1997
DOI: 10.1088/0031-9155/42/5/011
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Nonlinear absorption: intraocular microsurgery and laser lithotripsy

Abstract: Abstract. The paper reviews the principles of nonlinear absorption with reference to the present major clinical applications of plasma-mediated effects: intraocular microsurgery and laser lithotripsy. Emphasis is laid on the analysis of the working mechanisms, sources of collateral damage, and on strategies for both the optimization of efficacy and the minimization of side effects.

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Cited by 115 publications
(74 citation statements)
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“…The influence of medium (ionization energy, impurity level and absorption) as well as beam (wavelength, pulse width, spot size, and polarization) characteristics on irradiance threshold has been the subject of several theoretical as well as experimental studies [11][12][13][14][15][16]. These investigations were primarily motivated to produce the same surgical effect in ophthalmic laser surgery applications at lower pulse energies and with less collateral tissue damages [17][18][19][20] and therefore have so far concentrated predominantly on transparent and low absorbing tissues.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The influence of medium (ionization energy, impurity level and absorption) as well as beam (wavelength, pulse width, spot size, and polarization) characteristics on irradiance threshold has been the subject of several theoretical as well as experimental studies [11][12][13][14][15][16]. These investigations were primarily motivated to produce the same surgical effect in ophthalmic laser surgery applications at lower pulse energies and with less collateral tissue damages [17][18][19][20] and therefore have so far concentrated predominantly on transparent and low absorbing tissues.…”
Section: Discussionmentioning
confidence: 99%
“…However, to the best of our knowledge, laser induced thermal breakdown as an independent process was not analyzed in any of the previously published models. An empirical justification for this approach is that the optical breakdown thresholds in water and in transparent tissues such as cornea were found to be very similar for laser wavelengths exhibiting small linear absorption in those tissues [22]. However, for laser wavelengths that are highly absorbed in tissues, the dynamics of laser induced breakdown is completely different.…”
Section: Discussionmentioning
confidence: 99%
“…8,12,16,[20][21][22] Some of these reports have shown images of small residual effects of the bubble collapse behind the fiber tip. 12,19 This is presumably due to a collapsing bubble-induced pressure wave propagating in the axial direction of the fiber, both toward and away from the fiber tip.…”
Section: Discussionmentioning
confidence: 99%
“…> 0.9, which can provide a rapid decrease gradient of photon density along with the distance from the focus center and thus greatly protect cells out of the laser focus. Generally, according to theoretical and experimental studies [95,96], the nonlinear and thermal effect can be well confined inside the short pulse and the focus volume to femtosecond pulses, especially to pulses shorter than 150 fs, with a repetition rate at less than MHz level. In this regard, the photostimulation by tightly-focused femtosecond laser holds a precise spatial and temporal resolution, and is relatively safe to cells.…”
Section: Physical Effects Of Femtosecond Laser To Cellsmentioning
confidence: 99%