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Ophthalmic Laser in Clinical Practices
Tri-Service General Hospital Ophthalmology Department 主講:麗明眼科診所 陳祐瑲
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What’s LASER? Light Amplification by Stimulated Emission of Radiation 激光 雷射
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Characteristics of LASER
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Principles of LASER
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My Experiences Laser PI: Find thinner stroma Prior Photocoagulation
Check lid margin Cornea clarity Avoid hyphema Rubeosis ? Current Medication
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My Experiences Good visualization Watch out the IOL
Avoid on Rubeosis p’t
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My Experiences Pan-retinal Photocoagulation AVOID MACULA !!
Test spot: tissue reaction Setting for 532 laser Power: 200~400mW Duration: 100~300ms Spot Size: 200um
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My Experiences Retinal Break At least 2 lines Whitening → Scars
Diamox, Rest, Close F/U.
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My Experiences Laser Trabeculoplasty Argon LT (ALT) Selective LT (SLT)
Diode LT (DLP) Pascal LT (PLT) Micropulse DLT (MDLT)
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My Experiences 532 SLT My Setting: Multiple procedures
Power : 150~300mW Duration: 10~75 ms Spot size: 200um Multiple procedures
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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)
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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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