A promising approach in laser vitrectomy executed by plasma-mediated removal of vitreous body via a diode-pumped Q-switched Nd:YAG laser.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
10 12 2020
Historique:
received: 18 07 2020
accepted: 23 11 2020
entrez: 11 12 2020
pubmed: 12 12 2020
medline: 12 12 2020
Statut: epublish

Résumé

To examine the applicability of plasma-mediated vitreous body removal, a diode-pumped Q-switched Neodymium:YAG laser was used for a possible application in eye surgery/vitrectomy. On a total of 1500 porcine vitreous bodies, removal rates were evaluated by comparing different LaserVit-tip designs (Mark I/II Gauge 19 and Mark III Gauge 22). The Nd:YAG laser, operating at a wavelength of 1064 nm and a pulse duration of 4 ns, was utilized for vitreous body removal with respective settings of 2, 3 and 4 mJ and pulse repetition rates (cut rates) from 5 to 25 Hz (300-1500 /min) in 5 Hz-steps as well as for 100 Hz (6000 cuts/min). The exposure times were selected at 10, 20, 40 and 60 s, respectively. Comparative measurements were carried out with mechanical cutters (Gauge 20 and Gauge 23), applying a fixed cut rate of 800 /min (13.33 Hz) at identical exposure times. The LaserVit-tips showed successful vitreous body removal for all laser settings and exposure times (Mark I: 6.2 g/min, Mark II: 8.2 g/min at 1500 cuts/min and 3 mJ, Mark II: 10.1 g/min, Mark III: 3.6 g/min at 6000 cuts/min at 3 mJ). Similar tip-dimensions (Gauge 22

Identifiants

pubmed: 33303956
doi: 10.1038/s41598-020-78878-y
pii: 10.1038/s41598-020-78878-y
pmc: PMC7730428
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

21710

Références

Biorheology. 1994 Jul-Aug;31(4):327-38
pubmed: 7981433
Appl Opt. 1973 Mar 1;12(3):555-63
pubmed: 20125343
Retina. 2004 Jun;24(3):435-44
pubmed: 15187667
Phys Med Biol. 1998 Jun;43(6):1385-99
pubmed: 9651012
Ophthalmologe. 2001 Feb;98(2):163-7
pubmed: 11263042
Int J Retina Vitreous. 2016 Dec 5;2:28
pubmed: 27980854
Ophthalmology. 2000 Jul;107(7):1389-92
pubmed: 10889118
Ophthalmology. 1996 Oct;103(10):1575-85
pubmed: 8874429
Arch Ophthalmol. 1986 Apr;104(4):592-7
pubmed: 3754132
Klin Monbl Augenheilkd. 1998 Jan;212(1):50-4
pubmed: 9541895
Acta Ophthalmol (Copenh). 1982 Dec;60(6):977-91
pubmed: 7170940
Invest Ophthalmol Vis Sci. 1999 May;40(6):1025-32
pubmed: 10235535
Cell Biochem Biophys. 2014 Mar;68(2):267-74
pubmed: 23797611
J Biophotonics. 2019 Nov;12(11):e201800398
pubmed: 31251453
Ann Ophthalmol. 1975 Apr;7(4):585-8, 591-4
pubmed: 1147502
Eur J Ophthalmol. 2003 Jun;13(5):424-32
pubmed: 12841564
Biochimie. 2002 Apr;84(4):295-302
pubmed: 12106907
Ophthalmol Eye Dis. 2016 Sep 14;8(Suppl 1):1-4
pubmed: 27660504
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1976 May-Jun;81(3 Pt 1):432-50
pubmed: 960369
Biomed Microdevices. 2015 Oct;17(5):85
pubmed: 26238733
Trans Am Acad Ophthalmol Otolaryngol. 1971 Jul-Aug;75(4):813-20
pubmed: 5566980
Biorheology. 1992 Sep-Dec;29(5-6):521-33
pubmed: 1306380
PLoS One. 2017 Jun 6;12(6):e0178462
pubmed: 28586375
Biomed Res Int. 2014;2014:351804
pubmed: 24877085
Asia Pac J Ophthalmol (Phila). 2017 Sep-Oct;6(5):425-428
pubmed: 28905540
Ophthalmologe. 2000 Sep;97(9):615-8
pubmed: 11147334
Am J Ophthalmol. 2000 Jul;130(1):82-6
pubmed: 11004263
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1979 Feb 8;209(4):263-8
pubmed: 311602
PLoS One. 2017 Apr 11;12(4):e0173883
pubmed: 28399127
Invest Ophthalmol Vis Sci. 1998 Aug;39(9):1667-75
pubmed: 9699556

Auteurs

Daniel Uthoff (D)

Aachen Center of Technology Transfer in Ophthalmology (ACTO E.V.), An-Institute RWTH Aachen University, Karlsburgweg 9, 52070, Aachen, Germany. uthoff@acto.de.

Rita Oravecz (R)

Aachen Center of Technology Transfer in Ophthalmology (ACTO E.V.), An-Institute RWTH Aachen University, Karlsburgweg 9, 52070, Aachen, Germany.

Romina Kuehnl (R)

University of Applied Sciences Ansbach, Ansbach, Germany.

Friederike Rubin-Schwarz (F)

Institute of Biomedical Optics, University of Lübeck, Lübeck, Germany.

Matthias Frentzen (M)

Department of Operative and Preventive Dentistry, Bonn University, Bonn, Germany.

Norbert Schrage (N)

Aachen Center of Technology Transfer in Ophthalmology (ACTO E.V.), An-Institute RWTH Aachen University, Karlsburgweg 9, 52070, Aachen, Germany.

Jörg Meister (J)

Center of Dento-Maxillo-Facial Medicine, Bonn University, Bonn, Germany.
Center of Applied Medical Laser Research and Biomedical Optics (AMLaReBO), Bonn University, Bonn, Germany.

Classifications MeSH