Lasers Flashcards

1
Q

Define LASER.

A

Light Amplification by Stimulated Emission of Radiation

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2
Q

List the classification categories of LASERS.

A
Class 1 < 0.5mW
Class 2 < 1.0mW
Class 3a 1-5mW
Class 3b 5-500mW
Class 4 > 500mW
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3
Q

What is a laser beam?

A

A narrow, collimated, coherent beam of light

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4
Q

List 5 laser effects.

A
  1. Sensor damage
  2. Ocular bioeffects
  3. Psychological impact (#1)
  4. Derm
  5. Operational impact
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5
Q

List 6 laser ocular effects.

A
  1. Canopy glare
  2. Flash blindness
  3. Retinal burns
  4. Corneal clouding
  5. Cataracts
  6. Retinal hemorrhage
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6
Q

Why is the eye more vulnerable to laser injury that the skin?

A

The corneal and the lens increase retinal radiance by a factor of 100,000

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7
Q

What does UV, IR and visible light affect?

A

UV, IR– cornea and lens

Visible– retina

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8
Q

Name 4 temporary and 3 permanent ocular effects of laser?

A

Temporary:

  1. Glare/dazzle
  2. Flash blindness
  3. After-image
  4. Distraction

Permanent:

  1. Burn
  2. Hemorrhage
  3. Hole
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9
Q

Name 2 military uses of laser.

A
  1. Non-escalation device

2. Rangefinder

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10
Q

Name – measures to prevent laser injury.

A
  1. Eye protection (Use sunglasses/visor if no other eye protection available)
  2. Heads down. Avoid looking at source. Do not ask others to look at the source.
  3. Use hand to shield eyes.
  4. Avoid rubbing eyes.
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11
Q

What is the characteristic of laser eye wear?

A

It is wavelength specific.

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12
Q

What reference should be used in evaluation of patients with laser exposure.

A

Laser Injury Guidebook

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13
Q

Lust the 8 key items for exam following laser injury.

A
  1. History
  2. External examination
  3. Near & far visual acuity (#1 prognosis)
  4. Amsler grid test
    (indicates violation of retinal structures)
  5. Pupils
  6. Stereopsis
  7. Color vision (optic nerve vs macula damage)
  8. Retinal examination (can dilate if needed)
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14
Q

After a patient is initially examined after the event, when are the next examined? Why?

A

24 hours, give time for flash blindness and psychosomatic sx to resolve

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15
Q

How are laser corneal injuries treated?

A

as corneal abrasion (abx drops, cycloplegia)

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16
Q

How are laser retinal injury treated?

A

No treatment

17
Q

When should a patient with laser exposure be medevaced?

A
  • 24-hr eval and continued issues– medevac

- evidence of damage– medevac

18
Q

After a patient is initially examined after the event, when are the next examined? Why?

A

24 hours, give time for flash blindness and psychosomatic sx to resolve

19
Q

How are laser corneal injuries treated?

A

as corneal abrasion (abx drops, cycloplegia)

20
Q

How are laser retinal injury treated?

A

No treatment

21
Q

When should a patient with laser exposure be medevaced?

A
  • 24-hr eval and continued issues– medevac

- evidence of damage– medevac