Retinal Damage Thresholds from Single-pulse Laser Exposures in the Visible Spectrum

Abstract

The risks of using lasers, particularly ocular hazards, have called for the definition of exposure limits. Our investigations involved the retinal effects of the laser beam in the visible spectrum and were directed toward verifying the limit values by defining the thresholds of retinal damage in experiments carried out on the rabbit and the monkey. The wavelengths emitted by the experimental set-ups were 593 and 532 nm, the pulse durations were 600 and 40 ns, and the retinal image diameter varied from approximately 30 to 570 microns. A direct ophthalmoscopic observation and a method using fluorescein angiography were employed to detect a pathologic change in the retina. The energy correlates of retinal lesions were statistically analyzed by a method of probit analysis. The results showed that determining funduscopic thresholds is chiefly a function of the investigation technique used and the delay in observation after the exposure. Our results obtained with fluorescein angiography extrapolated to the human eye support the exposure limit established for intrabeam viewing, but not for an extended source laser which corresponds to a probability of damage increasing with the retinal image diameter. The exposure limit related to the experimental retinal spot size of 285 and 570 microns corresponds to damage probabilities of 7% and 32%, respectively.

Histopathology of ultrashort-laser-pulse retinal damage

“…Numerous hemorrhagic lesions were created with 3ps and 500 fs pulses, and several with lOOfs pulses2 (6). In the rabbit studies, all laser energy was directed to the avascular retina away from the myein wing.…”