Ophthalmic Laser in Clinical Practices

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Presentation transcript:

Ophthalmic Laser in Clinical Practices Tri-Service General Hospital Ophthalmology Department 主講：麗明眼科診所陳祐瑲

What’s LASER？ Light Amplification by Stimulated Emission of Radiation 激光雷射

Characteristics of LASER

Principles of LASER

My Experiences Laser PI: Find thinner stroma Prior Photocoagulation Check lid margin Cornea clarity Avoid hyphema Rubeosis ? Current Medication

My Experiences Good visualization Watch out the IOL Avoid on Rubeosis p’t

My Experiences Pan-retinal Photocoagulation AVOID MACULA ！！ Test spot： tissue reaction Setting for 532 laser Power: 200~400mW Duration: 100~300ms Spot Size: 200um

My Experiences Retinal Break At least 2 lines Whitening → Scars Diamox, Rest, Close F/U.

My Experiences Laser Trabeculoplasty Argon LT (ALT) Selective LT (SLT) Diode LT (DLP) Pascal LT (PLT) Micropulse DLT (MDLT)

My Experiences 532 SLT My Setting: Multiple procedures Power : 150~300mW Duration: 10~75 ms Spot size: 200um Multiple procedures

My Experiences Laser Hair Follicle Ablation (Nd:YAG 532) Laser Punctum Dilation (Nd:YAG 1064) Laser Punctum Occlustion (Nd:YAG 532) Laser Vitreolysis (Nd:YAG 1064) Laser Corneal Micropuncture (Nd:YAG 1064)

SD-OCT Nd:YAG 532nm Laser Octopus VF NM fundus Leica 844 microscope Stellaris Lenstar Topography Ext. photography Thanks for your attention.