An overview of the safety and effectiveness of the Nd:YAG laser for posterior capsulotomy as discussed in the current scientific literature is presented. The results of three clinical investigations in Europe and ten clinical reports in the United States are briefly summarized.

The time-resolved transmission of collagen films and 10-microns sections of bovine cornea during ArF laser ablation has been investigated. The film studies were performed on thin layers of extracted bovine corneal collagen, the principal chromophore in 193 nm photoablation. Transmission measurements were made on both dry and water-saturated films to assess the sensitivity of the ablation process to hydration. Distinct transient optical changes were observed in both fully desiccated and rehydrated films. Dehydrated films exhibit rapid reduction in film absorption over the time-course of the ablating laser pulse, presumably due to chromophore bleaching or annihilation. In contrast, rehydrated films demonstrate a short-lived enhancement of the attenuation. In either case, a single ablative laser pulse increased the long-term transmission of the film, although this increase was a factor of five greater for dehydrated films than for rehydrated samples. Results obtained from corneal tissue sections were essentially identical to those derived from hydrated collagen films.

Various attenuation mechanisms affecting the absorption of ArF excimer laser light in collagenous tissues have been studied. Temporal distortion of the laser pulse reflected from the cornea has been observed over a range of incident pulse fluences including the ablation threshold. Reflected pulse shortening begins near the ablation threshold and advances with increasing fluence. The measurement of laser light scattered 30 degrees off specular axis from collagen gel targets indicates that the reflected-pulse distortion is partially a result of scattering. Collagen film transmission studies show an increase in 193-nm light transmission in ablation conditions. These nonlinear attenuation mechanisms may impact significantly on the photoablation process.

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