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Ophthalmic Laser in Clinical Practices

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Presentation on theme: "Ophthalmic Laser in Clinical Practices"— Presentation transcript:

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

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

3 Characteristics of LASER

4 Principles of LASER

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

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

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

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

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

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

22 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)

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


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