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Microphotocoagulation: Selective Effects of Repetitive Short Laser Pulses

Repetitive exposure to short laser pulses is shown to cause selective damage to absorbing structures (cells, organelles, or enzymes) with pulse energies below the threshold energy for single-pulse damage. Directly adjacent structures are spared in vivo. Additivity of (presumably nonphotochemical) su...

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Bibliographic Details
Published in:Proceedings of the National Academy of Sciences - PNAS 1993-09, Vol.90 (18), p.8643-8647
Main Authors: Roider, Johann, Hillenkamp, Franz, Flotte, Thomas, Birngruber, Reginald
Format: Article
Language:English
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Summary:Repetitive exposure to short laser pulses is shown to cause selective damage to absorbing structures (cells, organelles, or enzymes) with pulse energies below the threshold energy for single-pulse damage. Directly adjacent structures are spared in vivo. Additivity of (presumably nonphotochemical) subthreshold effects is demonstrated. Selective damage to the retinal pigment epithelium with sparing of the neural retina is shown (514 nm, 5 μ s, 1-500 pulses at 500 Hz, 2- to 10-μ J pulse energy). A melanin granule model has been developed and applied to the experimental situation. Histological results as well as the basic mechanism for these effects are discussed.
ISSN:0027-8424
1091-6490
DOI:10.1073/pnas.90.18.8643