064nm
32
Q

Pigment Dependent Lasers (2)

A

Argon

Diode

33
Q

Pigment Independent Lasers (3)

A

Nd:YAG 1064
Femtosecond
Excimer

34
Q

Nd:YAG

  • nm
  • state, level
  • pulse
  • what type of effect/disruption
A

1064nm

Solid state (level 4)

Q-switch
Continuous or short-pulsed

Photodisruption

35
Q

Frequency-doubled YAG (FD:YAG)

  • nm
  • pulses
  • FD
  • what type of effect/disruption
A

532nm

Frequency-doubling and Q-switched

FD = potassium-titanyl-phosphate-crystal

Photocoagulation/sublethal photostimulation pigment dependent
-less intense than argon

36
Q
Wavelengths
-ultraviolet
—A
—B
—C
-visible
-infrared
—near/A
—far/B,C
A
In order:
200-280 UVC
280-315 UVB
315-400 UVA
400-780 visible
780-1400 near infrared/IRA
1400-3000 far infrared/IRB
3-1000 micrometers far infrared/IRC
37
Q

Light Absorbtion in Eye

  • ultraviolet (<400 nm)
  • visible (400-700)
  • near IR (700-1400)
  • far IR (1400+)
A

Cornea

Retina

Retina

Cornea

38
Q

Tissue variables

  • melanin
  • hemoglobin
  • xanthophyll
A

Melanin

  • absorbs across entire visible spectrum
  • aborbs IR less effectively

Hemoglobin

  • absorbs green/blue very well
  • scatters red

Xanthophyll

  • absorbs blue well
  • use red/IR for macula (will cause immediate scarring)
39
Q

LASIK

-myopia vs hyperopia

A

M: remove center, make flatter

H: remove peripheral, make steeper

40
Q
ANSI Standards
-class 1
A

Very low power (<0.5 microW)
No eye/skin hazard from full-day exposure
No label required
Lasers inside CD/DVD players

41
Q
ANSI Standards
-class 2
A
Low power (<1 mW)
No eye hazard from short time period
Basic laser pointers, surveying land
42
Q

ANSI Standards

  • class 3A
  • class 3B
A

3A: visible beam, power <5mW
-damage on accidental exposure through optical iad
More powerful laser pointers

3B

  • eye and skin hazard
  • viewed only thru diffuse reflection from distance
43
Q
ANSI Standards
-class 4
A

Eye and skin hazard from intrabeam and diffuse reflection

Fire hazard

44
Q

What ANSI class is an Nd:YAG 532nm (FD)

A

3B

45
Q

What ANSI class is an Nd:YAG 1064

A

4

46
Q

Laser Safety

  • governing bodies, professional organizations (3)
  • administrative controls
  • practice guidelines
  • protective equipment (3)
A

ANSI, FDA, OSHA

Laser safety officer

American Society for Laser Medicine and Surgery (ASLMS)

Warning signs, skin protection, smoke evacuation