Summary
A short-pulse, small-spot xenon arc coagulation technique, worked out on rabbits as described in a preceding paper, has been applied to humans with good results. The lesions can be made to resemble in most respects to those generated by weak ruby laser pulses, insofar as the choroid and the nerve fiber layer are not damaged, resorption of edema is rapid and pigment proliferation abundant. The technique consists in superposing the cathode hot-spot of the xenon arc by its mirror image, using small field stops and electronically controlled exposure times of typically 0.1 sec. The apparatus used was the photocoagulator of Zeiss-Oberkochen equipped with the optical attachement which allows of working with the Goldmann contact glass. Detailed description of some cases treated illustrates this method.
Similar content being viewed by others
References
Eisner, G.: Zusatztrichter zum 3-Spiegelkontaktglas mit verschieblichem Indentator. Graefes Archiv 178, 183–186 (1969).
Fankhauser, F., Lotmar, W.: Skleralindentation und Photokoagulation. Acta ophthal. (Kbh.) 48, 253–260 (1970).
— —, Roulier, A.: Photocoagulation through the Goldmann contact glass, part II. Arch. Ophthal. 79, 674–683 (1968a).
— — —: Photocoagulation through the Goldmann contact glass, part III. Arch. Ophthal. 79, 684–696 (1968b).
— — —: Reduction of energy in photocoagulation with the Zeiss-Oberkochen xenon-arc apparatus. I.–III. Graefes Archiv 182, 177–205 (1971).
Lotmar, W., Fankhauser, F., Roulier, A.: Photocoagulation through the Goldmann contact glass, part IV. Arch. Ophthal. 82, 314–319 (1969).
Marshall, J., Fankhauser, F., Lotmar, W., Roulier, A.: Pathology of short-pulse retinal photocoagulations using the Goldmann contact lens. Graefes Archiv 182, 154–169 (1971).
Roulier, A.: Calculation of temperature increase in the eye produced by intense light. Bull. math. Biophys. 32, 403–427 (1970).
—: Calculation of the thermal effect in the retina by photocoagulation. Graefes Archiv 181, 281–289 (1971).
Smart, D.: The biological and physical effects of laser radiation. Paper read at “Conference on Lasers in Medicine”, London, July 1969.
Wise, G. N., Campbell, C. J., Wendler, P. F., Rittler, M. C.: Photocoagulation of vascular lesions of the macula. Amer. J. Ophthal. 66, 452–459 (1968).
Zweng, H. C., Flocks, M., Peabody, R.: Histology of human ocular laser coagulation. Arch. Ophthal. 76, 11–15 (1966).
Author information
Authors and Affiliations
Additional information
This investigation was supported by a Grant to the University of Bern, Number NB-03638-05 NINDB, National Institutes of Health, Bethesda, Maryland, U.S.A.
Rights and permissions
About this article
Cite this article
Fankhauser, F., Lotmar, W. & Roulier, A. Reduction of energy in photocoagulation with the Zeiss-Oberkochen xenon-arc apparatus. Albrecht von Graefes Arch. Klin. Ophthalmol. 182, 189–200 (1971). https://doi.org/10.1007/BF00414641
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00414641