Abstract
To study the effect range of the Nd:YAG laser through various levels of cloudy medium for targets with varying grayscale values in vitro. The coated paper cards with grayscale values of 0, 50, 100, and 150 were used as the laser's targets, which were struck straightly with varying energies using three burst modes (single pulse, double pulse, and triple pulse). Six filters (transmittances of 40, 50, 60, 70, 80, and 90) were applied to simulate various levels of cloudy refractive medium. Image J software was used to measure the diameters and regions of the laser spots. The ranges of the Nd:YAG laser spots increased with energy in the same burst mode (P < 0.05). Under the same amount of energy, the ranges of the Nd:YAG laser spot increased with the grayscale value of the targets (P < 0.05). The greater the transmittance of the filters employed, the larger the range of the Nd: YAG laser spots produced. Assuming that the total pulse energy is identical, the effect ranges of multi-pulse burst modes were significantly larger than those of single-pulse burst mode (P < 0.05). The effect range of a Nd:YAG laser grows with increasing energy and the target's grayscale value. A cloudy refractive medium has a negative impact on the effect range of the Nd: YAG laser. The single pulse mode has the narrowest and safest efficiency range.
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The data that supporting the finding of this study are available from the corresponding author upon reasonable request.
References
Karahan E, Er D, Kaynak S (2014) An Overview of Nd:YAG Laser Capsulotomy. Med Hypothesis Discov Innov Ophthalmol 3:45–50
Tan Y, Zhang J, Li W et al (2022) Refraction Shift After Nd:YAG Posterior Capsulotomy in Pseudophakic Eyes: A Systematic Review and Meta-analysis. J Refract Surg 38:465–473. https://doi.org/10.3928/1081597X-20220516-01
Han Y (2022) Evolution of Management on Primary Angle-Closure Suspect: Observation versus Laser Peripheral Iridectomy. Ophthalmology 129:159–160. https://doi.org/10.1016/j.ophtha.2021.09.020
He M, Jiang Y, Huang S et al (2019) Laser peripheral iridotomy for the prevention of angle closure: a single-centre, randomised controlled trial. Lancet 393:1609–1618. https://doi.org/10.1016/S0140-6736(18)32607-2
Shah CP, Heier JS (2017) YAG Laser Vitreolysis vs Sham YAG Vitreolysis for Symptomatic Vitreous Floaters: A Randomized Clinical Trial. JAMA Ophthalmol 135:918–923. https://doi.org/10.1001/jamaophthalmol.2017.2388
Ludwig GD, Gemelli H, Nunes GM et al (2021) Efficacy and safety of Nd:YAG laser vitreolysis for symptomatic vitreous floaters: A randomized controlled trial. Eur J Ophthalmol 31:909–914. https://doi.org/10.1177/1120672120968762
Lin T, Li T, Zhang X et al (2022) The Efficacy and Safety of YAG Laser Vitreolysis for Symptomatic Vitreous Floaters of Complete PVD or Non-PVD. Ophthalmol Ther 11:201–214. https://doi.org/10.1007/s40123-021-00422-6
Yu S, Lu C, Tang X et al (2018) Application of Spectral Domain Optical Coherence Tomography to Objectively Evaluate Posterior Capsular Opacity In Vivo. J Ophthalmol 2018:5461784. https://doi.org/10.1155/2018/5461784
Yu SS, Lu CZ, Guo YW et al (2021) Anterior segment OCT application in quantifying posterior capsule opacification severity with varied intraocular lens designs. Int J Ophthalmol 14:1384–1391. https://doi.org/10.18240/ijo.2021.09.13
Xu BY, Friedman DS, Foster PJ et al. Anatomic Changes and Predictors of Angle Widening after Laser Peripheral Iridotomy: The Zhongshan Angle Closure Prevention Trial. Ophthalmology 128:1161–1168 https://doi.org/10.1016/j.ophtha.2021.01.021
Ho T, Fan R (1992) Sequential argon-YAG laser iridotomies in dark irides. Br J Ophthalmol 76:329–331. https://doi.org/10.1136/bjo.76.6.329
Hahn P, Schneider EW, Tabandeh H et al (2017) Reported Complications Following Laser Vitreolysis. JAMA Ophthalmol 135:973–976. https://doi.org/10.1001/jamaophthalmol.2017.2477
Welch DB, Apple DJ, Mendelsohn AD et al (1986) Lens injury following iridotomy with a Q-switched neodymium-YAG laser. Arch Ophthalmol 104:123–125. https://doi.org/10.1001/archopht.1986.01050130137038
Bhargava R, Kumar P, Phogat H et al (2015) Neodymium-yttrium aluminium garnet laser capsulotomy energy levels for posterior capsule opacification. J Ophthalmic Vis Res 10:37–42. https://doi.org/10.4103/2008-322X.156101
Zhuravlyov A (2022) Posterior YAG capsulotomy: selection of the application pattern. Ophthalmologe 119:481–490. https://doi.org/10.1007/s00347-021-01526-x
Drake MV (1987) Neodymium:YAG laser iridotomy. Surv Ophthalmol 32:171–177. https://doi.org/10.1016/0039-6257(87)90092-0
de Silva DJ, Day AC, Bunce C et al (2012) Randomised trial of sequential pretreatment for Nd:YAG laser iridotomy in dark irides. Br J Ophthalmol 96:263–266. https://doi.org/10.1136/bjo.2010.200030
Chung HJ, Park HY, Kim SY (2015) Comparison of laser iridotomy using short duration 532-nm Nd: YAG laser (PASCAL) vs conventional laser in dark irides. Int J Ophthalmol 8:288–291. https://doi.org/10.3980/j.issn.2222-3959.2015.02.13
de Silva DJ, Gazzard G, Foster P (2007) Laser iridotomy in dark irides. Br J Ophthalmol 91:222–225. https://doi.org/10.1136/bjo.2006.104315
Kinori M, Jagannathan N, Langguth AM et al (2019) Pediatric Nd:YAG laser capsulotomy in the operating room: review of 87 cases. Int J Ophthalmol 12:779–783. https://doi.org/10.18240/ijo.2019.05.12
Yang X, Shi C, Liu Q et al (2023) Spontaneous remission of vision degrading myodesopsia of posterior vitreous detachment type. Graefes Arch Clin Exp Ophthalmol 261:1571–1577. https://doi.org/10.1007/s00417-022-05948-4
Jang HW, Chun SH, Park HC et al (2017) Comparative study of dual-pulsed 1064 nm Q-switched Nd:YAG laser and single-pulsed 1064 nm Q-switched Nd:YAG laser by using zebrafish model and prospective split-face analysis of facial melasma. J Cosmet Laser Ther 19:114–123. https://doi.org/10.1080/14764172.2016.1262958
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This study was supported in part by Shenyang Young and Middle-aged Science and Technology Innovation Talent Support Program (RC210267). The funding agencies had no role in the project design, experimental execution, analysis of the results, or preparation of the manuscript.
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All authors contributed to the study conception and design. LJS, TZL: research design, interpretation of data, critical revision of the manuscript, and final approval of the version to be published. DW: data acquisition and analysis, drafting the manuscript. All authors read and approved the final manuscript.
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Lin, T., Wang, D. & Shen, L. An energy efficiency assessment of Yttrium–aluminum-garnet laser in vitro. Lasers Med Sci 39, 97 (2024). https://doi.org/10.1007/s10103-024-04041-y
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DOI: https://doi.org/10.1007/s10103-024-04041-y