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Sample records for laser induced glaucoma

  1. Laser-induced primate glaucoma. II. Histopathology.

    PubMed

    Radius, R L; Pederson, J E

    1984-11-01

    A sustained, moderate pressure elevation was produced in 15 nonhuman primate eyes by application of laser energy to the trabecular meshwork. By light and electron microscopy, the trabecular beams were blunted, and scattered synechiae were present. Backward bowing of the lamina cribrosa, partial loss of the myelin sheath surrounding axonal segments just posterior to the lamina, and diffuse axonal loss involving the entire nerve cross section were noted. A quantitative analysis of this axonal loss revealed that eyes with moderate nerve head damage (cup-disc ratio, 0.6 to 0.8) had only 38% to 69% of the expected normal axonal count. The eyes with nearly total cupping (cup-disc ratio, 0.9 to 1.0) maintained between 10% and 36% of the normal axonal count. The disc changes in these experimental eyes are similar to those previously described in human eyes with glaucoma.

  2. Evaluation of intraocular pressure elevation in a modified laser-induced glaucoma rat model.

    PubMed

    Biermann, Julia; van Oterendorp, Christian; Stoykow, Christian; Volz, Cornelia; Jehle, Thomas; Boehringer, Daniel; Lagrèze, Wolf Alexander

    2012-11-01

    The main drawbacks of currently described pressure induced glaucoma animal models are, that intraocular pressure (IOP) either rises slowly, leading to a heterogeneous onset of glaucoma in the treated animals or that IOP normalizes before significant damage occurs, necessitating re-treatment. Furthermore, a variable magnitude of IOP increase often results when particles are introduced into the anterior chamber. In order to develop a simple and reproducible rat glaucoma model with sustained IOP elevation after a single treatment we induced occlusion of the chamber angle by anterior chamber paracentesis and subsequent laser coagulation of the limbal area with 35, 40 or 45 laser burns. Right eyes served as controls. IOP was measured three times weekly using TonoLab rebound tonometry in awake animals. After four weeks, retinal tissue was harvested and processed for whole mount preparation. The number of prelabeled, fluorogold-positive retinal ganglion cells (RGCs) was analyzed under a fluorescence microscope. The eyes were further analyzed histologically. Results are expressed as means and standard deviation. Amplitude and duration of the IOP elevation increased with the number of laser burns. Two weeks after 35, 40 or 45 translimbal laser burns the IOP difference between treated and control eye was 7.5 ± 5, 14 ± 8 or 19 ± 9 mmHg, respectively; the RGC density/mm(2) 28 days after treatment was 1488 ± 238 for control eyes (n = 31) and 1514 ± 287 (n = 10), 955 ± 378 (n = 10) or 447 ± 350 (n = 11) for the respective laser groups. Mean IOP of all control eyes over the observation period was 12.4 ± 0.8 mmHg. The chamber angle showed pigment accumulation in the trabecular meshwork of all laser groups and confluent peripheral anterior synechia after 40 and 45 laser burns. Histologic examination of the retina revealed increasing glia activation in a pressure dependant manner. In this study, >91% of laser treated rats developed secondary glaucoma with sustained IOP

  3. Pattern-evoked potentials and optic nerve fiber loss in monocular laser-induced glaucoma

    SciTech Connect

    Johnson, M.A.; Drum, B.A.; Quigley, H.A.; Sanchez, R.M.; Dunkelberger, G.R.

    1989-05-01

    ERG and VEP responses to counterphase checkerboard stimuli were obtained from cynomolgus monkeys with monocular glaucoma induced by laser photocoagulation of the trabecular meshwork. The glaucomatous eyes showed reductions of PERG amplitude that were directly related to the histologically defined nerve damage. VEP amplitudes were also reduced in the glaucomatous eyes, but were more variable and less affected by damage than the PERG responses. An acute increase in eye pressure to 40 mm Hg in eyes without damage had no detectable effect on PERG amplitudes.

  4. Scanning laser polarimetry in glaucoma

    PubMed Central

    Dada, Tanuj; Sharma, Reetika; Angmo, Dewang; Sinha, Gautam; Bhartiya, Shibal; Mishra, Sanjay K; Panda, Anita; Sihota, Ramanjit

    2014-01-01

    Glaucoma is an acquired progressive optic neuropathy which is characterized by changes in the optic nerve head and retinal nerve fiber layer (RNFL). White-on-white perimetry is the gold standard for the diagnosis of glaucoma. However, it can detect defects in the visual field only after the loss of as many as 40% of the ganglion cells. Hence, the measurement of RNFL thickness has come up. Optical coherence tomography and scanning laser polarimetry (SLP) are the techniques that utilize the evaluation of RNFL for the evaluation of glaucoma. SLP provides RNFL thickness measurements based upon the birefringence of the retinal ganglion cell axons. We have reviewed the published literature on the use of SLP in glaucoma. This review elucidates the technological principles, recent developments and the role of SLP in the diagnosis and monitoring of glaucomatous optic neuropathy, in the light of scientific evidence so far. PMID:25494244

  5. Scanning laser polarimetry in glaucoma.

    PubMed

    Dada, Tanuj; Sharma, Reetika; Angmo, Dewang; Sinha, Gautam; Bhartiya, Shibal; Mishra, Sanjay K; Panda, Anita; Sihota, Ramanjit

    2014-11-01

    Glaucoma is an acquired progressive optic neuropathy which is characterized by changes in the optic nerve head and retinal nerve fiber layer (RNFL). White-on-white perimetry is the gold standard for the diagnosis of glaucoma. However, it can detect defects in the visual field only after the loss of as many as 40% of the ganglion cells. Hence, the measurement of RNFL thickness has come up. Optical coherence tomography and scanning laser polarimetry (SLP) are the techniques that utilize the evaluation of RNFL for the evaluation of glaucoma. SLP provides RNFL thickness measurements based upon the birefringence of the retinal ganglion cell axons. We have reviewed the published literature on the use of SLP in glaucoma. This review elucidates the technological principles, recent developments and the role of SLP in the diagnosis and monitoring of glaucomatous optic neuropathy, in the light of scientific evidence so far.

  6. Morphological and hydrodynamic correlates in monkey eyes with laser induced glaucoma.

    PubMed

    Zhang, Yuyan; Toris, Carol B; Liu, Ye; Ye, Wen; Gong, Haiyan

    2009-11-01

    .33 microm, P = 0.048). By light microscopy, there was extensive pigmentation throughout the TM, denser extracellular matrix in the JCT region, and most of SC collapsed with focal herniations of the IW and JCT protruding into the CC ostia in laser-treated eyes. By electron microscopy, few or no microspheres were observed in laser-treated areas and the areas with SC collapse. More microspheres were observed near the CC ostia area in non-lasered areas. In conclusion, in the laser-induced glaucoma model, laser damage results in a reduction in the available area for outflow across the IW of SC which contributes to the decrease in C and thus elevation of the IOP. Constriction of SC, caused by the chronic elevation of IOP, further decreases the available area for outflow across the IW which decreases C even more in a vicious cycle. This study suggests that the available area for aqueous humor outflow across the IW of SC may play a role in regulating outflow resistance and maintaining IOP.

  7. Ultrastructural and pharmacologic studies on laser-induced glaucoma in primates and rabbits

    SciTech Connect

    March, W.F.; Gherezghiher, T.; Koss, M.; Nordquist, R.

    1984-01-01

    Sustained high intraocular pressure resulting in optic nerve cupping and loss of ganglion cells was produced in five rhesus monkeys and eight pigmented rabbits by applying argon laser energy to the trabecular meshwork. In addition, the rabbits manifested buphthalmus. Flow of carbon particles subsequently injected into the anterior chamber was obstructed at the trabecular meshwork by a wound-healing response that closed the intratrabecular spaces. Besides this sustained high intraocular pressure as a result of late scarring, an acute hypertensive response was seen in all rabbits which may correspond to the acute hypertension seen after laser trabeculoplasty in humans. The acute hypertensive response could be only partially blocked by prostaglandin inhibitors and the authors believe that prostaglandins are not primarily responsible for this effect. Medications known to lower intraocular pressure were systematically tested in both glaucoma models.

  8. [Post-laser in situ keratomileusis refractive changes induced by glaucoma in the absence of keratectasia].

    PubMed

    Martínez-de-la-Casa, J M; Rodríguez-Uña, I; González-Pastor, E; Díaz-Valle, D; García-Feijóo, J

    2014-10-01

    We report the case of a 34 year-old man with progressive loss of visual acuity in his left eye, who was diagnosed with pigmentary glaucoma with an intraocular pressure of 32mmHg. Eight years previously, the patient had undergone refractive surgery (LASIK). Hypotensive treatment led to a significant refractive change accompanied by flattening of the corneal curvature. We propose that a high intraocular pressure acting on a cornea weakened by refractive surgery can provoke corneal steepening, inducing refractive changes even in the absence of keratectasia. Copyright © 2011 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

  9. [Experience in laser treatment of primary glaucoma].

    PubMed

    Mel'nikov, V Ia; Osykhovskiĭ, A L; Dogadova, D P

    1995-01-01

    An Interdistrict Laser Center has been functioning in Vladivostok for 10 years. Laser exposure was used in the treatment of 749 patients with primary glaucoma. Yatagan-1, Orion-3001, YAG Pegaus-3002 lasers (Germany) were employed. In 55% cases primary glaucoma was concomitant with essential hypertension, in 12% with diabetes mellitus. Laser iridectomy, laser goniopuncture, laser trabeculoplasty were used. Hypotensive effect lasting for at least 6 months was attained in 69.1% cases. Complications presenting as hemorrhages in the anterior chamber, which spontaneously resolved on day 2 after exposure, were observed in only 4% cases. Laser therapy in patients aged 50 to 70 is the only means of reducing ophthalmic tone and preserving the visual function because of somatic diseases present at this age. Laser treatment of primary glaucoma brings about an appreciable economic effect and creates favorable conditions for subsequent microsurgery.

  10. Lasers in the treatment of glaucoma

    NASA Astrophysics Data System (ADS)

    Kecik, Tadeusz

    1995-03-01

    The task of the laser methods of glaucoma treatment used up to the present day is to reduce the intraocular pressure. They are the modification of the surgical procedures. The radiation of the laser is the tool that enables us to perform the procedure in a more precise and safe manner. Most of the procedures are ambulatory, thus, making the expenses for the treatment lower. The results of the treatment are satisfactory, and in many cases, enable the patient to avoid surgical procedures. In practice, for the anti-glaucoma procedures the argon laser, YAG Nd+3, of free generation, and Q-switch, Holm laser, are being used. The perspectives to use other lasers also exist.

  11. Non-steroidal drug-induced glaucoma

    PubMed Central

    Razeghinejad, M R; Pro, M J; Katz, L J

    2011-01-01

    Numerous systemically used drugs are involved in drug-induced glaucoma. Most reported cases of non-steroidal drug-induced glaucoma are closed-angle glaucoma (CAG). Indeed, many routinely used drugs that have sympathomimetic or parasympatholytic properties can cause pupillary block CAG in individuals with narrow iridocorneal angle. The resulting acute glaucoma occurs much more commonly unilaterally and only rarely bilaterally. CAG secondary to sulfa drugs is a bilateral non-pupillary block type and is due to forward movement of iris–lens diaphragm, which occurs in individuals with narrow or open iridocorneal angle. A few agents, including antineoplastics, may induce open-angle glaucoma. In conclusion, the majority of cases with glaucoma secondary to non-steroidal medications are of the pupillary block closed-angle type and preventable if the at-risk patients are recognized and treated prophylactically. PMID:21637303

  12. Animal models of glucocorticoid-induced glaucoma.

    PubMed

    Overby, Darryl R; Clark, Abbot F

    2015-12-01

    Glucocorticoid (GC) therapy is widely used to treat a variety of inflammatory diseases and conditions. While unmatched in their anti-inflammatory and immunosuppressive activities, GC therapy is often associated with the significant ocular side effect of GC-induced ocular hypertension (OHT) and iatrogenic open-angle glaucoma. Investigators have generated GC-induced OHT and glaucoma in at least 8 different species besides man. These models mimic many features of this condition in man and provide morphologic and molecular insights into the pathogenesis of GC-OHT. In addition, there are many clinical, morphological, and molecular similarities between GC-induced glaucoma and primary open-angle glaucoma (POAG), making animals models of GC-induced OHT and glaucoma attractive models in which to study specific aspects of POAG.

  13. Animal Models of Glucocorticoid-Induced Glaucoma

    PubMed Central

    Overby, Darryl R.; Clark, Abbot F.

    2015-01-01

    Glucocorticoid (GC) therapy is widely used to treat a variety of inflammatory diseases and conditions. While unmatched in their anti-inflammatory and immunosuppressive activities, GC therapy is often associated with the significant ocular side effect of GC-induced ocular hypertension (OHT) and iatrogenic open-angle glaucoma. Investigators have generated GC-induced OHT and glaucoma in at least 8 different species besides man. These models mimic many features of this condition in man and provide morphologic and molecular insights into the pathogenesis of GC-OHT. In addition, there are many clinical, morphological, and molecular similarities between GC-induced glaucoma and primary open-angle glaucoma (POAG), making animals models of GC-induced OHT and glaucoma attractive models in which to study specific aspects of POAG. PMID:26051991

  14. Glaucoma

    MedlinePlus

    ... closure glaucoma; Acute glaucoma; Secondary glaucoma; Congenital glaucoma; Vision loss - glaucoma ... the optic nerve causes blind spots in your vision. Open-angle glaucoma tends to run in families. ...

  15. [Steroid induced ocular hypertension and glaucoma].

    PubMed

    Călugăru, D; Călugăru, M

    2009-01-01

    Steroid induced ocular hypertension and glaucoma represent iatrogenic changes of pharmacogenic nature. They are mainly due to exogenous steroids following ocular periocular, intravitreal and systemic administration. Elevated ocular pressure is brought about by structural trabecular changes as well as obstruction of the outflow ways of the aqueous humor localized within the trabecular juxtacanalicular area. Although mostly raised ocular pressure spontaneously descends to basal values after ceasing the steroid therapy, progressive optic nerve damages and glaucomatous visual field defects may occur. Therapy of steroid induced ocular hypertension and glaucoma is similar to that of ocular hypertension and primary open-angle glaucoma.

  16. Transplantation of mesenchymal stem cells promotes tissue regeneration in a glaucoma model through laser-induced paracrine factor secretion and progenitor cell recruitment.

    PubMed

    Manuguerra-Gagné, Renaud; Boulos, Patrick R; Ammar, Ahmed; Leblond, François A; Krosl, Gorazd; Pichette, Vincent; Lesk, Mark R; Roy, Denis-Claude

    2013-06-01

    Among bone marrow cells, hematopoietic and mesenchymal components can contribute to repair damaged organs. Such cells are usually used in acute diseases but few options are available for the treatment of chronic disorders. In this study, we have used a laser-induced model of open angle glaucoma (OAG) to evaluate the potential of bone marrow cell populations and the mechanisms involved in tissue repair. In addition, we investigated laser-induced tissue remodeling as a method of targeting effector cells into damaged tissues. We demonstrate that among bone marrow cells, mesenchymal stem cells (MSC) induce trabecular meshwork regeneration. MSC injection into the ocular anterior chamber leads to far more efficient decrease in intraocular pressure (IOP) (p < .001) and healing than hematopoietic cells. This robust effect was attributable to paracrine factors from stressed MSC, as injection of conditioned medium from MSC exposed to low but not to normal oxygen levels resulted in an immediate decrease in IOP. Moreover, MSC and their secreted factors induced reactivation of a progenitor cell pool found in the ciliary body and increased cellular proliferation. Proliferating cells were observed within the chamber angle for at least 1 month. Laser-induced remodeling was able to target MSC to damaged areas with ensuing specific increases in ocular progenitor cells. Thus, our results identify MSC and their secretum as crucial mediators of tissue repair in OAG through reactivation of local neural progenitors. In addition, laser treatment could represent an appealing strategy to promote MSC-mediated progenitor cell recruitment and tissue repair in chronic diseases. Copyright © 2013 AlphaMed Press.

  17. Glaucoma

    MedlinePlus

    ... version of this page please turn Javascript on. Glaucoma What is Glaucoma? Glaucoma is a group of diseases that can ... is much greater for people over 60. How Glaucoma Develops There are several different types of glaucoma. ...

  18. Glaucoma laser and surgical procedure rates in Australia.

    PubMed

    Kerr, Nathan M; Kumar, Himeesh K; Crowston, Jonathan G; Walland, Mark J

    2016-12-01

    To determine trends in the number of glaucoma laser and surgical procedures performed in Australia between 1994 and 2014. Medicare claims were analysed to determine the number of glaucoma-related procedures reimbursed in Australia between 1994 and 2014. Glaucoma procedures were identified by Medicare Benefits Schedule item number and analysed by age range, gender, state, month and year. Laser trabeculoplasty rates declined 60% between 1994 and 2003 before increasing a dramatic 353% between 2003 and 2014. Laser iridotomies increased 281% over the study period while cyclodestructive procedures increased 207%. The number of primary filtering operations for glaucoma fell 68% from a peak in 1996 to a low in 2006 and then remained stable. However, the number of filtering operations in eyes where a previous filtering operation had been performed increased 27%. There was a marked increase in glaucoma drainage device insertion, increasing 234% over the study period. There has been a substantial increase in laser trabeculoplasty procedures in Australia, following a decline between 1994 and 2003. Primary filtering operations for glaucoma have declined in number while glaucoma drainage devices are playing an increasingly prominent role in the surgical management of glaucoma. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  19. Experimental Contact Lens to Prevent Glaucoma-Induced Blindness

    MedlinePlus

    ... Articles | Inside Life Science Home Page An Experimental Contact Lens to Prevent Glaucoma-Induced Blindness By Sharon Reynolds Posted January 23, 2014 An experimental contact lens design releases a glaucoma medicine at a ...

  20. Current and Future of Laser Therapy in the Management of Glaucoma

    PubMed Central

    Ekici, Feyzahan; Waisbourd, Michael; Katz, L. Jay

    2016-01-01

    There has been tremendous progress in the past decades in the utilization of lasers for treating patients with glaucoma. This article reviews the use of lasers in different areas of glaucoma, including the shift from argon laser trabeculoplasty (ALT) to selective laser trabeculoplasty (SLT), laser trabeculoplasty as an initial treatment for glaucoma, new laser trabeculoplasty procedures under investigation, and other recent laser treatment modalities such as endoscopic cyclophotocoagulation and laser-assisted deep sclerectomy. PMID:27014388

  1. Confocal scanning laser ophthalmoscopy in glaucoma diagnosis and management.

    PubMed

    Alexandrescu, C; Dascalu, A M; Panca, A; Sescioreanu, A; Mitulescu, C; Ciuluvica, R; Voinea, L; Celea, C

    2010-01-01

    The early diagnosis and detection of progression are two key-elements in the actual management of glaucoma. The current opinion in clinical practice is to quantify the structural damage for a better follow-up of the patient and the standardization of the results. The present review is a concise survey of literature covering the period of 1990-2010, documenting the evidence-based role of confocal scanning laser ophthalmoscopy in glaucoma diagnosis and management.

  2. Drug-induced Angle-Closure Glaucoma

    PubMed Central

    Khurana, Aruj K; Khurana, Bhawna

    2012-01-01

    Drug-induced angle-closure glaucoma is an important entity for the ophthalmologist as well as the general physician as it represents a preventable cause of potential blindness. This brief review highlights the fact that a high index of suspicion, in a susceptible individual followed by confirmation on appropriate imaging modality (UBM, ultrasound or anterior segment OCT) can alleviate the threat to sight and also help to institute appropriate therapy. PMID:27990064

  3. Experimentally Induced Mammalian Models of Glaucoma

    PubMed Central

    Yoshitomi, Takeshi; Zorumski, Charles F.; Izumi, Yukitoshi

    2015-01-01

    A wide variety of animal models have been used to study glaucoma. Although these models provide valuable information about the disease, there is still no ideal model for studying glaucoma due to its complex pathogenesis. Animal models for glaucoma are pivotal for clarifying glaucoma etiology and for developing novel therapeutic strategies to halt disease progression. In this review paper, we summarize some of the major findings obtained in various glaucoma models and examine the strengths and limitations of these models. PMID:26064891

  4. Glaucoma

    MedlinePlus

    ... 60, especially Mexican Americans People with a family history of glaucoma There is no cure, but glaucoma can usually be controlled. Early treatment can help protect your eyes against vision loss. Treatments usually include prescription eyedrops and/or surgery. NIH: National Eye Institute

  5. Combined cataract and glaucoma surgery: trabeculectomy versus endoscopic laser cycloablation.

    PubMed

    Gayton, J L; Van Der Karr, M; Sanders, V

    1999-09-01

    To determine whether combined cataract surgery with endoscopic laser cycloablation produces less inflammation than cataract surgery combined with a filtering procedure. Taylor Regional Hospital (surgeries) and EyeSight Associates (examinations), Warner Robins, Georgia, USA. A randomized prospective study was conducted of 58 eyes of 58 patients comparing endoscopic laser cycloablation performed through a cataract incision at the time of cataract surgery with combined trabeculectomy and cataract surgery. Mean follow-up was 2 years. At the final available visit, 30% of endoscopic laser patients achieved intraocular pressure control (below 19 mm Hg) without medication and 65% with medication. Forty percent of trabeculectomy patients achieved control without medication and 52% with medication. Four endoscopic laser patients (14%) and 3 trabeculectomy patients (10%) were considered treatment failures (required additional surgical intervention). Endoscopic laser cycloablation performed through a cataract incision was a reasonably safe and effective alternative to combined cataract and trabeculectomy surgery, providing an option for cataract patients who have glaucoma requiring surgical intervention.

  6. [Glaucoma].

    PubMed

    Funk, Jens

    2009-03-01

    Glaucoma is one of the most frequent causes of blindness in the world. Although there are several different subforms of glaucoma, their final common pathway is an atrophy of the optic disc leading to progressive visual field defects and finally total blindness. The loss of function in glaucoma is irreversible, i.e. early detection of the disease is the most important part of its therapy. Early detection, however, requires improved knowledge about the disease in the general population and the active help of all general practitioners, explaining their patients the insidious nature of the disease.

  7. Glaucoma.

    PubMed

    Mantravadi, Anand V; Vadhar, Neil

    2015-09-01

    Glaucoma is a multifactorial degenerative optic neuropathy that can progress at variable rates and afflict all age groups. It is the second leading cause of blindness worldwide. The disease is commonly divided into 2 major subtypes, open angle and angle closure. Diagnosis of glaucoma is made by a combination of identifying characteristic changes of the optic nerve, functional testing such as visual fields, and structural imaging of the optic nerve. Management is aimed at reducing intraocular pressure (IOP). Patients with known risk factors should be referred to an ophthalmologist for complete evaluation.

  8. Transpupillary argon laser cyclophotocoagulation in the treatment of traumatic glaucoma.

    PubMed

    Kim, D D; Moster, M R

    1999-10-01

    A patient with traumatic glaucoma who underwent transpupillary argon laser cyclophotocoagulation for management of uncontrolled intraocular pressure (IOP) despite maximally tolerated medical therapy is discussed. In this patient, pars plana vitrectomy, lensectomy, and removal of 180 degrees of necrotic iris had been performed after a blunt trauma with a bungee cord. Six weeks after surgery, the patient presented with an IOP of 40 mmHg despite therapy with three aqueous suppressants. The patient refused further surgical intervention and opted for transpupillary argon laser cyclophotocoagulation (TALC). The laser setting was 1,000 mW, with a 50-micron spot size for 0.1 second. A total of 293 laser exposures through a Goldmann contact lens was administered to all visible ciliary processes over 180 degrees where iris structures were absent. Ten weeks after TALC, the patient's IOP remained controlled with medications at 16 mmHg, and visual acuity had improved to 20/25 with an aphakic contact lens. In selected patients whose ciliary processes are visible with indirect gonioscopy due to the defect in the iris, TALC may be an effective alternative cyclodestructive procedure to lower IOP when conventional medical or laser treatments are not successful.

  9. West Indies Glaucoma Laser Study (WIGLS): 1. 12-Month Efficacy of Selective Laser Trabeculoplasty in Afro-Caribbeans with Glaucoma.

    PubMed

    Realini, Tony; Shillingford-Ricketts, Hazel; Burt, Darra; Balasubramani, Goundappa K

    2017-09-26

    To characterize the 12-month intraocular pressure (IOP)-lowering efficacy of selective laser trabeculoplasty (SLT) as sole therapy for primary open-angle glaucoma (POAG) in an Afro-Caribbean population. Stepped-wedge trial. Subjects in St. Lucia and Dominica with established POAG were randomized to prompt washout of IOP-lowering medications followed by SLT, 3-month delay followed by washout and SLT, or 6-month delay followed by washout and SLT. Baseline IOP was obtained on two different days after washout. Bilateral 360-degree SLT was performed in one session. Post-treatment assessments took place 1 hour, 1 week, and 3, 6, 9, and 12 months post-SLT. The main outcome measure was SLT success (defined as IOP < target IOP in both eyes) at 12 months. Target IOP was a 20% or greater reduction in IOP from post-washout baseline. Overall, 72 underwent SLT treatment. Mean IOP at enrollment was 15.4 ± 3.6 mmHg in right eyes and 15.4 ± 3.6 mmHg in left eyes, which rose to 21.0 ± 3.3 mmHg and 20.9 ± 3.0 mmHg, respectively, after washout. Mean IOP at 3, 6, 9 and 12 months ranged from 12.5 mmHg to 14.5 mmHg (29.7% to 39.5%; p<0.0001 in each eye at each time point). The 12-month success rate was 78%. Transient photophobia and discomfort were common. SLT monotherapy safely provides significant IOP reduction in Afro-Caribbean eyes with POAG. This treatment can play a significant role in preventing glaucoma vision loss and blindness in people of African descent living in resource-limited regions. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. Refractory open-angle glaucoma after neodymium-yttrium-aluminum-garnet laser lysis of vitreous floaters.

    PubMed

    Cowan, Lisa A; Khine, Kay T; Chopra, Vikas; Fazio, Doreen T; Francis, Brian A

    2015-01-01

    To illustrate 3 cases of chronic open-angle glaucoma secondary to the neodymium-yttrium-aluminum-garnet (Nd:YAG) laser vitreolysis procedure for symptomatic vitreous floaters. Observational case series. Location of the study was the Doheny Eye Institute. Three eyes of 2 patients who developed chronic open-angle glaucoma after Nd:YAG vitreolysis for symptomatic floaters presenting with very high intraocular pressure (IOP >40 mm Hg) were selected. The time from the laser treatment to the onset of elevated pressure ranges from 1 week to 8 months. There was no associated inflammation, steroid use, or other identifiable cause of chronic IOP elevation. All eyes were treated initially with glaucoma medication, followed by selective laser trabeculoplasty (SLT) and eventually glaucoma surgery (Trabectome) in 2 eyes for disease management. In all eyes, intraocular pressures were eventually stabilized within a normal pressure range from 18 to 38 months following Nd:YAG vitreolysis. At the latest follow-up post surgery, all eyes had intraocular pressures of 22 mm Hg or less with or without medications. Secondary open-angle glaucoma is a complication of Nd:YAG vitreolysis for symptomatic floaters that may present with an increase in intraocular pressure immediately, or many months after the surgery. Furthermore this complication may be permanent and require chronic medical therapy or glaucoma surgery. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Laser trabeculoplasty for open-angle glaucoma: a report by the american academy of ophthalmology.

    PubMed

    Samples, John R; Singh, Kuldev; Lin, Shan C; Francis, Brian A; Hodapp, Elizabeth; Jampel, Henry D; Smith, Scott D

    2011-11-01

    To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. Proprietary or commercial disclosure may be found after the references. Copyright © 2011 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  12. Diagnosis of steroid-induced glaucoma after photorefractive keratectomy.

    PubMed

    Yamaguchi, Takefumi; Murat, Dogru; Kimura, Itaru; Negishi, Kazuno; Yuki, Kenya; Tsubota, Kazuo; Ohtake, Yuichiro

    2008-04-01

    To report steroid-induced glaucoma after photorefractive keratectomy (PRK). A 50-year-old Japanese woman was referred for endstage glaucoma 9 months after PRK. Topical fluorometholone 0.1% was administered for corneal subepithelial haze in both eyes for 9 months after PRK. Pneumatic non-contact tonometry values of intraocular pressure (IOP) remained normal (range: 11 to 17 mmHg), until she was diagnosed with end-stage steroid-induced glaucoma with extensive restriction in visual fields. At the patient's initial examination in our hospital, IOP measured by Goldmann applanation tonometry was 34 mmHg in the right eye and 32 mmHg in the left eye, but the estimated IOP as corrected by central corneal thickness measurement was >40 mmHg in both eyes. The patient underwent uneventful bilateral trabeculectomies, resulting in reduction of IOP to <10 mmHg in both eyes. The underestimation of IOP after PRK led to advanced visual field loss. Careful evaluation of IOP, optic disc, and visual field tests are indispensable to avoid such a devastating outcome after PRK.

  13. Effects of argon laser trabeculoplasty in the Early Manifest Glaucoma Trial.

    PubMed

    Heijl, Anders; Peters, Dorothea; Leske, M Cristina; Bengtsson, Boel

    2011-11-01

    To analyze reduction of intraocular pressure (IOP) by argon laser trabeculoplasty (ALT) in the Early Manifest Glaucoma Trial and factors influencing the effect of such treatment. Cohort study based on 127 patients from the treatment group of the Early Manifest Glaucoma Trial, a randomized clinical trial. Patients randomized to the treatment arm of the Early Manifest Glaucoma Trial received a standard treatment protocol (topical betaxolol hydrochloride followed by 360-degree ALT) and then were followed up prospectively at 3-month intervals for up to 8 years. One eye per patient was included in the analyses. We investigated the relationship between IOP before ALT and subsequent IOP reduction and other factors that might have influenced the effect of ALT, including stage of the disease, trabecular pigmentation, presence of exfoliation syndrome, and treating surgeon. The mean ± standard deviation IOP before ALT and after betaxolol treatment was 18.1 ± 3.9 mm Hg, and the mean ± standard deviation short-term IOP reduction 3 months after ALT was 2.8 ± 3.9 mm Hg (12.6 ± 20.5%). The IOP before ALT strongly affected IOP reduction (P < .001); each 3-mm Hg higher IOP before ALT value was associated with an additional mean IOP reduction of approximately 2 mm Hg. The treating surgeons also had a significant impact on IOP reduction (P = 0.001), with mean values ranging from 5.8 to -1.3 mm Hg. In this cohort, which included many patients with low IOP levels, IOP before ALT markedly influenced the IOP reduction induced by ALT, seen as a much larger decrease in eyes with higher IOP before ALT. The treating surgeon also had a significant impact on ALT outcome. Copyright © 2011 Elsevier Inc. All rights reserved.

  14. Translimbal laser photocoagulation to the trabecular meshwork as a model of glaucoma in rats.

    PubMed

    Levkovitch-Verbin, Hana; Quigley, Harry A; Martin, Keith R G; Valenta, Danielle; Baumrind, Lisa A; Pease, Mary Ellen

    2002-02-01

    To develop and characterize a model of pressure-induced optic neuropathy in rats. Experimental glaucoma was induced unilaterally in 174 Wistar rats, using a diode laser with wavelength of 532 nm aimed at the trabecular meshwork and episcleral veins (combination treatment group) or only at the trabecular meshwork (trabecular group) through the external limbus. Intraocular pressure (IOP) was measured by a tonometer in rats under ketamine-xylazine anesthesia. Possible retinal vascular compromise was evaluated by repeated fundus examinations and by histology. The degree of retinal ganglion cell (RGC) loss was assessed by a masked, semiautomated counting of optic nerve axons. Effects of laser treatment on anterior ocular structures and retina were judged by light microscopy. After the laser treatment, IOP was increased in all eyes to higher than the normal mean IOP of 19.4 +/- 2.1 mm Hg (270 eyes). Peak IOP was 49.0 +/- 6.1 mm Hg (n = 108) in the combination group that was treated by a laser setting of 0.7 seconds and 0.4 W and 34.0 +/- 5.7 mm Hg (n = 46) in the trabecular group. Mean IOP after 6 weeks was 25.5 +/- 2.9 mm Hg in glaucomatous eyes in the combination group compared with 22.0 +/- 1.8 mm Hg in the trabecular group. IOP in the glaucomatous eyes was typically higher than in the control eyes for at least 3 weeks. In the combination group, RGC loss was 16.1% +/- 14.4% at 1 week (n = 8, P = 0.01), 59.7% +/- 25.7% at 6 weeks (n = 88, P < 0.001), and 70.9% +/- 23.6% at 9 weeks (n = 12, P < 0.001). The trabecular group had mean axonal loss of 19.1% +/- 14.0% at 3 weeks (n = 9, P = 0.004) and 24.3% +/- 20.2% at 6 weeks (n = 25, P < 0.001), increasing to 48.4% +/- 32.8% at 9 weeks (n = 12, P < 0.001). Laser treatment led to closure of intertrabecular spaces and the major outflow channel. The retina and choroid were normal by ophthalmoscopy at all times after treatment. Light microscopic examination showed only loss of RGCs and their nerve fibers. Increased IOP caused

  15. Selective laser trabeculoplasty (SLT): 1-year results in early and advanced open angle glaucoma.

    PubMed

    Schlote, Torsten; Kynigopoulos, Myron

    2016-02-01

    The purpose of this study was to examine the efficacy of selective laser trabeculoplasty (SLT) in eyes with early and more advanced stages of open angle glaucoma within 1 year of follow-up. Retrospective chart review in a consecutive series of patients treated by SLT to reduce intraocular pressure (IOP) or decrease number of topical medications in cases of discomfort and allergy. The cup-to-disc ratio of the optic nerve and the GSS 2 (glaucoma staging system 2) was used to differentiate between early (group 1) and more advanced (group 2) stages of glaucoma. At the time of SLT treatment, no new signs of glaucoma progression were seen. Only the first treated eye of every patient was included in the analysis. In group 1 (early glaucoma), 27 eyes were included. IOP reduction <21 mmHg/>20 % of the preoperative IOP-value and reduction of medication were achieved in 17 eyes (62.96 %). Successful re-treatment was necessary in 2 eyes (7.4 %). In group 2 (advanced glaucoma), 44 eyes underwent SLT. In eight eyes (18.18 %), filtrating surgery was necessary after initial SLT. In the remaining 36 eyes, IOP reduction <21 mmHg/>20 % of the baseline IOP was achieved in 26 eyes (59.09 % of 44 eyes) and IOP reduction <18 mmHg/> 30 % of the baseline IOP in 22 eyes (50 % of 44 eyes). SLT was safe and effective in nearly 2/3 of early glaucoma patients and also in 50 % of advanced glaucoma patients using stronger criteria of success. Failure of SLT in advanced glaucoma should lead to immediate filtrating surgery, which seems not to be associated with higher risk of fibrosis.

  16. [Evaluation of the efficacy of diode laser endocyclophotocoagulation combined with cataract surgery in glaucoma].

    PubMed

    Ezzouhairi, S M

    2015-11-01

    Surgical techniques, which reduce the secretion of aqueous humor are underutilized in the surgical management of glaucoma; the diode laser coupled to an endoscope, endocyclophotocoagulation (ECP), is an emerging technology in the treatment of glaucoma. Indeed, thanks to its direct, focal and controllable approach to diode laser treatment of the ciliary processes, ECP renders this a safer technique compared to transscleral diode laser. We present preliminary results and an evaluation of the efficacy of ECP combined with cataract surgery performed at the Al Bassar clinic in Mohammedia, Morocco. We conducted a retrospective study on a series of 82 patients who underwent combined surgery: diode laser endocyclophotocoagulation and cataract for treatment of glaucoma during the period from December 2012 to July 2013. For this study, we recorded: age and gender of the patients, number and power of diode laser spots, pre- and postoperative intraocular pressure (IOP), and the number of anti-glaucoma treatments prescribed pre- and postoperatively (3 months minimum). Technically, a 20-gauge endo-ocular probe is inserted through the corneal incision used for phacoemulsification. The probe is equipped with a light source, a camera and a pulsed 810 nm laser beam; it is connected to an Endo-optiks type generator, which allows for direct visualization of the ciliary processes and their precise treatment. The surgical procedure is both simple and quick. Postoperative follow-up is unchanged from the management of cataract extraction by phacoemulsification. The average age in our series was 69.5 years (range 33-81 years), mean follow-up was 5.7 months. The reduction in intraocular pressure was 28.5%. In 40% of patients, a significant reduction in medications was noted, and in 20%, a total suspension of anti-glaucoma medications. No serious complications were noted in our series. This technique can perfectly fit into the medical, natural and/or surgical armamentarium medical, physical

  17. Bilateral Same-day Laser Peripheral Iridotomy in the Philadelphia Glaucoma Detection and Treatment Project.

    PubMed

    Waisbourd, Michael; Shafa, Anousheh; Delvadia, Radha; Sembhi, Harjeet; Molineaux, Jeanne; Henderer, Jeffery; Pizzi, Laura T; Myers, Jonathan S; Hark, Lisa A; Katz, L Jay

    2016-10-01

    To report the outcomes of bilateral, same-day laser peripheral iridotomy (LPI) in the Philadelphia Glaucoma Detection and Treatment Project. The Philadelphia Glaucoma Detection and Treatment Project was a community-based initiative aimed to improve detection, management, treatment, and follow-up care of individuals at high risk for glaucoma. This novel project performed LPI, where 2 eyes received laser therapy on the same day. Of the 1649 patients examined between January 1, 2013 and May 31, 2014, patients who underwent bilateral, same-day LPI were included in our analysis. Main outcome measures were visual acuity, intraocular pressure (IOP), and postoperative complication rates. A total of 132 eyes of 66 patients underwent bilateral, same-day LPI. Mean visual acuity remained unchanged following treatment (P=0.85). Eight patients (12.1%) had IOP spikes >5 mm Hg following treatment, and 4 patients (6.1%) spiked >10 mm Hg. IOP returned to normal in all but 1 patient, who was diagnosed with chronic angle-closure glaucoma. Hyphema was reported in 2 patients (3%) and glare in 1 patient (1.5%). Thirteen patients (19.7%) had repeat LPI treatment. All patients successfully tolerated LPI treatment without serious complications. Performing bilateral, same-day LPI was well tolerated in a large community-based, glaucoma detection and treatment project. Applying this treatment strategy may be considered in similar settings, where patients' access to eye care is limited and it may be a cost-effective strategy.

  18. Structure-function correlations using scanning laser polarimetry in primary angle-closure glaucoma and primary open-angle glaucoma.

    PubMed

    Lee, Pei-Jung; Liu, Catherine Jui-Ling; Wojciechowski, Robert; Bailey-Wilson, Joan E; Cheng, Ching-Yu

    2010-05-01

    To assess the correlations between retinal nerve fiber layer (RNFL) thickness measured with scanning laser polarimetry and visual field (VF) sensitivity in primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG). Prospective, comparative, observational cases series. Fifty patients with POAG and 56 patients with PACG were examined using scanning laser polarimetry with variable corneal compensation (GDx VCC; Laser Diagnostic Technologies, Inc.) and Humphrey VF analyzer (Carl Zeiss Meditec, Inc.) between August 2005 and July 2006 at Taipei Veterans General Hospital. Correlations between RNFL thickness and VF sensitivity, expressed as mean sensitivity in both decibel and 1/Lambert scales, were estimated by the Spearman rank correlation coefficient (r(s)) and multivariate median regression models (pseudo R(2)). The correlations were determined globally and for 6 RNFL sectors and their corresponding VF regions. The correlation between RNFL thickness and mean sensitivity (in decibels) was weaker in the PACG group (r(s) = 0.38; P = .004; pseudo R(2) = 0.17) than in the POAG group (r(s) = 0.51; P < .001; pseudo R(2) = .31), but the difference in the magnitude of correlation was not significant (P = .42). With Bonferroni correction, the structure-function correlation was significant in the superotemporal (r(s) = 0.62), superonasal (r(s) = 0.56), inferonasal (r(s) = 0.53), and inferotemporal (r(s) = 0.50) sectors in the POAG group (all P < .001), whereas it was significant only in the superotemporal (r(s) = 0.53) and inferotemporal (r(s) = 0.48) sectors in the PACG group (both P < .001). The results were similar when mean sensitivity was expressed as 1/Lambert scale. Both POAG and PACG eyes had moderate structure-function correlations using scanning laser polarimetry. Compared with eyes with POAG, fewer RNFL sectors have significant structure-function correlations in eyes with PACG. Copyright 2010 Elsevier Inc. All rights reserved.

  19. Glycopyrrolate Induced Bilateral Angle Closure Glaucoma after Cervical Spine Surgery

    PubMed Central

    Jaroudi, Mahmoud; Fadi, Maalouf; Farah, Fadi; El Mollayess, Georges M.

    2013-01-01

    To report a case of bilateral acute angle closure glaucoma (AACG) that occurred after cervical spine surgery with the use of glycopyrolate. A 59-year-old male who presented with severe bilateral bifrontal headache and eye pain that started 12 h postextubation from a cervical spine surgery. Neostigmine 0.05 mg/kg (4.5 mg) and glycopyrrolate 0.01 mg/kg (0.9 mg) were used as muscle relaxant reversals at the end of the surgery. Ophthalmic examination revealed he had bilateral AACG with plateau iris syndrome that was treated medically along with laser iridotomies. Thorough examination of anterior chamber should be performed preoperatively on all patients undergoing surgeries in the prone position and receiving mydriatic agents under general anesthesia. PMID:23741140

  20. Outcome of primary trabeculotomy ab interno (Trabectome) surgery in patients with steroid-induced glaucoma

    PubMed Central

    Ngai, Philip; Kim, Grace; Chak, Garrick; Lin, Ken; Maeda, Masahiro; Mosaed, Sameh

    2016-01-01

    Abstract To determine the efficacy and safety of Trabectome surgery on patients with steroid response, ranging from ocular hypertension refractory to maximal medical therapy to the development of steroid-induced glaucoma. A nonrandomized, nonblinded, retrospective study of 20 subjects with steroid response was conducted. All 20 eyes underwent Trabectome surgery alone. Nine subjects had steroid response with unremarkable visual field, 3 had mild steroid-induced glaucoma, and 8 had advanced steroid-induced glaucoma. Outcome measures included intraocular pressure (IOP), number of glaucoma medications, need for secondary glaucoma surgery, and steroid regimen. Mann–Whitney U test was used to compare postoperative IOP and number of medications to preoperative IOP and number of medications. Kaplan–Meier was used for survival analysis, and success was defined as: IOP reduced by 20% or more on any 2 consecutive visits after 3 months; IOP ≤21 mm Hg on any 2 consecutive visits after 3 months; and no secondary glaucoma surgery. The average preoperative IOP was 33.8 ± 6.9 mm Hg and average preoperative glaucoma medication usage was 3.85 ± 0.75 medications. At 12 months, the IOP was reduced to 15.00 ± 3.46 mm Hg (P = 0.03) and glaucoma medication was reduced to 2.3 ± 1.4 (P < 0.01). The survival rate at 12 months was 93%. At 12 months, 10 patients were continued on their preoperative steroid treatments, 5 were on tapered steroid treatments, and 5 had ceased steroid treatments entirely. One patient required secondary glaucoma surgery (glaucoma drainage device). No other complications were noted. The Trabectome procedure is safe and highly effective for steroid-response glaucoma, even in the context of continued steroid treatment. PMID:27977576

  1. Outcome of primary trabeculotomy ab interno (Trabectome) surgery in patients with steroid-induced glaucoma.

    PubMed

    Ngai, Philip; Kim, Grace; Chak, Garrick; Lin, Ken; Maeda, Masahiro; Mosaed, Sameh

    2016-12-01

    To determine the efficacy and safety of Trabectome surgery on patients with steroid response, ranging from ocular hypertension refractory to maximal medical therapy to the development of steroid-induced glaucoma.A nonrandomized, nonblinded, retrospective study of 20 subjects with steroid response was conducted. All 20 eyes underwent Trabectome surgery alone. Nine subjects had steroid response with unremarkable visual field, 3 had mild steroid-induced glaucoma, and 8 had advanced steroid-induced glaucoma. Outcome measures included intraocular pressure (IOP), number of glaucoma medications, need for secondary glaucoma surgery, and steroid regimen. Mann-Whitney U test was used to compare postoperative IOP and number of medications to preoperative IOP and number of medications. Kaplan-Meier was used for survival analysis, and success was defined as: IOP reduced by 20% or more on any 2 consecutive visits after 3 months; IOP ≤21 mm Hg on any 2 consecutive visits after 3 months; and no secondary glaucoma surgery.The average preoperative IOP was 33.8 ± 6.9 mm Hg and average preoperative glaucoma medication usage was 3.85 ± 0.75 medications. At 12 months, the IOP was reduced to 15.00 ± 3.46 mm Hg (P = 0.03) and glaucoma medication was reduced to 2.3 ± 1.4 (P < 0.01). The survival rate at 12 months was 93%. At 12 months, 10 patients were continued on their preoperative steroid treatments, 5 were on tapered steroid treatments, and 5 had ceased steroid treatments entirely. One patient required secondary glaucoma surgery (glaucoma drainage device). No other complications were noted.The Trabectome procedure is safe and highly effective for steroid-response glaucoma, even in the context of continued steroid treatment.

  2. Steroid-induced glaucoma treated with trabecular ablation in a matched comparison with primary open-angle glaucoma.

    PubMed

    Dang, Yalong; Kaplowitz, Kevin; Parikh, Hardik A; Roy, Pritha; Loewen, Ralitsa T; Francis, Brian A; Loewen, Nils A

    2016-12-01

    To evaluate the outcomes of trabectome-mediated ab interno trabeculectomy in patients with steroid-induced glaucoma (SIG). A retrospective, observational cohort study performed in the Department of Ophthalmology, University of Pittsburgh Medical Center. The data of 60 patients with SIG and 484 controls with primary open-angle glaucoma (POAG) matched by age, gender and glaucoma index were collected from the Trabectome Study Group database. Reduction of intraocular pressure (IOP) and medications were compared between POAG and SIG by multivariate regression. Kaplan-Meier was used for survival analysis. Success was defined as IOP ≤21 mmHg and at least 20% IOP reduction from baseline for any two consecutive visits after 3 months without secondary glaucoma surgery. Postoperative IOP and number of medications were compared with baseline in the SIG subgroups by the Wilcoxon test. Intraocular pressure reduction and 1-year success rate. Patients with SIG had a higher baseline IOP (31.4 ± 10.4 vs. 24.1 ± 7.6 mmHg, P < 0.01) and obtained a greater IOP reduction than controls with POAG (48.4% vs. 31.5%, P < 0.01). Multivariate regression showed that patients with SIG had an IOP reduction of 6.7 ± 1.1 mmHg more than those with POAG. Survival rates at 12 months were comparable at 86% in the SIG group and 85% in the POAG group (P = 0.47). Patients with SIG with a high baseline IOP, younger age and advanced glaucoma experienced a larger IOP drop. Trabectome appears to be an effective surgical treatment in reducing IOP for patients with SIG. © 2016 Royal Australian and New Zealand College of Ophthalmologists.

  3. Laser cyclophotocoagulation enhances the regulative capacity of retinal vessels in glaucoma.

    PubMed

    Kremmer, Stephan; Anastassiou, Gerasimos; Schallenberg, Maurice; Steuhl, Klaus-Peter; W, Vilser; J, Michael Selbach

    2014-01-01

    To determine the effects of laser surgical IOP reduction by means of transscleral cyclophotocoagulation (CPC) on retinal blood flow parameters in glaucoma patients using Dynamic Vessel Analysis (DVA). 26 patients (average age: 70 years) with a long history of primary open angle glaucoma underwent CPC. The effect on the reactive capacity of retinal vessels was assessed before and 6-8 weeks after CPC by means of the Dynamic Vessel Analyzer (DVA) using flicker light provocation. In our group of POAG patients, IOP was significantly reduced about approximately 20% by CPC while systemic blood pressure and heart rate were not changed. The most obvious differences between the pre- and postoperative DVA measurements could be observed in the maximal dilation of the retinal arteries which increased from 0.75 % (+/- 0.6) to 3.17 % (+/- 0.5) with an average increase of 2.4 % (p<0.01). In addition, the ability of the arteries for constriction improved significantly (p<0.05) while the dynamic responses of the veins and the initial baseline values (MU) of the vessel diameters did not change. Our results of DVA measurements after an IOP-lowering laser surgical intervention (CPC) reveal a significant recovery of the regulative capacity of retinal arteries in glaucoma patients that has up to now neither been properly documented nor appreciated. Future studies with long-term follow-up must determine the clinical importance of these findings for the treatment of glaucoma patients.

  4. A nanopore membrane regulator device for laser modulated flow after glaucoma surgery.

    PubMed

    Olson, Jeffrey L; Bhandari, Ramanath; Groman-Lupa, Sergio; Velez-Montoya, Raul

    2015-10-01

    Glaucoma, the second most common cause of blindness in the world, is a multifactorial disease with several risk factors, of which intraocular pressure (IOP) is a primary contributing factor. Filtration surgery is one of the most effective means to significantly lower IOP compared to medical or laser treatments, and it is typically reserved for advanced disease. However, there are high rates of postoperative complications associated with the procedure, often from over- or under-filtration. To address these problems, the glaucoma drainage device regulator (GDDR) implant was developed to allow post-operative control of aqueous flow and IOP. The device, a tube with a nanopore membrane, is placed beneath the scleral flap. Postoperatively, the membrane surface can be ruptured with a laser to augment flow through the system. This feature allows adjustable control of aqueous flow and diminishes the risk of hypotony in the early postoperative period.

  5. Structure-Function Correlations using Scanning Laser Polarimetry in Primary Angle-Closure Glaucoma and Primary Open Angle Glaucoma

    PubMed Central

    Lee, Pei-Jung; Liu, Catherine Jui-Ling.; Wojciechowski, Robert; Bailey-Wilson, Joan E.; Cheng, Ching-Yu

    2010-01-01

    Purpose To assess the correlations between retinal nerve fiber layer (RNFL) thickness measured with scanning laser polarimetry (SLP) and visual field (VF) sensitivity in primary open angle glaucoma (POAG) and primary angle-closure glaucoma (PACG). Design Prospective, comparative, observational cases series Methods Fifty patients with POAG and 56 with PACG were examined using SLP with variable corneal compensation (GDx VCC) and Humphrey VF analyzer between August 2005 and July 2006 at Taipei Veterans General Hospital. Correlations between RNFL thickness and VF sensitivity, expressed as mean sensitivity (MS) in both decibel (dB) and 1/Lambert (L) scales, were estimated by Spearman's rank correlation coefficient (rs) and multivariate median regression models (pseudo R2). The correlations were determined globally and for six RNFL sectors and their corresponding VF regions. Results The correlation between RNFL thickness and MS (in dB) was weaker in the PACG group (rs = 0.38, P = 0.004, pseudo R2 = 0.17) than in the POAG group (rs = 0.51, P <0.001, pseudo R2 = 0.31), but the difference in the magnitude of correlation was not significant (P = 0.42).With Bonferroni correction, the structure-function correlation was significant in the superotemporal (rs = 0.62), superonasal (rs = 0.56), inferonasal (rs = 0.53), and inferotemporal (rs = 0.50) sectors in the POAG group (all P <0.001), while it was significant only in the superotemporal (rs = 0.53) and inferotemporal (rs = 0.48) sectors in the PACG group (both P <0.001). The results were similar when MS was expressed as 1/L scale. Conclusions Both POAG and PACG eyes had moderate structure-function correlations using SLP. Compared to eyes with POAG, fewer RNFL sectors have significant structure-function correlations in eyes with PACG. PMID:20202618

  6. Effect of selective laser trabeculoplasty on ocular haemodynamics in primary open-angle glaucoma.

    PubMed

    Pillunat, Karin R; Spoerl, Eberhard; Terai, Naim; Pillunat, Lutz E

    2017-06-01

    Selective laser trabeculoplasty (SLT) is known to reduce intraocular pressure (IOP) effectively. The aim of this study, however, was to evaluate the effect of SLT on ocular haemodynamics. A total of 69 eyes of 69 patients (age 67.8 ± 9.9 years) with already treated primary open-angle glaucoma who were assigned for SLT for further IOP reduction were consecutively enrolled in this prospective interventional case series. Intraocular pressure, the ocular pulse amplitude (OPA), ocular pulse volume (OPV) and pulsatile ocular blood flow (pOBF) were assessed with the Ocular Blood Flow Analyzer prior to and 3 months after SLT. Intraocular pressure was statistically significantly reduced from 16.0 ± 5.4 mmHg to 12.8 ± 4.0 mmHg (p = 0.001). The OPA did not change (p = 0.783) after IOP reduction following SLT. OPV and pOBF increased statistically significantly. OPV increased from 7.33 ± 3.05 to 8.59 ± 3.35 μl (17.2%; p = 0.001) and pOBF from 17.11 ± 5.42 to 19.74 ± 6.59 μl/s (15.4%; p = 0.002). Selective laser trabeculoplasty probably does not induce any pharmacological changes effecting systemic blood pressure or ocular blood flow as topical IOP-lowering medication might do, nor does it change biomechanical properties of the eye as surgery could. Therefore, an increase in ocular blood flow following SLT can only be explained by the reduction in IOP and might be a sign of dysfunctional autoregulation in glaucoma patients. © 2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  7. Ab interno laser sclerostomy in aphakic patients with glaucoma and chronic inflammation.

    PubMed

    Wilson, R P; Javitt, J C

    1990-08-15

    Five patients with aphakia, glaucoma, and chronic inflammation were treated with ab interno sclerostomy by using the continuous wave Nd:YAG laser focused through a sapphire probe. After a follow-up period of 24 to 28 months, three of five patients had good intraocular pressure control. The sclerostomy failed in one patient when it was occluded by vitreous. The second failure was attributed to closure of the sclerostomy because of chronic intraocular inflammation.

  8. Retinal ganglion cell protection with geranylgeranylacetone, a heat shock protein inducer, in a rat glaucoma model.

    PubMed Central

    Caprioli, Joseph; Ishii, Yoko; Kwong, Jacky M K

    2003-01-01

    PURPOSE: To study the effects of geranylgeranylacetone (GCA) on the expression of inducible (HSP72) and constitutive (HSC70) heat shock proteins (HSPs) on retinal ganglion cells (RGCs) in a rat model of glaucoma. METHODS: Adult Wistar rats were given intraperitoneal injections of GGA, 200 mg/kg daily. Western blot analysis and immunohistochemical staining for HSP72 and HSC70 were performed after 1, 3, and 7 days of GGA administration. After 7 days of GGA pretreatment, intraocular pressure (IOP) was elevated unilaterally by repeated trabecular argon laser photocoagulation 5 days after intracameral injection of india ink. After the first laser photocoagulation, CGA was given twice a week. RGC survival was evaluated after 5 weeks of IOP elevation. Immunohistochemistry and TdT-mediated biotin-dUTP nick end labeling (TUNEL) were performed after 1 week of IOP elevation. Quercetin, an inhibitor of HSP expression, was also administered to a separate group. RESULTS: There was increased expression of HSP72 in RGCs at 3 and 7 days after GGA administration, but HSC70 was unchanged. After 5 weeks of IOP elevation, there was 27% +/- 6% loss of RGCs. The administration of GGA significantly reduced the loss of RGCs, lessened optic nerve damage, decreased the number of TUNEL-positive cells in the RGC layer, and increased HSP72. Quercetin administration abolished these protective effects. CONCLUSIONS: These results demonstrate that systemic administration of GGA protects RGCs from glaucomatous damage in a rat model and suggest a novel pathway for netroprotection for patients with glaucoma. PMID:14971562

  9. Question on clinical efficiency and principles of diode laser radiation activity at a primary open-angle glaucoma

    NASA Astrophysics Data System (ADS)

    Bolshunov, A. V.; Litvinova, G. G.; Ilyina, O. S.; Easakiva, A. L.; Fyodorov, A. A.; Poleva, R. P.

    1999-07-01

    The efficiency of a diode laser with a wavelength 0,81 microns in treatment of an open-angle glaucoma is investigated. The diode LTP is a pathogenesis oriented method of treatment of an open angle glaucoma: it gives in improvement of outflow of an intraocular fluid, stabilization and improvement of visual functions for patients with initial and developed stages of disease at term of observation up to 12 months.

  10. Combining Frequency Doubling Technology Perimetry and Scanning Laser Polarimetry for Glaucoma Detection.

    PubMed

    Mwanza, Jean-Claude; Warren, Joshua L; Hochberg, Jessica T; Budenz, Donald L; Chang, Robert T; Ramulu, Pradeep Y

    2015-01-01

    To determine the ability of frequency doubling technology (FDT) and scanning laser polarimetry with variable corneal compensation (GDx-VCC) to detect glaucoma when used individually and in combination. One hundred ten normal and 114 glaucomatous subjects were tested with FDT C-20-5 screening protocol and the GDx-VCC. The discriminating ability was tested for each device individually and for both devices combined using GDx-NFI, GDx-TSNIT, number of missed points of FDT, and normal or abnormal FDT. Measures of discrimination included sensitivity, specificity, area under the curve (AUC), Akaike's information criterion (AIC), and prediction confidence interval lengths. For detecting glaucoma regardless of severity, the multivariable model resulting from the combination of GDx-TSNIT, number of abnormal points on FDT (NAP-FDT), and the interaction GDx-TSNIT×NAP-FDT (AIC: 88.28, AUC: 0.959, sensitivity: 94.6%, specificity: 89.5%) outperformed the best single-variable model provided by GDx-NFI (AIC: 120.88, AUC: 0.914, sensitivity: 87.8%, specificity: 84.2%). The multivariable model combining GDx-TSNIT, NAP-FDT, and interaction GDx-TSNIT×NAP-FDT consistently provided better discriminating abilities for detecting early, moderate, and severe glaucoma than the best single-variable models. The multivariable model including GDx-TSNIT, NAP-FDT, and the interaction GDx-TSNIT×NAP-FDT provides the best glaucoma prediction compared with all other multivariable and univariable models. Combining the FDT C-20-5 screening protocol and GDx-VCC improves glaucoma detection compared with using GDx or FDT alone.

  11. Combining Frequency Doubling Technology Perimetry and Scanning Laser Polarimetry for Glaucoma Detection

    PubMed Central

    Mwanza, Jean-Claude; Warren, Joshua L.; Hochberg, Jessica T.; Budenz, Donald L.; Chang, Robert T.; Ramulu, Pradeep Y.

    2014-01-01

    Purpose To determine the ability of frequency doubling technology (FDT) and scanning laser polarimetry with variable corneal compensation (GDx-VCC) to detect glaucoma when used individually and in combination. Methods One hundred and ten normal and 114 glaucomatous subjects were tested with FDT C-20-5 screening protocol and the GDx-VCC. The discriminating ability was tested for each device individually and for both devices combined using GDx-NFI, GDx-TSNIT, number of missed points of FDT, and normal or abnormal FDT. Measures of discrimination included sensitivity, specificity, area under the curve (AUC), Akaike’s information criterion (AIC), and prediction confidence interval lengths (PIL). Results For detecting glaucoma regardless of severity, the multivariable model resulting from the combination of GDX-TSNIT, number of abnormal points on FDT (NAP-FDT), and the interaction GDx-TSNIT * NAP-FDT (AIC: 88.28, AUC: 0.959, sensitivity: 94.6%, specificity: 89.5%) outperformed the best single variable model provided by GDx-NFI (AIC: 120.88, AUC: 0.914, sensitivity: 87.8%, specificity: 84.2%). The multivariable model combining GDx-TSNIT, NAPFDT, and interaction GDx-TSNIT*NAP-FDT consistently provided better discriminating abilities for detecting early, moderate and severe glaucoma than the best single variable models. Conclusions The multivariable model including GDx-TSNIT, NAP-FDT, and the interaction GDX-TSNIT * NAP-FDT provides the best glaucoma prediction compared to all other multivariable and univariable models. Combining the FDT C-20-5 screening protocol and GDx-VCC improves glaucoma detection compared to using GDx or FDT alone. PMID:24777046

  12. Controlled five-year follow-up study of laser trabeculoplasty as primary therapy for open-angle glaucoma

    SciTech Connect

    Tuulonen, A.; Niva, A.K.; Alanko, H.I.

    1987-10-15

    We followed up 32 eyes of 32 patients with early glaucoma (22 with capsular glaucoma and ten with simple glaucoma) who received laser trabeculoplasty as a primary therapy. These eyes were compared with a matched control group of 32 eyes treated with medication initially. The success rate (intraocular pressure below 22 mm Hg with laser alone or medication alone) at five years was 50% (16 of 32 eyes) in the laser-treated group and 22% (seven of 32 eyes) in the control group (P less than .02). The control group required more modifications of their therapy to control intraocular pressure. The neuroretinal rim area in the control eyes decreased 2.5 times as much as in the laser group (P = .017). Changes in the Friedmann visual fields did not differ significantly between the two groups.

  13. Experimental microendoscopic photoablative laser goniotomy as a surgical model for the treatment of dysgenetic glaucoma.

    PubMed

    Jacobi, P C; Dietlein, T S; Krieglstein, G K

    1996-11-01

    The aim of this study was to investigate the feasibility of photoablative Er:YAG laser goniotomy under microendoscopic control in a surgical cloudy corneal model of primary infantile glaucoma. Pectinate ligaments of 12 freshly enucleated cadaver porcine eyes were treated by ab interno single-pulse (5 mJ, 200 microseconds) Er:YAG laser (2.94 microns) photoablation. Through a clear corneal incision near the limbus an ophthalmic microendoscope (18 and 20 gauge) was inserted into the anterior chamber. Internal structures were observed and photoablative laser goniotomy was conducted under video guidance. Following treatment all eyes were prepared for light and scanning electron microscopy. Anterior chamber angle structures and tissue photoablation were clearly visualized on the videoscreen using ophthalmic microendoscopy. Energy settings of 5 mJ per pulse proved to be sufficient for reproducible photoablation of pectinate ligaments, accompanied by the root of the iris falling back and exposing trabecular meshwork. This was confirmed histopathologically. Scatter thermal damage was less than 30 microns. This new therapeutic modality, which combines endoscopic visualization of the internal structures with photoablative laser goniotomy, can be effective in the management of dysgenetic glaucoma in the presence of a cloudy cornea. High reproducibility of contact laser photoablation enabled sufficient control of incision depth and was not accompanied by inadvertent tissue damage to adjacent intraocular structures.

  14. Inflammatory glaucoma

    PubMed Central

    Bodh, Sonam A.; Kumar, Vasu; Raina, Usha K.; Ghosh, B.; Thakar, Meenakshi

    2011-01-01

    Glaucoma is seen in about 20% of the patients with uveitis. Anterior uveitis may be acute, subacute, or chronic. The mechanisms by which iridocyclitis leads to obstruction of aqueous outflow include acute, usually reversible forms (e.g., accumulation of inflammatory elements in the intertrabecular spaces, edema of the trabecular lamellae, or angle closure due to ciliary body swelling) and chronic forms (e.g., scar formation or membrane overgrowth in the anterior chamber angle). Careful history and follow-up helps distinguish steroid-induced glaucoma from uveitic glaucoma. Treatment of combined iridocyclitis and glaucoma involves steroidal and nonsteroidal antiinflammatory agents and antiglaucoma drugs. However, glaucoma drugs can often have an unpredictable effect on intraocular pressure (IOP) in the setting of uveitis. Surgical intervention is required in case of medical failure. Method of Literature Search: Literature on the Medline database was searched using the PubMed interface. PMID:21713239

  15. Selective laser trabeculoplasty versus medical therapy as initial treatment of glaucoma: a prospective, randomized trial.

    PubMed

    Katz, L Jay; Steinmann, William C; Kabir, Azad; Molineaux, Jeanne; Wizov, Sheryl S; Marcellino, George

    2012-09-01

    To compare outcomes of selective laser trabeculoplasty (SLT) with drug therapy for glaucoma patients in a prospective randomized clinical trial. Sixty-nine patients (127 eyes) with open-angle glaucoma or ocular hypertension were randomized to SLT or medical therapy. Target intraocular pressure (IOP) was determined using the Collaborative Initial Glaucoma Treatment Study formula. Patients were treated with SLT (100 applications 360 degrees) or medical therapy (prostaglandin analog). Six visits over 1 year followed initial treatment. If target IOP range was not attained with SLT, additional SLT was the next step, or in the medical arm additional medications were added. IOP; secondary: number of steps. Sixty-nine patients were treated. Data collection terminated with 54 patients reaching 9 to 12-months follow-up. Twenty-nine patients were in the SLT group, 25 patients in the medical group. Baseline mean IOP for all eyes was 24.5 mm Hg in the SLT group, 24.7 mm Hg in the medical group. Mean IOP (both eyes) at last follow-up was 18.2 mm Hg (6.3 mm Hg reduction) in the SLT arm, 17.7 mm Hg (7.0 mm Hg reduction) in the medical arm. By last follow-up, 11% of eyes received additional SLT, 27% required additional medication. There was not a statistically significant difference between the SLT and medication groups. IOP reduction was similar in both arms after 9 to 12-months follow-up. More treatment steps were necessary to maintain target IOP in the medication group, although there was not a statistically significant difference between groups. These results support the option of SLT as a safe and effective initial therapy in open-angle glaucoma or ocular hypertension.

  16. Optical coherence tomography, scanning laser polarimetry and confocal scanning laser ophthalmoscopy in retinal nerve fiber layer measurements of glaucoma patients.

    PubMed

    Fanihagh, Farsad; Kremmer, Stephan; Anastassiou, Gerasimos; Schallenberg, Maurice

    2015-01-01

    To determine the correlations and strength of association between different imaging systems in analyzing the retinal nerve fiber layer (RNFL) of glaucoma patients: optical coherence tomography (OCT), scanning laser polarimetry (SLP) and confocal scanning laser ophthalmoscopy (CSLO). 114 eyes of patients with moderate open angle glaucoma underwent spectral domain OCT (Topcon SD-OCT 2000 and Zeiss Cirrus HD-OCT), SLP (GDx VCC and GDx Pro) and CSLO (Heidelberg Retina Tomograph, HRT 3). Correlation coefficients were calculated between the structural parameters yielded by these examinations. The quantitative relationship between the measured RNFL thickness globally and for the four regions (superior, inferior, nasal, temporal) were evaluated with different regression models for all used imaging systems. The strongest correlation of RNFL measurements was found between devices using the same technology like GDx VCC and GDx Pro as well as Topcon OCT and Cirrus OCT. In glaucoma patients, the strongest associations (R²) were found between RNFL measurements of the two optical coherence tomography devices Topcon OCT and Cirrus OCT (R² = 0.513) and between GDx VCC and GDx Pro (R² = 0.451). The results of the OCTs and GDX Pro also had a strong quantitative relationship (Topcon OCT R² = 0.339 and Cirrus OCT R² = 0.347). GDx VCC and the OCTs showed a mild to moderate association (Topcon OCT R² = 0.207 and Cirrus OCT R² = 0.258). The confocal scanning laser ophthalmoscopy (HRT 3) had the lowest association to all other devices (Topcon OCT R² = 0.254, Cirrus OCT R² = 0.158, GDx Pro R² = 0.086 and GDx VCC R² = 0.1). The measurements of the RNFL in glaucoma patients reveal a high correlation of OCT and GDx devices because OCTs can measure all major retinal layers and SLP can detect nerve fibers allowing a comparison between the results of this devices. However, CSLO by means of HRT topography can only measure height values of the retinal surface but it cannot distinguish

  17. Red laser cyclophotocoagulation in the treatment of secondary glaucoma in eyes with uveal melanoma.

    PubMed

    Piirtola, Anni; Puska, Päivi; Kivelä, Tero

    2014-01-01

    To evaluate retrospectively the usefulness of the red diode and krypton laser for transscleral contact cyclophotocoagulation (CPC) in the treatment of secondary glaucoma in eyes with uveal melanoma. Twenty-seven eyes of 27 patients (mean age, 66 y; range, 33 to 85 y) with a uveal melanoma and secondary glaucoma were treated with a transscleral 670-nm diode (40 treatments) and 647-nm krypton (5 treatments) laser CPC; 25 eyes had been or were subsequently treated with brachytherapy. The energy used was 420 mW at the tip of the probe (exposure time, 10 s). Seventeen eyes were treated once, 6 eyes twice, and 4 eyes 3 to 6 times. The aim was to preserve vision in 21 patients and to relieve pain in 6 patients. Fourteen patients (52%) died during follow-up. With ≥1 CPCs, the intraocular pressure decreased from a median of 40 mm Hg at baseline to 28 mm Hg at 12 months (n=18) and 23 mm Hg at 24 months (n=10). Hypotony developed in 6 eyes. Before CPC, 12 eyes had a best corrected visual acuity (BCVA) of 20/400 or better. At 12 months, 5 of 18 eyes had BCVA 20/400 or better, and at 24 months 4 of 10 eyes. Four eyes were removed. At the latest visit, 15 of 23 eyes had no light perception, but were preserved. All patients whose aim of treatment was to relieve pain achieved pain relief. CPC lowered intraocular pressure and the number of medications needed for secondary glaucoma in eyes with uveal melanoma, also providing pain relief.

  18. Regional Image Features Model for Automatic Classification between Normal and Glaucoma in Fundus and Scanning Laser Ophthalmoscopy (SLO) Images.

    PubMed

    Haleem, Muhammad Salman; Han, Liangxiu; Hemert, Jano van; Fleming, Alan; Pasquale, Louis R; Silva, Paolo S; Song, Brian J; Aiello, Lloyd Paul

    2016-06-01

    Glaucoma is one of the leading causes of blindness worldwide. There is no cure for glaucoma but detection at its earliest stage and subsequent treatment can aid patients to prevent blindness. Currently, optic disc and retinal imaging facilitates glaucoma detection but this method requires manual post-imaging modifications that are time-consuming and subjective to image assessment by human observers. Therefore, it is necessary to automate this process. In this work, we have first proposed a novel computer aided approach for automatic glaucoma detection based on Regional Image Features Model (RIFM) which can automatically perform classification between normal and glaucoma images on the basis of regional information. Different from all the existing methods, our approach can extract both geometric (e.g. morphometric properties) and non-geometric based properties (e.g. pixel appearance/intensity values, texture) from images and significantly increase the classification performance. Our proposed approach consists of three new major contributions including automatic localisation of optic disc, automatic segmentation of disc, and classification between normal and glaucoma based on geometric and non-geometric properties of different regions of an image. We have compared our method with existing approaches and tested it on both fundus and Scanning laser ophthalmoscopy (SLO) images. The experimental results show that our proposed approach outperforms the state-of-the-art approaches using either geometric or non-geometric properties. The overall glaucoma classification accuracy for fundus images is 94.4% and accuracy of detection of suspicion of glaucoma in SLO images is 93.9 %.

  19. The laser in glaucoma and ocular hypertension (LiGHT) trial. A multicentre randomised controlled trial: baseline patient characteristics.

    PubMed

    Konstantakopoulou, Evgenia; Gazzard, Gus; Vickerstaff, Victoria; Jiang, Yuzhen; Nathwani, Neil; Hunter, Rachael; Ambler, Gareth; Bunce, Catey

    2017-10-05

    The laser in glaucoma and ocular hypertension (LiGHT) trial aims to establish whether initial treatment with selective laser trabeculoplasty (SLT) is superior to initial treatment with topical medication for primary open angle glaucoma (POAG) or ocular hypertension (OHT). LiGHT is a prospective unmasked, multicentre, pragmatic, randomised controlled trial (RCT). 718 previously untreated patients with POAG or OHT were recruited at 6 UK centres between 2012 and 2014. Patients were randomised to initial SLT followed by medical therapy or medical therapy without laser. Participants will be monitored for 3 years, according to routine clinical practice. The primary outcome is EQ-5D-5L. Secondary outcomes are treatment pathway cost and cost-effectiveness, Glaucoma Utility Index (GUI), Glaucoma Symptom Scale, Glaucoma Quality of Life (GQL), pathway effectiveness, visual function, safety and concordance. A total of 555 patients had POAG and 163 OHT; 518 patients had both eyes eligible. The mean age for patients with POAG was 64 years and for OHT 58 years. 70% of all participants were white. Median IOP for OHT eyes was 26 mm Hg and 23 mm Hg for POAG eyes. Median baseline visual field mean deviation was -0.81 dB for OHT eyes and -2.82 dB for POAG eyes. There was no difference between patients with POAG and patients with OHT on the EQ-5D-5DL; the difference between OHT and POAG on the GUI was -0.02 and 1.23 on the GQL. The LiGHT trial is the first RCT to compare the two treatment options in a real-world setting. The baseline characteristics of the LiGHT cohort compare well with other landmark glaucoma studies. ISRCTN32038223, Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Effect of Topical Calcium Channel Blockers on Intraocular Pressure in Steroid-induced Glaucoma.

    PubMed

    Ganekal, Sunil; Dorairaj, Syril; Jhanji, Vishal; Kudlu, Krishnaprasad

    2014-01-01

    To evaluate the effect of 0.125% verapamil and 0.5% diltiazem eye drops on intraocular pressure (IOP) in steroid-induced glaucoma in rabbit eyes. A total of 18 rabbits with steroid-induced glaucoma were divided into three groups (A, B and C; n = 6 each). Right eyes in groups A, B and C received 0.5% diltiazem, 0.125% verapamil and 0.5% timolol eye drops twice daily for 12 days, respectively; whereas, left eyes received distilled water. IOP was measured with Tono-pen XL at baseline, day 4, day 8, and day 12 of treatment. Both 0.5% diltiazem and 0.125% verapamil eye drops significantly reduced IOP compared to control eyes (p < 0.05). Reduction of IOP by 0.5% diltiazem, 0.125% verapamil eye drops were comparable to 0.5% timolol. No surface toxicity or systemic side effects were noted during the study period. Calcium channel blockers, verapamil, and diltia-zem significantly reduced IOP in rabbiteyes. This group of drugs may have a potential role in treatment of glaucoma How to cite this article: Ganekal S, Dorairaj S, Jhanji V, Kudlu K. Effect of Topical Calcium Channel Blockers on Intraocular Pressure in Steroid-induced Glaucoma. J Current Glau Prac 2014;8(1):15-19.

  1. Predictors of success in selective laser trabeculoplasty for normal tension glaucoma.

    PubMed

    Lee, Jacky W Y; Liu, Catherine C L; Chan, Jonathan C H; Lai, Jimmy S M

    2014-12-01

    To determine the predictors of success for selective laser trabeculoplasty (SLT) in normal tension glaucoma (NTG). This prospective cohort study recruited subjects with unilateral or bilateral NTG on medication. All subjects received a single session of 360° SLT treatment. SLT success was defined as IOP reduction≥20% at 1-month. The following covariates were analyzed via univariate and multivariate analyses: age; sex; lens status; presenting, pre-SLT, and post-SLT IOP's; number and type of medications; SLT shots and energy; and pre-SLT investigations. In 60 eyes of 32 subjects with NTG, there were 30 right eyes and 28 left eyes. The success rate of SLT was 61.7%. Using 3 types of anti-glaucoma medications (coefficient=-2.2, OR=0.1, P=0.02) and a thicker retinal nerve fiber layer thickness (coefficient=-0.04, OR=0.96, P=0.04) were associated with failure (univariate analysis). In multivariate analysis, a higher pre-SLT IOP (coefficient=1.1, OR=3.1, P=0.05) and a lower 1-week IOP (coefficient=-0.8, OR=0.5, P=0.04) were associated with success. SLT was successful in over 60% of treated NTG patients. A higher pre-SLT IOP and a greater IOP reduction at 1-week post-SLT were predictors of a successful outcome.

  2. Outpatient argon laser iridectomy for angle closure glaucoma: a two-year study.

    PubMed

    Abraham, R K; Miller, G L

    1975-01-01

    A technique for iridectomy in the the treatment of angle-closure glaucoma utilizing laser beams has been developed. The operation is performed in two steps. In step 1 a partially penetrating burn of the iris is made to produce an iris hump. In step 2 a penetrating burn is used to pierce the crown of the previously produced hump. Tables 1, 2, and 3 summarize current recommendations and the detailed steps that must be followed (without exception) to achieve success with this technique. Of 22 phakic eyes, fellow eyes, or eyes with narrow-angle glaucoma, instantaneous, permanent iris perforation was produced in all except two. In these two, a second treatment on the following day produced a permanent perforation. Serious complications were encountered in only one patient who received treatment at a greater energy level than we now recommend. In that patient striate keratopathy became apparent, as well as a decrease in vision which has lasted five months. No significant complication was encountered in any eye treated with the currently recommended procedure.

  3. [Morphopathological changes in glaucoma-induced trabecular meshwork].

    PubMed

    Petraru, D; Indrei, Anca; Costin, D; Mihalache, G

    2011-01-01

    Glaucoma causes trabecular meshwork and Schlemm canal changes, resulting in the obstruction of the aqueous flow at this level. To show the histological changes in the surgically removed trabecular meshwork tissues. Trabecular meshwork fragments were histologically processed for histological diagnosis. 29.87% of all patients had ordered structure with high eosinophilia, 20.12% a rare structure with high eosinophilia, 21.34% a voluminous trabecular meshwork with fusiform cells, 21.03% tissue fibrosis and 7.62% had tissue necrosis. Aqueous flow obstruction in trabecular meshwork is produced by the histological changes at this level, found in all tissue specimens removed during surgery.

  4. Selective laser trabeculoplasty for early glaucoma: analysis of success predictors and adjusted laser outcomes based on the untreated fellow eye.

    PubMed

    Chun, Mikael; Gracitelli, Carolina P B; Lopes, Flavio S; Biteli, Luis G; Ushida, Michele; Prata, Tiago S

    2016-11-23

    To identify success predictors and to study the role of the fellow untreated eye as a co-variable for adjustment of intraocular pressure (IOP) outcomes following selective laser trabeculoplasty (SLT) in early open-angle glaucoma (OAG) patients. A case series was carried out. Patients with uncontrolled early OAG or ocular hypertension (inadequate IOP control requiring additional treatment) underwent SLT (one single laser session) performed by the same surgeon in a standardized fashion. The same preoperative medical regimen was maintained during follow-up for all patients. Post-treatment assessments were scheduled at week 1 and months 1, 2, and 3. In order to account for possible influence of IOP fluctuation on laser outcomes, post-laser IOP values of the treated eye of each patient were also analyzed adjusting for IOP changes (between visits variation) of the untreated fellow eye (adjusted analysis). Pre and post-laser IOP values were compared using paired t-test. Factors associated with the magnitude of IOP reduction were investigated using multiple regression analysis. A total of 45 eyes of 45 patients were enrolled. Mean IOP was reduced from 20.8 ± 5.1 to 14.9 ± 2.9 mmHg at month 3 (p < 0.001). Adjusted success rate (defined as IOP reduction ≥ 20%) was 64% and mean percentage of IOP reduction was 23.1 ± 14.3% at last follow-up visit. Considering unadjusted post-laser IOP values, it was found a 20% greater absolute IOP reduction (median [interquartile range] 6 mmHg [4-7] vs 5 mmHg [3-7]; p = 0.04), with a success rate of 76%. Although baseline IOP was significantly associated with both adjusted and unadjusted post-laser IOP reduction, a stronger association was found when unadjusted IOP values were considered (p < 0.001 and R (2) = 0.35; p < 0.001 and R (2) = 0.67, respectively). Age, mean deviation (MD) index, central corneal thickness and type of glaucoma were not significant predictors (p ≥ 0.150). In this

  5. Rates of progressive retinal nerve fiber layer loss in glaucoma measured by scanning laser polarimetry.

    PubMed

    Medeiros, Felipe A; Zangwill, Linda M; Alencar, Luciana M; Sample, Pamela A; Weinreb, Robert N

    2010-06-01

    To evaluate rates of change measured with scanning laser polarimetry with enhanced corneal compensation (GDx ECC) and compare them to those measured using the variable corneal compensation (GDx VCC) method in a cohort of glaucoma patients and individuals suspected of having the disease followed over time. Observational cohort study. The study included 213 eyes of 213 patients with an average follow-up time of 4.5 years. Images were obtained annually with the GDx ECC and VCC, along with optic disc stereophotographs and standard automated perimetry (SAP) visual fields. Progression was determined by the Guided Progression Analysis software for SAP and by masked assessment of stereophotographs by expert graders. Joint linear mixed-effects models were used to evaluate rates of change in GDx measurements and their relationship with disease progression. Thirty-three patients (15%) showed progression over time on visual fields and/or stereophotographs. Mean rates of average retinal nerve fiber layer (RNFL) thickness change measured by the GDx ECC were significantly different in progressors versus nonprogressors (-1.24 microm/year vs -0.34 microm/year; P < .001). The area under the ROC curve for discriminating progressors from nonprogressors was significantly higher for rates of change measured by ECC compared to VCC (0.89 vs 0.65; P < .001). Rates of RNFL change detected by the GDx ECC were significantly greater in eyes with progressive glaucoma compared to eyes with stable disease. Also, the ECC performed significantly better than the VCC for detection of change, suggesting that it could improve longitudinal evaluation of the RNFL with scanning laser polarimetry. Copyright 2010 Elsevier Inc. All rights reserved.

  6. Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial. A multicentre, randomised controlled trial: design and methodology.

    PubMed

    Gazzard, Gus; Konstantakopoulou, Evgenia; Garway-Heath, David; Barton, Keith; Wormald, Richard; Morris, Stephen; Hunter, Rachael; Rubin, Gary; Buszewicz, Marta; Ambler, Gareth; Bunce, Catey

    2017-09-13

    The Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial aims to establish whether initial treatment with selective laser trabeculoplasty (SLT) is superior to initial treatment with topical medication for primary open-angle glaucoma (POAG) or ocular hypertension (OHT). The LiGHT Trial is a prospective, unmasked, multicentre, pragmatic, randomised controlled trial. 718 previously untreated patients with POAG or OHT were recruited at six collaborating centres in the UK between 2012 and 2014. The trial comprises two treatment arms: initial SLT followed by conventional medical therapy as required, and medical therapy without laser therapy. Randomisation was provided online by a web-based randomisation service. Participants will be monitored for 3 years, according to routine clinical practice. The target intraocular pressure (IOP) was set at baseline according to an algorithm, based on disease severity and lifetime risk of loss of vision at recruitment, and subsequently adjusted on the basis of IOP control, optic disc and visual field. The primary outcome measure is health-related quality of life (HRQL) (EQ-5D five-level). Secondary outcomes are treatment pathway cost and cost-effectiveness, Glaucoma Utility Index, Glaucoma Symptom Scale, Glaucoma Quality of Life, objective measures of pathway effectiveness, visual function and safety profiles and concordance. A single main analysis will be performed at the end of the trial on an intention-to-treat basis. The LiGHT Trial is a multicentre, pragmatic, randomised clinical trial that will provide valuable data on the relative HRQL, clinical effectiveness and cost-effectiveness of SLT and topical IOP-lowering medication. ISRCTN32038223, Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. Feasibility of laser trabeculoplasty in angle closure glaucoma: a review of favourable histopathological findings in narrow angles.

    PubMed

    Matos, Alexis Galeno; Asrani, Sanjay G; Paula, Jayter Silva

    2017-02-28

    Selective laser trabeculoplasty (SLT) has been indicated as a safe and efficient treatment for primary open-angle glaucoma; however, recent studies have also shown positive results with the use of SLT in some clinical conditions related to primary angle-closure glaucoma (PACG). Despite the potential benefits of SLT in selected cases of PACG, the mechanisms underlying the modifications in the trabecular meshwork tissue of patients with PACG are poorly understood. This narrative review approached both the current, limited knowledge about the histological changes observed in different forms of PACG and the clinical results of SLT treatment for PACG. Favourable outcomes of SLT in patients with PACG, specifically in areas of non-occluded angle, need further substantiation through large controlled clinical trials. A deeper understanding of the biomolecular changes of those areas is essential to improve both laser technical details and the clinical efficacy of SLT therapy.

  8. Laser-induced bioluminescence

    SciTech Connect

    Hickman, G.D.; Lynch, R.V. III

    1981-01-01

    A project has been initiated to determine the feasibility of developing a complete airborne remote sensing system for rapidly mapping high concentration patches of bioluminescent organisms in the world's oceans. Conceptually, this system would be composed of a laser illuminator to induce bioluminescence and a low light level image intensifier for detection of light. Initial laboratory measurements consisted of using a 2-J flash lamp pulsed optical dye laser to excite bioluminescence in the marine dinoflagellate Pyrocustis lunula at ambient temperature using Rhodamine 6G as the lasing dye (585 nm) and a laser pulse width of 1 microsec. After a latency period of 15-20 msec, the bioluminescence maximum occurred in the blue (480 nm is the wavelength maximum for most dinoflagellate bioluminescence) with the peaking occurring approximately 65 msec after the laser pulse. Planned experiments will investigate the effect of different excitation wavelengths and energies at various temperatures and salinities of the cultures.

  9. Confocal scanning laser tomography of the optic nerve head on the patients with Alzheimer's disease compared to glaucoma and control.

    PubMed

    Kurna, Sevda Aydin; Akar, Gokcen; Altun, Ahmet; Agirman, Yasemin; Gozke, Eren; Sengor, Tomris

    2014-12-01

    The purpose of this study was to evaluate optic nerve head (ONH) differences of the patients with Alzheimer's disease (AD) measured by confocal scanning laser tomography [Heidelberg Retina Tomograph (HRT) III] and compare with glaucoma and control subjects. Eighty-four patients were enrolled into the study: 44 eyes of 24 patients with mild to moderate AD (Group 1), 68 eyes of 35 patients with glaucoma (Group 2), and 49 eyes of 25 heathy volunteers as a control (Group 3). A complete ophthalmologic examination as well as a confocal scanning laser ophthalmoscopic assessment with HRT III were performed on all patients. Mean values of the ONH topographic parameters such as rim area (RA), rim volume (RV), height variation contour, linear cup/disc ratio, cup shape measure, and retinal nerve fiber layer (RNFL) were recorded. Mean values of RNFL thickness was 0.23 ± 0.07 in AD, 0.22 ± 0.09 in glaucoma and 0.24 ± 0.07 in the control group (p = 0.323). RA and RV were significantly lower, and linear C/D ratio was significantly higher in the glaucoma group when compared to AD and control (p < 0.05). There was no statistically significant difference between AD and control for the optic disc parameters tested (p > 0.05). We observed a negative correlation of the age with RNFL in all of the groups (p < 0.005). Age was the most important parameter affecting RNFL. Our results suggest that HRT does not demonstrate ONH differences between AD and control group, while it successfully differentiates glaucoma from AD and control cases of older age.

  10. Predictors of Success in Selective Laser Trabeculoplasty for Normal Tension Glaucoma

    PubMed Central

    Lee, Jacky W.Y.; Liu, Catherine C.L.; Chan, Jonathan C.H.; Lai, Jimmy S.M.

    2014-01-01

    Abstract To determine the predictors of success for selective laser trabeculoplasty (SLT) in normal tension glaucoma (NTG). This prospective cohort study recruited subjects with unilateral or bilateral NTG on medication. All subjects received a single session of 360° SLT treatment. SLT success was defined as IOP reduction ≥20% at 1-month. The following covariates were analyzed via univariate and multivariate analyses: age; sex; lens status; presenting, pre-SLT, and post-SLT IOP's; number and type of medications; SLT shots and energy; and pre-SLT investigations. In 60 eyes of 32 subjects with NTG, there were 30 right eyes and 28 left eyes. The success rate of SLT was 61.7%. Using 3 types of anti-glaucoma medications (coefficient = −2.2, OR = 0.1, P = 0.02) and a thicker retinal nerve fiber layer thickness (coefficient = −0.04, OR = 0.96, P = 0.04) were associated with failure (univariate analysis). In multivariate analysis, a higher pre-SLT IOP (coefficient = 1.1, OR = 3.1, P = 0.05) and a lower 1-week IOP (coefficient = −0.8, OR = 0.5, P = 0.04) were associated with success. SLT was successful in over 60% of treated NTG patients. A higher pre-SLT IOP and a greater IOP reduction at 1-week post-SLT were predictors of a successful outcome. PMID:25526445

  11. Glaucoma diagnostics.

    PubMed

    Geimer, Sabina Andersson

    2013-02-01

    This thesis addresses several aspects of glaucoma diagnostics from both a clinical and a screening perspective. New instruments for diagnosing glaucoma have been developed over the past years, but little information is available regarding their performance as screening methods and their usefulness in ordinary clinical practice. PURPOSE OF THE RESEARCH UNDERLYING THIS THESIS:  The objectives of this research were as follows: to compare the accuracy of results of analysis of the optic nerve head (ONH) achieved by computerized imaging using the Heidelberg Retina Tomograph (HRT) and by subjective assessment performed by physicians with different degrees of experience of glaucoma (paper III); to evaluate the effect of a continuous medical education (CME) lecture on subjective assessment of the ONH for diagnosis of glaucoma (paper II); to investigate subjective assessment of perimetric test results by physicians with varying knowledge of glaucoma with a trained artificial neural network (ANN) and to compare the certainty of the classifications (paper IV); and to compare the diagnostic performance of time-domain Stratus optical coherence tomography (OCT) with that of spectral-domain Cirrus OCT (paper I), frequency doubling technology (FDT) screening perimetry and scanning laser polarimetry with the GDx variable corneal compensator (VCC) in a random population-based sample and in patients with glaucoma of varying disease severity.   In evaluation of the ONH, use of the HRT statistical tools, Moorfields regression analysis (MRA) and the Glaucoma Probability Score (GPS) was compared with subjective assessment performed by 45 physicians. Optic nerve head images and photographs from 138 healthy and 97 glaucoma subjects were included. The sensitivity of MRA was higher (87-94%) than that of the average physician (62-82%), considerably greater than that of ophthalmologists with subspecialties other than glaucoma (53-77%) and non-significantly better than that of glaucoma

  12. Goniotomy for Steroid-Induced Glaucoma: Clinical and Tonographic Evidence to Support Therapeutic Goniotomy.

    PubMed

    Choi, Eun Young; Walton, David S

    2015-01-01

    To report the surgical results of goniotomy for corticosteroid-induced glaucoma and to provide evidence to support its use as initial surgical therapy. The medical records of 5 patients with a history of goniosurgery for steroid-induced glaucoma were reviewed. Preoperative and postoperative clinical findings were reviewed, including the topical use of steroids, tonometric and gonioscopic findings, goniosurgery, and postoperative results. In addition, tonography was performed on one patient to document the improved facility of outflow following successful goniosurgery. Surgical success was achieved in all patients, with intraocular pressures less than 18 mm Hg without the use of medication for an average follow-up period of 11.5 years (range: 9 months to 30 years). A normal postoperative facility of outflow (C = 0.30 mm3/min/mm Hg) was determined in one patient. No complications of surgery were experienced. Goniotomy is an effective procedure for persistent steroid-induced glaucoma, and should be considered for initial surgical treatment. Copyright 2015, SLACK Incorporated.

  13. Selective laser trabeculoplasty (SLT) vs other treatment modalities for glaucoma: systematic review

    PubMed Central

    McAlinden, C

    2014-01-01

    Purpose Systemic review to compare selective laser trabeculoplasty (SLT) to other glaucoma treatment options in terms of their intraocular pressure (IOP)-lowering effect. Methods Searches of the following databases were performed: PubMed, Cochrane Central Register of Controlled Trials, Ovid, EMBASE, metaRegister of Controlled Trials, and ClinicalTrials.gov. Only randomised controlled trials (RCTs) published in peer-reviewed journals comparing SLT to other glaucoma treatment options were considered. The main outcome measure was the change in IOP from baseline. Results An initial search of PubMed identified 23 RCTs with 17 meeting the inclusion criteria. Nine RCTs compared 180° SLT to 180° argon laser trabeculoplasty (ALT) and one trial compared 360° SLT to 360° ALT, all reporting no difference in terms of IOP reduction from baseline. One RCT reported better outcomes with SLT at 1 year but this effect regressed at 2 years. Three trials compared 360° SLT to medical therapy and found no difference between the two treatment options. One trial found greater IOP reduction with latanoprost vs 90° and 180° SLT, and greater IOP reduction with 180° and 360° SLT versus 90° SLT, however no differences were found between 360° SLT versus latanoprost or 360° vs 180° SLT. Two trials compared 180° SLT to 360° SLT finding no difference in IOP reduction. Two trials compared 180° SLT to 90° SLT, one finding no significant difference and one finding greater IOP reduction with 180° SLT over 90° SLT. One trial compared excimer laser trabeculotomy (ELT) to 180° SLT, finding no differences in IOP reduction up to 3 months follow-up but greater IOP reduction with ELT at time intervals between 9 and 24 months. There were no RCTs identified that compared SLT to surgery. Conclusion In terms of the IOP lowering effect, there is no difference between SLT and ALT. Three trials indicate no difference between 360° SLT and medical therapy, with one of the trials indicating greater

  14. Incidence, severity and factors related to drug-induced keratoepitheliopathy with glaucoma medications

    PubMed Central

    Fukuchi, Takeo; Wakai, Kimiko; Suda, Kieko; Nakatsue, Tomoko; Sawada, Hideko; Hara, Hiroaki; Ueda, Jun; Tanaka, Takayuki; Yamada, Akiko; Abe, Haruki

    2010-01-01

    Purpose To evaluate the incidence, severity, and factors related to drug-induced keratoepitheliopathy in eyes using antiglaucoma eye drops. Patients and methods In a cross-sectional study, 749 eyes from 427 patients who had used one or more antiglaucoma eye drops were examined at Niigata University Medical and Dental Hospital or related facilities. The incidence and severity of superficial punctate keratitis (SPK), patient gender and age, type of glaucoma, and type of eye drops were recorded. SPK was graded according to the AD (A, area; D, density) classification. The severity score (SS) was calculated from A × D. Results SPK was observed in 382 (51.0%) of 749 eyes that had received any type of antiglaucoma eye drops. While 254 eyes (33.9%) were classified as A1D1 (SS 1), 34 eyes (4.6%) had severe SPK with SS 4 or more. The number of eye drops and the total dosing frequency per day were significantly greater in SPK-positive eyes than in eyes without SPK. The number of eye drops was proportional to the frequency and severity of SPK. Among eyes that were treated with three or more eye drops, SPK was more severe and more frequent in older patients (≥71 years). In addition, a considerable difference was detected for each type of glaucoma. Conclusion Drug-induced keratoepitheliopathy is often observed in eyes that have received recent antiglaucoma eye drops. The number of eye drops, the total dose frequency per day, patient age, and type of glaucoma may affect this condition. We have to consider not only the effects on intraocular pressure but also the incidence and severity of drug-induced keratoepitheliopathy as a frequent side effect of glaucoma medications. PMID:20463785

  15. Incidence, severity and factors related to drug-induced keratoepitheliopathy with glaucoma medications.

    PubMed

    Fukuchi, Takeo; Wakai, Kimiko; Suda, Kieko; Nakatsue, Tomoko; Sawada, Hideko; Hara, Hiroaki; Ueda, Jun; Tanaka, Takayuki; Yamada, Akiko; Abe, Haruki

    2010-04-26

    To evaluate the incidence, severity, and factors related to drug-induced keratoepitheliopathy in eyes using antiglaucoma eye drops. In a cross-sectional study, 749 eyes from 427 patients who had used one or more antiglaucoma eye drops were examined at Niigata University Medical and Dental Hospital or related facilities. The incidence and severity of superficial punctate keratitis (SPK), patient gender and age, type of glaucoma, and type of eye drops were recorded. SPK was graded according to the AD (A, area; D, density) classification. The severity score (SS) was calculated from A x D. SPK was observed in 382 (51.0%) of 749 eyes that had received any type of antiglaucoma eye drops. While 254 eyes (33.9%) were classified as A1D1 (SS 1), 34 eyes (4.6%) had severe SPK with SS 4 or more. The number of eye drops and the total dosing frequency per day were significantly greater in SPK-positive eyes than in eyes without SPK. The number of eye drops was proportional to the frequency and severity of SPK. Among eyes that were treated with three or more eye drops, SPK was more severe and more frequent in older patients (>/=71 years). In addition, a considerable difference was detected for each type of glaucoma. Drug-induced keratoepitheliopathy is often observed in eyes that have received recent antiglaucoma eye drops. The number of eye drops, the total dose frequency per day, patient age, and type of glaucoma may affect this condition. We have to consider not only the effects on intraocular pressure but also the incidence and severity of drug-induced keratoepitheliopathy as a frequent side effect of glaucoma medications.

  16. Neodymium-YAG laser iridotomy in angle closure glaucoma: preliminary study.

    PubMed Central

    Naveh, N; Zborowsky-Gutman, L; Blumenthal, M

    1987-01-01

    A prospective short-term preliminary clinical study to evaluate the efficacy and immediate complications of Q-switched Nd-YAG laser iridotomy in the treatment of acute and chronic angle closure glaucoma is described. The follow-up period ranged from four to 10 months. Of 40 eyes treated 36 (90%) required a single lasing session for patency (19, one application; 17, two applications), and four eyes (10%) required two sessions. Closure of the iridotomy site following Nd-YAG lasing due to pigment epithelium proliferation occurred in 10% of eyes, an incidence remarkably lower than that of argon laser iridotomy. Transitory closure or diminution of a prior patent iridotomy during the first hour after lasing was observed in 6.7% of eyes. Patency was again noted up to three weeks later and remained unchanged. Immediate postoperative complications included a marked increase in ocular pressure (42% of eyes), minimal transitory bleeding, and transitory localised corneal oedema at the lasing site. Persistent iridocorneal adhesion at the lasing site was noted in three eyes, and localised lenticular opacities, of non-progressive type, were observed in one eye. PMID:3580337

  17. Preliminary results of CO2 laser-assisted sclerectomy surgery (CLASS) in the treatment of advanced glaucoma in a Chinese population

    PubMed Central

    Yick, Doris W.F.; Lee, Jacky W.Y.; Tsang, Susanna; Yeung, Barry Y.M.; Yuen, Can Y.F.

    2016-01-01

    Abstract To evaluate the efficacy and safety of CO2 laser-assisted sclerectomy surgery (CLASS) in Chinese patients with advanced glaucoma. Patients with advanced glaucoma who were candidates for glaucoma filtration surgery were included. The intraocular pressure (IOP) and number of antiglaucoma medications were documented before surgery and at all postoperative clinic visits. All intra- and postoperative complications were documented. The primary outcome measures were the changes in IOP and medication use before and after the procedure as well as complications from the procedure. The secondary outcome measure included the CLASS success rate. Twenty patients (23 eyes) underwent CLASS between November 2014 and September 2015. Nineteen eyes had primary open-angle glaucoma, 2 eyes had primary angle-closure glaucoma, and 2 eyes had uveitic glaucoma. One patient was lost to follow-up. The mean age of subjects was 68.1 ± 11.9 years. IOP was significantly reduced at 1 day and 1 week after CLASS. At 6 months, the IOP and number of medications were significantly reduced by 19.0% and 38.2%, respectively (both P < 0.0001). One patient had intraoperative trabeculo-Descemet membrane perforation. Two patients required laser goniopuncture and 2 required needling between 3 and 6 months postoperatively. The overall success rate was 81.8% at 6 months. CLASS achieved a modest IOP reduction in the early postoperative period and was overall a safe procedure for advanced glaucoma. PMID:27828849

  18. Preliminary results of CO2 laser-assisted sclerectomy surgery (CLASS) in the treatment of advanced glaucoma in a Chinese population.

    PubMed

    Yick, Doris W F; Lee, Jacky W Y; Tsang, Susanna; Yeung, Barry Y M; Yuen, Can Y F

    2016-11-01

    To evaluate the efficacy and safety of CO2 laser-assisted sclerectomy surgery (CLASS) in Chinese patients with advanced glaucoma.Patients with advanced glaucoma who were candidates for glaucoma filtration surgery were included. The intraocular pressure (IOP) and number of antiglaucoma medications were documented before surgery and at all postoperative clinic visits. All intra- and postoperative complications were documented. The primary outcome measures were the changes in IOP and medication use before and after the procedure as well as complications from the procedure. The secondary outcome measure included the CLASS success rate.Twenty patients (23 eyes) underwent CLASS between November 2014 and September 2015. Nineteen eyes had primary open-angle glaucoma, 2 eyes had primary angle-closure glaucoma, and 2 eyes had uveitic glaucoma. One patient was lost to follow-up. The mean age of subjects was 68.1 ± 11.9 years. IOP was significantly reduced at 1 day and 1 week after CLASS. At 6 months, the IOP and number of medications were significantly reduced by 19.0% and 38.2%, respectively (both P < 0.0001). One patient had intraoperative trabeculo-Descemet membrane perforation. Two patients required laser goniopuncture and 2 required needling between 3 and 6 months postoperatively. The overall success rate was 81.8% at 6 months.CLASS achieved a modest IOP reduction in the early postoperative period and was overall a safe procedure for advanced glaucoma.

  19. Incidence of secondary glaucoma in behcet disease.

    PubMed

    Elgin, Ufuk; Berker, Nilufer; Batman, Aygen

    2004-12-01

    To determine the incidence of secondary glaucoma in Behcet disease. A total of 230 eyes of 129 patients with Behcet disease, were examined in uveitis and glaucoma clinics of Ankara Social Security Eye Hospital between January 1997 and September 2002. The data from all patients were investigated both retrospectively and prospectively. The mean age of 129 patients was 34.2 +/- 7.4 years (range, 18 to 55 years). In 22 patients (17%), the disease was diagnosed on the basis of the ocular findings, while in the remaining 107 patients (83%), the period between the diagnosis of Behcet disease and the onset of the ocular symptoms was 23.3 +/- 17 months (range, 1 month to 5.3 years); 122 eyes (53%) had the episodes of acute recurrent iridocyclitis, while 108 eyes (47%) developed chronic posterior uveitis, including vitreitis, retinitis, vasculitis, or optic nerve involvement. Secondary glaucoma was diagnosed in 25 eyes (10.9%); 11 eyes (44%) with steroid or inflammation induced open angle glaucoma, 6 eyes (24%) with partial angle-closure glaucoma and peripheral anterior synechiae, 5 eyes (20%) with angle closure glaucoma, peripheral anterior synechiae, and pupil block and 3 eyes (12%) with neovascular glaucoma. The treatments included YAG-laser iridotomy in 5 eyes, diode-laser cyclodestruction in 3 eyes, primary trabeculectomies with mitomycin-c in 4 eyes, secondary trabeculectomies with mitomycin-c in 2 eyes, Ahmed valve implantations in 2 eyes, and cyclocryotherapy in 3 eyes. We suggest that secondary glaucoma is a common and serious complication of Behcet disease. It develops as a result of multiple factors, generally triggered by recurrent intraocular inflammation. Early recognition and treatment of these factors have vital importance to avoid the visual morbidity.

  20. Gonioscopic ab interno laser sclerostomy. A pilot study in glaucoma patients.

    PubMed

    Latina, M A; Melamed, S; March, W F; Kass, M A; Kolker, A E

    1992-11-01

    The purpose of this study is to evaluate the safety and efficacy of gonioscopic ab interno laser sclerostomy (GLS) in patients with glaucoma. The technique of GLS involves iontophoresis of methylene blue dye (1%) at the limbus to focally dye the sclera and to provide subsequent delivery of 10-microsecond pulsed laser energy to the dyed area through a goniolens. The laser emits at 660 nm, a wavelength that is maximally absorbed by the methylene blue dye. Patients were evaluated for fistula formation, intraocular pressure (IOP) reduction, and adverse sequelae. Thirty-eight treatments were performed in 35 eyes. Successful complete sclerostomies were achieved in 21 eyes (55%), which was associated with an acute mean reduction in IOP of 23 mmHg. Mean preoperative IOP for all patients was 35 mmHg, and 1 hour after treatment it was reduced to 18.5 mmHg. In 4 of the 38 treatments, there was no acute IOP reduction, and these eyes were judged as failures. The mean follow-up time was 8.2 months with a maximum follow-up of 15 months. By 9 months, 50% of patients had an IOP of 22 mmHg or lower. The number of antiglaucoma medications decreased from 3.1 to 1.7 for all eyes over the 15-month follow-up period. Hyphemas (13%) were the only major complication, and these resolved spontaneously. In only one case did the IOP increase after the procedure. The results of this trial indicate that GLS is technically feasible, and preliminary results of IOP control are promising.

  1. Corneal changes after a single session of selective laser trabeculoplasty for open-angle glaucoma

    PubMed Central

    Lee, J W Y; Chan, J C H; Chang, R T; Singh, K; Liu, C C L; Gangwani, R; Wong, M O M; Lai, J S M

    2014-01-01

    Purpose To investigate the changes in endothelial cell count, central corneal thickness (CCT), and refractive error after a session of selective laser trabeculoplasty (SLT) for open angle glaucoma (OAG). Methods This prospective cohort study recruited 111 eyes of 66 consecutive subjects with OAG. Subjects received SLT to 360° of the trabecular meshwork. Endothelial cell count, CCT, and spherical equivalent were measured at baseline before SLT as well as at 1 week and 1 month post SLT. A repeated measure nested ANOVA with Tukey's multiple comparison test was performed to compare the outcome measures before and after SLT. Results In 111 eyes of 66 subjects, the mean number of laser applications per treatment was 166.9±41.4 with a mean energy level of 1.0±0.07 mJ. The mean endothelial cell count decreased significantly from 2465.0±334.0 cells/mm2 at baseline to 2355.0±387.0 cells/mm2 at 1 week (P=0.0004) but increased to baseline levels at 1 month post SLT (2424.0±379.4 cells/mm2, P=0.3). The CCT, which decreased from a baseline of 549.4±37.6 to 543.9±40.2 μm at 1 week post SLT (P=0.02), also returned to the baseline level by 1 month (P=0.2). The spherical equivalent was static from baseline. A positive correlation was found between total laser energy and CCT at 1 month post treatment (r=0.3, P=0.005). Conclusion The transient reductions in endothelial cell count and CCT following SLT returned to baseline levels 1 month after the procedure. Patients undergoing SLT should be aware of the risk of potential corneal changes. PMID:24136571

  2. Peripapillary retinal nerve fiber layer assessment of spectral domain optical coherence tomography and scanning laser polarimetry to diagnose preperimetric glaucoma.

    PubMed

    Rao, Harsha L; Yadav, Ravi K; Addepalli, Uday K; Chaudhary, Shashikant; Senthil, Sirisha; Choudhari, Nikhil S; Garudadri, Chandra S

    2014-01-01

    To compare the abilities of peripapillary retinal nerve fiber layer (RNFL) parameters of spectral domain optical coherence tomograph (SDOCT) and scanning laser polarimeter (GDx enhanced corneal compensation; ECC) in detecting preperimetric glaucoma. In a cross-sectional study, 35 preperimetric glaucoma eyes (32 subjects) and 94 control eyes (74 subjects) underwent digital optic disc photography and RNFL imaging with SDOCT and GDx ECC. Ability of RNFL parameters of SDOCT and GDx ECC to discriminate preperimetric glaucoma eyes from control eyes was compared using area under receiver operating characteristic curves (AUC), sensitivities at fixed specificities and likelihood ratios (LR). AUC of the global average RNFL thickness of SDOCT (0.786) was significantly greater (p<0.001) than that of GDx ECC (0.627). Sensitivities at 95% specificity of the corresponding parameters were 20% and 8.6% respectively. AUCs of the inferior, superior and temporal quadrant RNFL thickness parameters of SDOCT were also significantly (p<0.05) greater than the respective RNFL parameters of GDx ECC. LRs of outside normal limits category of SDOCT parameters ranged between 3.3 and 4.0 while the same of GDx ECC parameters ranged between 1.2 and 2.1. LRs of within normal limits category of SDOCT parameters ranged between 0.4 and 0.7 while the same of GDx ECC parameters ranged between 0.7 and 1.0. Abilities of the RNFL parameters of SDOCT and GDx ECC to diagnose preperimetric glaucoma were only moderate. Diagnostic abilities of the RNFL parameters of SDOCT were significantly better than that of GDx ECC in preperimetric glaucoma.

  3. [Structural and immunohistochemical changes of conjunctiva induced by topical glaucoma medication].

    PubMed

    Nenciu, A; Stefan, C; Ardelean, Carmen

    2004-01-01

    The topical medication represents the first line therapy for the primary open angle glaucoma. The study is aimed at assessing the structural and immunohistochemical changes of conjunctiva induced by topical glaucoma medication. For this purpose, we carried out a 40 weeks, prospective, experimental, epidemiological-operational and randomized study enrolling 18 patients (36 eyes) with recently primary open angle glaucoma. The eyes were divided into treatment (non-selective beta blockers or selective, prostaglandin analogues, topical carbonic anhydrase inhibitors) in four groups. The assessment was performed by comparison with control group (4 patients) who was instilled with natural tears (with different preservative). Both the cytology and the conjunctival biopsy specimens were investigated by histological exams and immunohistochemistry using different monoclonal antibodies. The study was performed by collaboration with The National Institute of Research and Development in Pathology and Biomedical Sciences-"V. Babes"-Bucharest. The morphometric analysis of histological sections of conjunctiva showed the following changes: squamous metaplasia (significant increases in the thickness and number of epithelial cell layers), inflammation (increase the number of lymphocytes, macrophages and fibroblasts) and subconjunctival fibrosis. According to the type of medication, we observed the significant increase of subepithelial collagen density and degenerative changes of fibrocytes, the reduction of extracellular matrix and also the up-regulation of antibodies against matrix metalloproteinase and allergic changes. According to structural changes, the immunohistochemistry confirmed the tendency of chronic inflammation. This study revealed important structural and immunohistochemical changes of conjunctiva after topical glaucoma medication. The category and the intensity of these changes are dependent on the sort of therapy and the topical treatment period. The findings showed

  4. Scanning laser polarimetry using variable corneal compensation in the detection of glaucoma with localized visual field defects.

    PubMed

    Kook, Michael S; Cho, Hyun-soo; Seong, Mincheol; Choi, Jaewan

    2005-11-01

    To evaluate the ability of scanning laser polarimetry parameters and a novel deviation map algorithm to discriminate between healthy and early glaucomatous eyes with localized visual field (VF) defects confined to one hemifield. Prospective case-control study. Seventy glaucomatous eyes with localized VF defects and 66 normal controls. A Humphrey field analyzer 24-2 full-threshold test and scanning laser polarimetry with variable corneal compensation were used. We assessed the sensitivity and specificity of scanning laser polarimetry parameters, sensitivity and cutoff values for scanning laser polarimetry deviation map algorithms at different specificity values (80%, 90%, and 95%) in the detection of glaucoma, and correlations between the algorithms of scanning laser polarimetry and of the pattern deviation derived from Humphrey field analyzer testing. There were significant differences between the glaucoma group and normal subjects in the mean parametric values of the temporal, superior, nasal, inferior, temporal (TSNIT) average, superior average, inferior average, and TSNIT standard deviation (SD) (P<0.05). The sensitivity and specificity of each scanning laser polarimetry variable was as follows: TSNIT, 44.3% (95% confidence interval [CI], 39.8%-49.8%) and 100% (95.4%-100%); superior average, 30% (25.5%-34.5%) and 97% (93.5%-100%); inferior average, 45.7% (42.2%-49.2%) and 100% (95.8%-100%); and TSNIT SD, 30% (25.9%-34.1%) and 97% (93.2%-100%), respectively (when abnormal was defined as P<0.05). Based on nerve fiber indicator cutoff values of > or =30 and > or =51 to indicate glaucoma, sensitivities were 54.3% (50.1%-58.5%) and 10% (6.4%-13.6%), and specificities were 97% (93.2%-100%) and 100% (95.8%-100%), respectively. The range of areas under the receiver operating characteristic curves using the scanning laser polarimetry deviation map algorithm was 0.790 to 0.879. Overall sensitivities combining each probability scale and severity score at 80%, 90%, and 95

  5. Atypical birefringence pattern and the diagnostic ability of scanning laser polarimetry with enhanced corneal compensation in glaucoma.

    PubMed

    Rao, Harsha L; Yadav, Ravi K; Begum, Viquar U; Addepalli, Uday K; Senthil, Sirisha; Choudhari, Nikhil S; Garudadri, Chandra S

    2015-03-01

    To evaluate the effect of typical scan score (TSS), when within the acceptable limits, on the diagnostic performance of retinal nerve fibre layer (RNFL) parameters with the enhanced corneal compensation (ECC) protocol of scanning laser polarimetry (SLP) in glaucoma. In a cross-sectional study, 203 eyes of 160 glaucoma patients and 140 eyes of 104 control subjects underwent RNFL imaging with the ECC protocol of SLP. TSS was used to quantify atypical birefringence pattern (ABP) images. Influence of TSS on the diagnostic ability of SLP parameters was evaluated by receiver operating characteristic (ROC) regression models after adjusting for the effect of disease severity [based on mean deviation (MD)] on standard automated perimetry). Diagnostic abilities of all RNFL parameters of SLP increased when the TSS values were higher. This effect was statistically significant for TSNIT (coefficient: 0.08, p<0.001) and inferior average parameters (coefficient: 0.06, p=0.002) but not for nerve fibre indicator (NFI, coefficient: 0.03, p=0.21). In early glaucoma (MD of -5 dB), predicted area under ROC curve (AUC) for TSNIT average parameter improved from 0.642 at a TSS of 90 to 0.845 at a TSS of 100. In advanced glaucoma (MD of -15 dB), AUC for TSNIT average improved from 0.832 at a TSS of 90 to 0.947 at 100. Diagnostic performances of TSNIT and inferior average RNFL parameters with ECC protocol of SLP were significantly influenced by TSS even when the TSS values were within the acceptable limits. Diagnostic ability of NFI was unaffected by TSS values. © 2014 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  6. Selective Laser Trabeculoplasty versus Argon Laser Trabeculoplasty in Patients with Open-Angle Glaucoma: A Systematic Review and Meta-Analysis

    PubMed Central

    Wang, Wei; He, Miao; Zhou, Minwen; Zhang, Xiulan

    2013-01-01

    Objective To examine possible differences in clinical outcomes between selective laser trabeculoplasty (SLT) and argon laser trabeculoplasty (ALT) in open-angle glaucoma at different times post-treatment. Methods Randomized controlled trials (RCTs) comparing SLT versus ALT were searched through August 2013. The main outcome measure was IOP, and secondary outcomes included the number of glaucoma medications, the success rate, and adverse events. Results Six RCTs, involving 482 eyes treated with laser trabeculoplasty, were included in the meta-analysis. For all patients (including first and previous laser trabeculoplasy), no significant difference in IOP lowering was observed between SLT and ALT at one hour (P = 0.40), one week (P = 0.72), one month (P = 0.37), six months (P = 0.08), one year (P = 0.34), two years (P = 0.58), three years (P = 0.34), four years (P = 0.47), and five years (P = 0.50). A statistically significant difference in favor of SLT was found when comparing the IOP reduction at three months after intervention (weighted mean difference (WMD): 1.19 mmHg [0.41; 1.97]; I2=0%; P = 0.003). For patients who were naive to laser, there was no significant difference of reduction in IOP comparing SLT with ALT at any time point. In patients’ previous LT, no statistically significant difference in IOP reduction was found at six months (WMD: 1.92 mmHg [-0.91; 4.74]; I2 = 77.3%; P = 0.18). There was no significant difference in the reduction in the number of glaucoma medications, the success rate, or adverse event rates between the two treatments. Conclusions SLT has equivalent efficacy to ALT with a similar constellation of side effects. In the case of retreatment, SLT appears to be similar to ALT in IOP lowering at six months. PMID:24367649

  7. Severe vernal keratoconjunctivitis requiring trabeculectomy with mitomycin C for corticosteroid-induced glaucoma.

    PubMed

    Ang, Marcus; Ho, Ching-Lin; Tan, Donald; Chan, Cordelia

    2012-01-01

    To describe clinical features of severe vernal keratoconjunctivitis with steroid response in Asian children and risk factors for glaucoma filtration surgery. Retrospective non-controlled, comparative case series. Patients with severe vernal keratoconjunctivitis seen at a single centre over 6 years. Clinical features, symptoms and treatment modalities were recorded for patients (i) diagnosed with severe VKC (clinical grade ≥ 3); (ii) had >2 recordings of increased intraocular pressures of >21 mmHg; (iii) and a minimum follow-up period of 1 year post-presentation. Corticosteroid-induced glaucoma requiring trabeculectomy with mitomycin-C. Six patients (eight eyes) of 36 patients required trabeculectomy/mitomycin-C. All were male. Mean age of disease onset was 9.3 ± 4.5 years for a mean duration of 6.08 ± 3.5 years. Mean intraocular pressures increase from baseline was 29.0 ± 8.2 mmHg and all required >2 anti-glaucoma medications. The main risk factor for trabeculectomy was a greater increase in intraocular pressures from baseline (odds ratio 1.3; 95% confidence interval, 1.0-1.5; P = 0.011), which was independent of potential confounders such as type and duration of corticosteroid use. Comparing eyes pre- and post-trabeculectomy, all improved in clinical severity of vernal keratoconjunctivitis (mean clinical grade improvement 2.1; 95% confidence interval, 1.3-3.0; P < 0.001) and reduced dependence on topical corticosteroids for mean duration of 22.5 ± 15.3 months. In our study, patients with a 'greater steroid response', that is, higher increase in intraocular pressures from baseline are associated with a 30% higher risk toftrabeculectomy. © 2011 The Authors. Clinical and Experimental Ophthalmology © 2011 Royal Australian and New Zealand College of Ophthalmologists.

  8. Laser Induced Thermal Keratoplasty

    NASA Astrophysics Data System (ADS)

    Householder, John; Horwitz, Larry S.; Lowe, Kenneth W.; Murrillo, Adolfo

    1989-09-01

    A technique of corneal surgery that is thermally induced and relatively nonenvasive has been studied by the authors, and the preliminary results of the thermal keratoplasty performed on live rabbits are reported here. A carbon dioxide laser was used with simple optical and pointing systems to thermally induce several arbitrary patterns of corneal reformation. Endothelial photographs were taken before the procedure and then again ten days after. They indicated no damage in the Descemet's membrane nor was there damage observed to the endothelium. As much, as 14 "diopters" of change occurred in the corneal keratometry with both positive and negative directions signs. The magnitude and direction of the change were recorded as functions of the pattern of the therapy produced and the laser energy deposited in the stroma. Any corneal reformation was tracked as a function of time subsequent to the procedure. A-minor decay was observed within the first three days of the procedure and the majority of the reformations have maintained at the time of this writing. Since radiation at this wavelength is highly attenuated and absorbed in cornea, no change was observed beyond mid-stroma and the lens and retina appeared uneffective. The authors believe that this technology will be a significant contributor to corneal refractive procedures in the near future. Unlike any refractive surgery currently practiced, this technology may lead to a procedure that: 1) is reversible, 2) is re.eatable, 3) stren thens rather then weakens the cornea, 4) is a..arentl more stable, 5) is more flexible in the types of corneal curvature changes it can produce, 6) results in very clean mires, 7) is painless, and 8) results in total corneal clarity.

  9. Pigment dispersion glaucoma induced by the chafing effect of intraocular lens haptics in Asian eyes.

    PubMed

    Hong, Ying; Sun, Yan-Xiu; Qi, Hong; Zhou, Ji-Chao; Hao, Yan-Sheng

    2013-03-01

    To study the possible mechanism and treatment for pigment dispersion glaucoma (PDG) caused by single-piece acrylic (SPA) intraocular lens (IOL) ciliary sulcus fixation in Asian eyes. Patients referred for PDG caused by SPA IOL ciliary sulcus fixation to our hospital from April 2005 to June 2011 were included. The patients' general information, IOL type, interval between initial surgery and PDG occurrence, examination findings, antiglaucoma medicine regimen and surgical interventions were recorded. In total, six eyes from five Chinese patients were included in this study. The intraocular pressure (IOP) increased 19-30 days after cataract surgery and was not satisfactorily controlled with antiglaucoma medication. Dense pigmentation was deposited on the IOLs and on the anterior chamber angle. IOL haptic chafing was noted on the rear iris surface. IOL repositioning in the capsular bag was performed in three eyes and was combined with trabeculectomy in two eyes with progressive glaucoma. An IOL exchange with three-piece IOL ciliary sulcus fixation was performed in the other three eyes. Scanning electron microscopy of the explanted IOLs demonstrated a rough edge on the IOL haptics. SPA IOLs were not suitable for ciliary sulcus fixation. The chafing effect of the IOL haptics on the posterior iris pigment epithelium could induce PDG in Asian eyes. IOLs should be positioned in the capsular bag or a three-piece IOL should be used instead.

  10. Selective laser trabeculoplasty compared with medical treatment for the initial management of open angle glaucoma or ocular hypertension.

    PubMed

    Pérez, Efraín; Rada, Gabriel; Maul, Eugenio

    2015-12-16

    Selective laser trabeculoplasty is a relatively new therapeutic alternative for the management of open angle glaucoma and ocular hypertension. On the other hand, medical treatment has robust data supporting its efficacy and has progressed in last decades with the introduction of prostaglandin analogues. To compare these two therapies, we searched Epistemonikos database, which is maintained by screening 30 databases, and identified four systematic reviews including four randomized and one non-randomized clinical trial. We combined the evidence using meta-analysis and generated a summary of findings table following the GRADE approach. We concluded that selective laser trabeculoplasty leads to a smaller absolute intraocular pressure reduction than medical treatment. However, it is not clear if there are differences in treatment success rate or need of additional antiglaucomatous interventions, because the quality of the evidence is low.

  11. The management of complicated glaucoma

    PubMed Central

    Clement, C I; Goldberg, Ivan

    2011-01-01

    Complicated glaucomas present considerable diagnostic and management challenges. Response to treatment can be unpredictable or reduced compared with other glaucomas. However, target intraocular pressure and preservation of vision may be achieved with selected medical, laser and surgical treatment. The evidence for such treatment is expanding and consequently affords clinicians a better understanding of established and novel techniques. Herein we review the mechanisms involved in the development of complicated glaucoma and the current evidence supporting its management. PMID:21150026

  12. Evaluation of Corneal Microstructure in Pseudoexfoliation Syndrome and Glaucoma: In Vivo Scanning Laser Confocal Microscopic Study.

    PubMed

    Yüksel, Nurşen; Emre, Esra; Pirhan, Dilara

    2016-01-01

    To quantitatively evaluate corneas of patients with pseudoexfoliation syndrome (PXS) and pseudoexfoliation glaucoma (PXG) using in vivo scanning laser confocal microscopy (IVCM). The study population comprised 30 patients with PXS, 30 patients with PXG, and 30 normal control subjects. IVCM of the cornea was performed on all participants using the Rostock Cornea Module of the Heidelberg Retinal Tomograph (HRT). Mean outcome measures included density of basal epithelial cells, endothelial cells, and anterior and posterior keratocytes; and tortuosity and density of subbasal plexus nerves. Mean densities of basal epithelial cells, endothelial cells, anterior and posterior keratocytes, and subbasal nerves differed significantly among the three groups. Subbasal nerve densities were significantly diminished in PXS and PXG patients (12.36 ± 2.89 and 6.8 ± 3.42 mm/mm(2), respectively) compared with that of control subjects (16.13 ± 3.42 mm/mm(2)) (p < 0.05). Mean densities of anterior and posterior stromal keratocytes were significantly lower in PXS and PXG patients compared with control subjects (p < 0.05). Endothelial cell densities were 3073.63 ± 654.49, 2592.60 ± 276.36, and 2110.20 ± 620.53 cells/mm(2) for control, PXS, and PXG groups, respectively (p < 0.05). The percentages of endothelial cell polymegathism and pleomorphism were higher in PXS and PXG patients compared with control subjects. Endothelial cell polymegathism and pleomorphism were more frequently associated with PXG. Results of this study demonstrate the existence of alterations in the (i) density of cells in the various layers of the cornea, (ii) cellular configuration of corneal endothelial cells, and (iii) density/diameter of the subbasal nerve plexus in patients with PXS, and that such alterations are common in patients with PXG. It would be beneficial to employ IVCM to assess the severity of pseudoexfoliation keratopathy (PXK).

  13. African Americans and Glaucoma

    MedlinePlus

    ... Latinos at Increased Glaucoma Risk Glaucoma Facts and Stats Glaucoma Risk Increases in Families: Spread the Word ... Anatomy Five Common Glaucoma Tests Glaucoma Facts and Stats Glossary Symptoms of Open-Angle Glaucoma Types of ...

  14. Nanotechnology Applications for Glaucoma.

    PubMed

    Cetinel, Sibel; Montemagno, Carlo

    2016-01-01

    Glaucoma is the second leading cause of blindness worldwide, and the antiglaucoma treatments currently available suffer from various complications. Nanotechnology-based treatments show a great deal of promise in overcoming these complications and form the basis for next-generation glaucoma treatment strategies, with the help of applications such as controlled release, targeted delivery, increased bioavailability, diffusion limitations, and biocompatibility. Significant progress has been made in nanomedicine in the efficiency of antiglaucoma medications, nanofabrication systems such as microelectromechanical systems that remove the limitations of nanodevices, and tissue regeneration vesicles for developing glaucoma treatments not based on intraocular pressure. With the use of these advanced technologies, the prevention of glaucoma-induced blindness will be possible in the near future. Herein, we reviewed the recent advances in nanotechnology-based treatment strategies for glaucoma.

  15. Glaucoma progression detection by retinal nerve fiber layer measurement using scanning laser polarimetry: event and trend analysis.

    PubMed

    Moon, Byung Gil; Sung, Kyung Rim; Cho, Jung Woo; Kang, Sung Yong; Yun, Sung-Cheol; Na, Jung Hwa; Lee, Youngrok; Kook, Michael S

    2012-06-01

    To evaluate the use of scanning laser polarimetry (SLP, GDx VCC) to measure the retinal nerve fiber layer (RNFL) thickness in order to evaluate the progression of glaucoma. Test-retest measurement variability was determined in 47 glaucomatous eyes. One eye each from 152 glaucomatous patients with at least 4 years of follow-up was enrolled. Visual field (VF) loss progression was determined by both event analysis (EA, Humphrey guided progression analysis) and trend analysis (TA, linear regression analysis of the visual field index). SLP progression was defined as a reduction of RNFL exceeding the predetermined repeatability coefficient in three consecutive exams, as compared to the baseline measure (EA). The slope of RNFL thickness change over time was determined by linear regression analysis (TA). Twenty-two eyes (14.5%) progressed according to the VF EA, 16 (10.5%) by VF TA, 37 (24.3%) by SLP EA and 19 (12.5%) by SLP TA. Agreement between VF and SLP progression was poor in both EA and TA (VF EA vs. SLP EA, k = 0.110; VF TA vs. SLP TA, k = 0.129). The mean (±standard deviation) progression rate of RNFL thickness as measured by SLP TA did not significantly differ between VF EA progressors and non-progressors (-0.224 ± 0.148 µm/yr vs. -0.218 ± 0.151 µm/yr, p = 0.874). SLP TA and EA showed similar levels of sensitivity when VF progression was considered as the reference standard. RNFL thickness as measurement by SLP was shown to be capable of detecting glaucoma progression. Both EA and TA of SLP showed poor agreement with VF outcomes in detecting glaucoma progression.

  16. Glaucoma Progression Detection by Retinal Nerve Fiber Layer Measurement Using Scanning Laser Polarimetry: Event and Trend Analysis

    PubMed Central

    Moon, Byung Gil; Cho, Jung Woo; Kang, Sung Yong; Yun, Sung-Cheol; Na, Jung Hwa; Lee, Youngrok; Kook, Michael S.

    2012-01-01

    Purpose To evaluate the use of scanning laser polarimetry (SLP, GDx VCC) to measure the retinal nerve fiber layer (RNFL) thickness in order to evaluate the progression of glaucoma. Methods Test-retest measurement variability was determined in 47 glaucomatous eyes. One eye each from 152 glaucomatous patients with at least 4 years of follow-up was enrolled. Visual field (VF) loss progression was determined by both event analysis (EA, Humphrey guided progression analysis) and trend analysis (TA, linear regression analysis of the visual field index). SLP progression was defined as a reduction of RNFL exceeding the predetermined repeatability coefficient in three consecutive exams, as compared to the baseline measure (EA). The slope of RNFL thickness change over time was determined by linear regression analysis (TA). Results Twenty-two eyes (14.5%) progressed according to the VF EA, 16 (10.5%) by VF TA, 37 (24.3%) by SLP EA and 19 (12.5%) by SLP TA. Agreement between VF and SLP progression was poor in both EA and TA (VF EA vs. SLP EA, k = 0.110; VF TA vs. SLP TA, k = 0.129). The mean (±standard deviation) progression rate of RNFL thickness as measured by SLP TA did not significantly differ between VF EA progressors and non-progressors (-0.224 ± 0.148 µm/yr vs. -0.218 ± 0.151 µm/yr, p = 0.874). SLP TA and EA showed similar levels of sensitivity when VF progression was considered as the reference standard. Conclusions RNFL thickness as measurement by SLP was shown to be capable of detecting glaucoma progression. Both EA and TA of SLP showed poor agreement with VF outcomes in detecting glaucoma progression. PMID:22670073

  17. American Glaucoma Society position statement: glaucoma surgery by surgeons.

    PubMed

    Mattox, Cynthia; Tsai, James C

    2013-08-01

    The American Glaucoma Society seeks to ensure the highest quality care for patients with glaucoma. The surgical care of the glaucoma patient requires the skills and judgment of physicians who have graduated from the rigorous training and hands-on experience provided by a complete curriculum in allopathic or osteopathic medicine with subsequent subspecialty training in Ophthalmology. Surgery for glaucoma includes the use of laser, incisional surgery with and without devices, injections into or around the eye, and should be performed only by physicians who have been licensed and credentialed in allopathic (MD) or osteopathic (DO) medicine.

  18. [Administration of premedication with fexofenadine for paclitaxel-induced hypersensitive reactions in breast cancer patients complicated with closed-angle glaucoma].

    PubMed

    Komatsubara, Kazuo; Miyoshi, Kyoko; Kogure, Yuuki; Matsuhisa, Tetsuaki; Eguchi, Hisae

    2010-01-01

    Paclitaxel (PTX) is one of the most important breast cancer treatment drugs. However, severe hypersensitivity reactions such as decreases in blood pressure and impaired breathing occur with high frequency. For the prevention of such hypersensitivity reactions, administration of a premedication composed of three components, diphenhydramine, ranitidine (or famotidine), and dexamethasone, has been advised in package insert information of medicine. Administration of diphenhydramine is difficult in breast cancer patients complicated with closed-angle glaucoma, because diphenhydramine has a weak anticholinergic adverse effect which can induce mydriasis and glaucoma attack. We studied the prevention of severe hypersensitivity reactions and of glaucoma attack in 2 breast cancer patients complicated with closed angle glaucoma at our hospital from April 2007 to March 2008. We switched from diphenhydramine to fexofenadine as the medicine to prevent hypersensitivity reactions. Hypersensitivity reactions were not observed throughout all courses in both patients, and no glaucoma attack was observed.

  19. Detection of Progressive Retinal Nerve Fiber Layer Loss in Glaucoma Using Scanning Laser Polarimetry with Variable Corneal Compensation

    PubMed Central

    Medeiros, Felipe A.; Alencar, Luciana M.; Zangwill, Linda M.; Bowd, Christopher; Vizzeri, Gianmarco; Sample, Pamela A.; Weinreb, Robert N.

    2010-01-01

    Purpose To evaluate the ability of scanning laser polarimetry with variable corneal compensation to detect progressive retinal nerve fiber layer (RNFL) loss in glaucoma patients and patients suspected of having the disease. Methods This was an observational cohort study that included 335 eyes of 195 patients. Images were obtained annually with the GDx VCC scanning laser polarimeter, along with optic disc stereophotographs and standard automated perimetry (SAP) visual fields. The median follow-up time was 3.94 years. Progression was determined using commercial software for SAP and by masked assessment of optic disc stereophotographs performed by expert graders. Random coefficient models were used to evaluate the relationship between RNFL thickness measurements over time and progression as determined by SAP and/or stereophotographs. Results From the 335 eyes, 34 (10%) showed progression over time by stereophotographs and/or SAP. Average GDx VCC measurements decreased significantly over time for both progressors as well as non-progressors. However, the rate of decline was significantly higher in the progressing group (−0.70 μm/year) compared to the non-progressing group (−0.14 μm/year; P = 0.001). Black race and male sex were significantly associated with higher rates of RNFL loss during follow-up. Conclusions The GDx VCC scanning laser polarimeter was able to identify longitudinal RNFL loss in eyes that showed progression in optic disc stereophotographs and/or visual fields. These findings suggest that this technology could be useful to detect and monitor progressive disease in patients with established diagnosis of glaucoma or suspected of having the disease. PMID:19029038

  20. Comparative study of the retinal nerve fibre layer thickness performed with optical coherence tomography and GDx scanning laser polarimetry in patients with primary open-angle glaucoma.

    PubMed

    Wasyluk, Jaromir T; Jankowska-Lech, Irmina; Terelak-Borys, Barbara; Grabska-Liberek, Iwona

    2012-03-01

    We compared the parameters of retinal nerve fibre layer in patients with advanced glaucoma with the use of different OCT (Optical Coherence Tomograph) devices in relation to analogical measurements performed with GDx VCC (Nerve Fiber Analyzer with Variable Corneal Compensation) scanning laser polarimetry. Study subjects had advanced primary open-angle glaucoma, previously treated conservatively, diagnosed and confirmed by additional examinations (visual field, ophthalmoscopy of optic nerve, gonioscopy), A total of 10 patients were enrolled (9 women and 1 man), aged 18-70 years of age. Nineteen eyes with advanced glaucomatous neuropathy were examined. 1) Performing a threshold perimetry Octopus, G2 strategy and ophthalmoscopy of optic nerve to confirm the presence of advanced primary open-angle glaucoma; 2) performing a GDx VCC scanning laser polarimetry of retinal nerve fibre layer; 3) measuring the retinal nerve fibre layer thickness with 3 different optical coherence tomographs. The parameters of the retinal nerve fibre layer thickness are highly correlated between the GDx and OCT Stratus and 3D OCT-1000 devices in mean retinal nerve fibre layer thickness, retinal nerve fibre layer thickness in the upper sector, and correlation of NFI (GDx) with mean retinal nerve fibre layer thickness in OCT examinations. Absolute values of the retinal nerve fibre layer thickness (measured in µm) differ significantly between GDx and all OCT devices. Examination with OCT devices is a sensitive diagnostic method of glaucoma, with good correlation with the results of GDx scanning laser polarimetry of the patients.

  1. Excimer laser trabeculotomy vs 180 degrees selective laser trabeculoplasty in primary open-angle glaucoma. A 2-year randomized, controlled trial.

    PubMed

    Babighian, S; Caretti, L; Tavolato, M; Cian, R; Galan, A

    2010-04-01

    To compare the effectiveness and safety of excimer laser trabeculotomy (ELT) ab interno vs selective laser trabeculoplasty (SLT) over 24 months of follow-up in patients with primary open-angle glaucoma (POAG) refractory to medical therapy. This prospective, randomized study included 30 consecutive eyes assigned randomly to either ELT or SLT group. ELT was carried out using a XeCl Excimer Laser with an emission wavelength of 308 nm. Eight spots were equally distributed at a distance of 500 microm from one another over the anterior trabeculum. The SLT patients were treated with a frequency-doubled q-switched neodymium:yytrium-aluminum-garnet laser (wavelength 532 nm). Approximately 50 adjacent, but not overlapping, laser spots were distributed over 180 degrees of the trabecular meshwork, using an energy level ranging from 0.7 to 1.0 mJ per pulse. The main outcome measure was intraocular pressure (IOP) lowering after ELT and SLT. Success was defined as >or=20% reduction in IOP without further glaucoma intervention. At 24 months, complete success rates were 53.3% for the ELT group and 40% for the SLT group (P=0.35, Fisher's exact test); qualified success rates were 33.3% for the ELT and 26.6% for the SLT group (P=0.5, Fisher's exact test).Mean IOP decreased from 25.0+/-1.9 to 17.6+/-2.2 mmHg (-29.6%; P<0.0001) in the ELT group and from 23.9+/-0.9 to 19.1+/-1.8 mmHg (-21%; P<0.0001) in the SLT group. Both ELT and SLT proved to be effective techniques in the treatment of POAG refractory to medical therapy.

  2. Glaucoma (image)

    MedlinePlus

    Glaucoma is a condition of increased fluid pressure inside the eye. The increased pressure causes compression of ... nerve which can eventually lead to nerve damage. Glaucoma can cause partial vision loss, with blindness as ...

  3. Assessment of β-zone peripapillary atrophy by optical coherence tomography and scanning laser ophthalmoscopy imaging in glaucoma patients.

    PubMed

    Seidensticker, Florian; Reznicek, Lukas; Mann, Thomas; Hübert, Irene; Kampik, Anselm; Ulbig, Michael; Hirneiss, Christoph; Neubauer, Aljoscha S; Kernt, Marcus

    2014-01-01

    To assess β-zone peripapillary atrophy (β-PPA) using spectral domain optical coherence tomography (SD-OCT), scanning laser ophthalmoscopy (SLO), and fundus auto-fluorescence (FAF) imaging in patients with primary open-angle glaucoma with advanced glaucomatous visual field defects. A consecutive, prospective series of 82 study eyes with primary open-angle glaucoma were included in this study. All study participants underwent a full ophthalmic examination followed by SD-OCT, wide-field SLO, and FAF imaging of the optic nerve head and the peripapillary region. Eighty-four glaucomatous eyes were included in our prospective study. Correlation analyses for horizontally and vertically obtained β-PPA for all three imaging modalities (color SLO, FAF, and SD-OCT) revealed highest correlations between FAF and color SLO (Pearson correlation coefficient: 0.904 [P<0.001] for horizontal β-PPA and 0.786 [P<0.001] for vertical β-PPA). Bland-Altman plotting revealed highest agreements between color SLO and FAF, with -2.1 pixels ±1.96 standard deviation (SD) for horizontal β-PPA, SD: 10.5 pixels and 2.4 pixels ±1.96 SD for vertical β-PPA. β-PPA can be assessed using en-face SLO and cross-sectional SD-OCT imaging. Correlation analyses revealed highest correlations between color SLO and FAF imaging, while correlations between SLO and SD-OCT were weak. A more precise structural definition of β-PPA is needed.

  4. Role of hypoxia-inducible factor-1α in preconditioning-induced protection of retinal ganglion cells in glaucoma.

    PubMed

    Zhu, Yanli; Zhang, Lihong; Gidday, Jeffrey M

    2013-01-01

    We recently demonstrated in a mouse model of glaucoma that endogenous epigenetic mechanisms can be activated by a repetitive hypoxic preconditioning (RHP) stimulus to provide robust retinal ganglion cell (RGC) protection. Although we also provided evidence that RHP prevents or delays the apoptotic demise of the RGC soma, the mechanisms responsible for signaling this epigenetic response, as well as the effectors of the glaucoma-tolerant phenotype at the somatic and axonal levels, remain unidentified. In the present study, we used conditional mutant mice lacking hypoxia-inducible factor-1α (HIF-1α) in RGCs (HIF-1α RGC-knockout [KO] mice) to test the hypothesis that RHP-mediated activation of this transcription factor in these cells protects them from glaucomatous injury. Adult HIF-1α RGC-KO mice, generated by mating floxed HIF-1α mice with math5-Cre mice, were used. Experimental glaucoma was induced unilaterally in the HIF-1α RGC-KO mice and matched wild-types by elevating the intraocular pressure to 16-20 mmHg for 3 consecutive weeks, secondary to episcleral vein ligation. Mice of each genotype were randomized to either an RHP protocol (six total exposures to systemic hypoxia [11% oxygen], interspersed over a 2-week period, completed 3 days before ligation surgery) or to an untreated group. RGC soma and axon injury was quantified with Neuronal Nuclei (NeuN) immunohistochemistry in retinal flat mounts and SMI32 immunohistochemistry in cross sections of the post-laminar optic nerve, respectively. HIF-1α RGC-KO mice exhibited normal retinal function and morphology, and crosses of math5-Cre mice with floxed ROSA26 reporter mice confirmed Cre recombinase activity was confined to the RGC axons and soma. Untreated wild-type mice exhibited a 30±2% loss of RGC soma and a 31±3% loss of RGC axons after 3 weeks of intraocular hypertension (both p<0.05 versus fellow eye). The 90% and 81% improvement in soma and axon survival, respectively, observed in the wild

  5. Therapeutic Effects of Sodium Hyaluronate on Ocular Surface Damage Induced by Benzalkonium Chloride Preserved Anti-glaucoma Medications

    PubMed Central

    Liu, Xing; Yu, Fen-Fen; Zhong, Yi-Min; Guo, Xin-Xing; Mao, Zhen

    2015-01-01

    Background: Long-term use of benzalkonium chloride (BAC)-preserved drugs is often associated with ocular surface toxicity. Ocular surface symptoms had a substantial impact on the glaucoma patients’ quality of life and compliance. This study aimed to investigate the effects of sodium hyaluronate (SH) on ocular surface toxicity induced by BAC-preserved anti-glaucoma medications treatment. Methods: Fifty-eight patients (101 eyes), who received topical BAC-preserved anti-glaucoma medications treatment and met the severe dry eye criteria, were included in the analysis. All patients were maintained the original topical anti-glaucoma treatment. In the SH-treated group (56 eyes), unpreserved 0.3% SH eye drops were administered with 3 times daily for 90 days. In the control group (55 eyes), phosphate-buffered saline were administered with 3 times daily for 90 days. Ocular Surface Disease Index (OSDI) questionnaire, break-up time (BUT) test, corneal fluorescein staining, corneal and conjunctival rose Bengal staining, Schirmer test, and conjunctiva impression cytology were performed sequentially on days 0 and 91. Results: Compared with the control group, SH-treated group showed decrease in OSDI scores (Kruskal-Wallis test: H = 38.668, P < 0.001), fluorescein and rose Bengal scores (Wilcoxon signed-ranks test: z = −3.843, P < 0.001, and z = −3.508, P < 0.001, respectively), increase in tear film BUT (t-test: t = −10.994, P < 0.001) and aqueous tear production (t-test: t = −10.328, P < 0.001) on day 91. The goblet cell density was increased (t-test: t = −9.981, P < 0.001), and the morphology of the conjunctival epithelium were also improved after SH treatment. Conclusions: SH significantly improved both symptoms and signs of ocular surface damage in patients with BAC-preserved anti-glaucoma medications treatment. SH could be proposed as a new attempt to reduce ocular surface toxicity, and alleviate symptoms of ocular surface damage in BAC-preserved anti-glaucoma

  6. Laser Induced Breakdown Spectroscopy (LIBS)

    DTIC Science & Technology

    2010-03-31

    Gold Bond Powder Allopurinol (PIM 020F, French) Aluminum ophorite explosive. Methanol Aspirin Alphaprodine (PIM 878) Amatex. Aluminum Phosphide...can, directly or indirectly, change the electric charges of atoms or molecules . It is produced when radionuclides decay. LASER-INDUCED BREAKDOWN

  7. Comparative study of the retinal nerve fibre layer thickness performed with optical coherence tomography and GDx scanning laser polarimetry in patients with primary open-angle glaucoma

    PubMed Central

    Wasyluk, Jaromir T.; Jankowska-Lech, Irmina; Terelak-Borys, Barbara; Grabska-Liberek, Iwona

    2012-01-01

    Summary Background We compared the parameters of retinal nerve fibre layer in patients with advanced glaucoma with the use of different OCT (Optical Coherence Tomograph) devices in relation to analogical measurements performed with GDx VCC (Nerve Fiber Analyzer with Variable Corneal Compensation) scanning laser polarimetry. Material/Methods Study subjects had advanced primary open-angle glaucoma, previously treated conservatively, diagnosed and confirmed by additional examinations (visual field, ophthalmoscopy of optic nerve, gonioscopy), A total of 10 patients were enrolled (9 women and 1 man), aged 18–70 years of age. Nineteen eyes with advanced glaucomatous neuropathy were examined. 1) Performing a threshold perimetry Octopus, G2 strategy and ophthalmoscopy of optic nerve to confirm the presence of advanced primary open-angle glaucoma; 2) performing a GDx VCC scanning laser polarimetry of retinal nerve fibre layer; 3) measuring the retinal nerve fibre layer thickness with 3 different optical coherence tomographs. Results The parameters of the retinal nerve fibre layer thickness are highly correlated between the GDx and OCT Stratus and 3D OCT-1000 devices in mean retinal nerve fibre layer thickness, retinal nerve fibre layer thickness in the upper sector, and correlation of NFI (GDx) with mean retinal nerve fibre layer thickness in OCT examinations. Absolute values of the retinal nerve fibre layer thickness (measured in μm) differ significantly between GDx and all OCT devices. Conclusions Examination with OCT devices is a sensitive diagnostic method of glaucoma, with good correlation with the results of GDx scanning laser polarimetry of the patients. PMID:22367131

  8. Long-term Follow-up of a Case of Gold Shunt Surgery for Refractory Silicone Oil–induced Glaucoma

    PubMed Central

    Le, Ryan; Berger, Alan R.

    2016-01-01

    Purpose: To report the first case of gold shunt surgery for treatment of silicone oil–induced refractory glaucoma in a tertiary care academic center, with 5-year follow-up. Design: The study design is a case report. Participants: The participant was a patient who underwent gold shunt surgery. Methods: Institutional Research Ethics Board approval for the study was obtained. A diabetic patient was referred for refractory glaucoma with a history of proliferative diabetic retinal detachment, and surgery with silicone oil. She was uncontrolled on maximal medical therapy and following informed consent, gold shunt surgery was performed. Ocular outcomes and number of medications were reviewed over a 5-year period. Results: Following uncomplicated surgery, intraocular pressure was reduced from 41 to 14 mm Hg, and the number of medications was reduced from 4 to 1. Glaucomatous optic neuropathy remained stable. Conclusions: Gold shunt surgery in this challenging case of silicone oil refractory glaucoma provided long-term intraocular pressure control and reduced need for medication over a 5-year period. PMID:27253968

  9. Steroid-induced ocular hypertension/glaucoma: Focus on pharmacogenomics and implications for precision medicine.

    PubMed

    Fini, M Elizabeth; Schwartz, Stephen G; Gao, Xiaoyi; Jeong, Shinwu; Patel, Nitin; Itakura, Tatsuo; Price, Marianne O; Price, Francis W; Varma, Rohit; Stamer, W Daniel

    2017-01-01

    Elevation of intraocular pressure (IOP) due to therapeutic use of glucocorticoids is called steroid-induced ocular hypertension (SIOH); this can lead to steroid-induced glaucoma (SIG). Glucocorticoids initiate signaling cascades ultimately affecting expression of hundreds of genes; this provides the potential for a highly personalized pharmacological response. Studies attempting to define genetic risk factors were undertaken early in the history of glucocorticoid use, however scientific tools available at that time were limited and progress stalled. In contrast, significant advances were made over the ensuing years in defining disease pathophysiology. As the genomics age emerged, it appeared the time was right to renew investigation into genetics. Pharmacogenomics is an unbiased discovery approach, not requiring an underlying hypothesis, and provides a way to pinpoint clinically significant genes and pathways that could not have been discovered any other way. Results of the first genome-wide association study to identify polymorphisms associated with SIOH, and follow-up on two novel genes linked to the disorder, GPR158 and HCG22, is discussed in the second half of the article. However, knowledge of genetic variants determining response to steroids in the eye also has value in its own right as a predictive and diagnostic tool. This article concludes with a discussion of how the Precision Medicine Initiative(®), announced by U.S. President Obama in his 2015 State of the Union address, is beginning to touch the practice of ophthalmology. It is argued that SIOH/SIG may provide one of the next opportunities for effective application of precision medicine. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. Laser-induced magnetization curve

    NASA Astrophysics Data System (ADS)

    Takayoshi, Shintaro; Sato, Masahiro; Oka, Takashi

    2014-12-01

    We propose an all optical ultrafast method to highly magnetize general quantum magnets using a circularly polarized terahertz laser. The key idea is to utilize a circularly polarized laser and its chirping. Through this method, one can obtain magnetization curves of a broad class of quantum magnets as a function of time even without any static magnetic field. We numerically demonstrate the laser-induced magnetization process in realistic quantum spin models and find a condition for the realization. The onset of magnetization can be described by a many-body version of Landau-Zener mechanism. In a particular model, we show that a plateau state with topological properties can be realized dynamically.

  11. Cost Effectiveness of Medications Compared with Laser Trabeculoplasty in Patients with Newly-Diagnosed Open-Angle Glaucoma

    PubMed Central

    Stein, Joshua D.; Kim, David D.; Peck, Will W.; Giannetti, Steven M.; Hutton, David W.

    2012-01-01

    Objective To determine the most cost-effective treatment option for patients with newly-diagnosed mild open-angle glaucoma (OAG): observation only, treatment with generic topical prostaglandin analogs (PGAs) or treatment with laser trabeculoplasty (LTP) Methods Using a Markov model with a 25 year time horizon, we compared the incremental cost effectiveness of treating newly-diagnosed mild OAG with PGAs, LTP, or observation only. Results The incremental cost effectiveness of LTP over no treatment is $16824/ quality-adjusted life year (QALY). By comparison, the incremental cost effectiveness of PGAs over no treatment is $14179/QALY and it provides greater health-related quality of life relative to LTP. If PGAs are 25% less effective due to poor patient adherence, LTP can confer greater value. Conclusion PGAs and LTP are both cost-effective options for the management of newly-diagnosed mild OAG. Assuming optimal medication adherence, PGAs confer greater value compared with LTP. However, when assuming more realistic levels of medication adherence (making them 25% less effective than the documented effectiveness reported in clinical trials), at today's prices for PGAs, LTP may be a more cost effective alternative. PMID:22332202

  12. Selective Laser Trabeculoplasty for Glaucoma Secondary to Emulsified Silicone Oil after Pars Plana Vitrectomy: A Pilot Study

    PubMed Central

    Alkin, Zeynep; Satana, Banu; Ozkaya, Abdullah; Basarir, Berna; Altan, Cigdem; Yazici, Ahmet Taylan; Demirok, Ahmet

    2014-01-01

    Background. To investigate the efficacy of selective laser trabeculoplasty (SLT) for lowering intraocular pressure (IOP) in patients with open angle glaucoma (OAG) secondary to emulsified silicone oil (SO). Methodology/Principal Findings. Prospective, interventional, consecutive case series of 11 eyes with sustained elevation of IOP after SO removal. The mean IOP at baseline, week 1, month 1, month 3, and month 6 was evaluated. The mean baseline IOP was significantly decreased from 25 ± 2.7 mmHg to 18.4 ± 5.5 mmHg at week 1 (P = 0.01), 17.9 ± 3.1 mmHg at month 1 (P = 0.008), 15.8 ± 3.9 mmHg at month 3 (P = 0.003), and 16.2 ± 4.7 mmHg at month 6 (P = 0.004). IOP < 21 mmHg was achieved in 91% of the eyes without a significant complication at month 6. Conclusion/Significance. SLT may be successful for lowering IOP in patients with OAG secondary to emulsified SO which was not controlled with maximum antiglaucomatous medical treatment. PMID:24822212

  13. IOP induces upregulation of GFAP and MHC-II and microglia reactivity in mice retina contralateral to experimental glaucoma

    PubMed Central

    2012-01-01

    Background Ocular hypertension is a major risk factor for glaucoma, a neurodegenerative disease characterized by an irreversible decrease in ganglion cells and their axons. Macroglial and microglial cells appear to play an important role in the pathogenic mechanisms of the disease. Here, we study the effects of laser-induced ocular hypertension (OHT) in the macroglia, microglia and retinal ganglion cells (RGCs) of eyes with OHT (OHT-eyes) and contralateral eyes two weeks after lasering. Methods Two groups of adult Swiss mice were used: age-matched control (naïve, n = 9); and lasered (n = 9). In the lasered animals, both OHT-eyes and contralateral eyes were analyzed. Retinal whole-mounts were immunostained with antibodies against glial fibrillary acid protein (GFAP), neurofilament of 200kD (NF-200), ionized calcium binding adaptor molecule (Iba-1) and major histocompatibility complex class II molecule (MHC-II). The GFAP-labeled retinal area (GFAP-RA), the intensity of GFAP immunoreaction (GFAP-IR), and the number of astrocytes and NF-200 + RGCs were quantified. Results In comparison with naïve: i) astrocytes were more robust in contralateral eyes. In OHT-eyes, the astrocyte population was not homogeneous, given that astrocytes displaying only primary processes coexisted with astrocytes in which primary and secondary processes could be recognized, the former having less intense GFAP-IR (P < 0.001); ii) GFAP-RA was increased in contralateral (P <0.05) and decreased in OHT-eyes (P <0.001); iii) the mean intensity of GFAP-IR was higher in OHT-eyes (P < 0.01), and the percentage of the retinal area occupied by GFAP+ cells with higher intensity levels was increased in contralateral (P = 0.05) and in OHT-eyes (P < 0.01); iv) both in contralateral and in OHT-eyes, GFAP was upregulated in Müller cells and microglia was activated; v) MHC-II was upregulated on macroglia and microglia. In microglia, it was similarly expressed in contralateral

  14. Managing advanced unilateral pseudoexfoliative glaucoma.

    PubMed

    Marques, André

    2014-05-21

    The only proven therapy for glaucoma is intraocular pressure (IOP) reduction, which can be accomplished by different means. Each should be properly discussed with patients in order to best preserve visual function and quality of life. We report a case of unilateral pseudoexfoliative glaucoma, treated for years with triple topical IOP-lowering drugs. The patient presented with advanced optic neuropathy and important ocular side effects secondary to the treatment. Having discussed his options and prognosis, laser trabeculoplasty was performed while maintaining the remaining therapy considering the advanced stage of glaucoma. His IOP was effectively reduced and no progression was noted after 1-year follow-up. Although medical therapy is the mainstream in glaucoma management, its side effects should not be ignored, especially in unilateral cases. Surgery might have been a better solution, but we chose to perform laser trabeculoplasty, an effective and safer alternative, considering the unlikely but serious risk of the "wipe-out phenomenon" in this case.

  15. Statistical analysis plan for the Laser-1st versus Drops-1st for Glaucoma and Ocular Hypertension Trial (LiGHT): a multi-centre randomised controlled trial.

    PubMed

    Vickerstaff, Victoria; Ambler, Gareth; Bunce, Catey; Xing, Wen; Gazzard, Gus

    2015-11-11

    The LiGHT trial (Laser-1st versus Drops-1st for Glaucoma and Ocular Hypertension Trial) is a multicentre randomised controlled trial of two treatment pathways for patients who are newly diagnosed with open-angle glaucoma (OAG) and ocular hypertension (OHT). The main hypothesis for the trial is that lowering intraocular pressure (IOP) with selective laser trabeculoplasty (SLT) as the primary treatment ('Laser-1st') leads to a better health-related quality of life than for those started on IOP-lowering drops as their primary treatment ('Medicine-1st') and that this is associated with reduced costs and improved tolerability of treatment. This paper describes the statistical analysis plan for the study. The LiGHT trial is an unmasked, multi-centre randomised controlled trial. A total of 718 patients (359 per arm) are being randomised to two groups: medicine-first or laser-first treatment. Outcomes are recorded at baseline and at 6-month intervals up to 36 months. The primary outcome measure is health-related quality of life (HRQL) at 36 months measured using the EQ-5D-5L. The main secondary outcome is the Glaucoma Utility Index. We plan to analyse the patient outcome data according to the group to which the patient was originally assigned. Methods of statistical analysis are described, including the handling of missing data, the covariates used in the adjusted analyses and the planned sensitivity analyses. The trial was registered with the ISRCTN register on 23/07/2012, number ISRCTN32038223 .

  16. Screening for Glaucoma

    MedlinePlus

    ... vision. Glaucoma can lead to vision problems and blindness. Facts About Glaucoma Glaucoma is a serious disease ... rise in eye pressure. Glaucoma can lead to blindness, but we don’t know which people with ...

  17. Feline Glaucoma.

    PubMed

    McLellan, Gillian J; Teixeira, Leandro B C

    2015-11-01

    Feline glaucoma is often insidious in onset and slowly progressive with very subtle clinical signs. As a consequence, it is likely that the disease in cats is underdiagnosed. As cats typically present late in the course of disease, prognosis for long-term maintenance of vision is poor. Patient and owner compliance with frequent application of topical medications can be a limiting factor, and represents a serious clinical challenge. This review outlines the clinical features, classification, and pathophysiology of the feline glaucomas and provides current evidence on which to base the selection of appropriate treatment strategies for cats with glaucoma.

  18. Aggravation of glaucoma with fluvoxamine.

    PubMed

    Jiménez-Jiménez, F J; Ortí-Pareja, M; Zurdo, J M

    2001-12-01

    To report a case of aggravation of glaucoma associated with the use of fluvoxamine. A 66-year-old while woman diagnosed with narrow-angle glaucoma showed an increase in intraocular pressure and experienced orbital pain and blurred vision after the initiation of fluvoxamine for tension-type headache. These symptoms disappeared and intraocular pressure normalized after withdrawal of this drug. Aggravation of narrow-angle glaucoma is a well-known adverse effect of tricyclic antidepressants. Because this adverse effect had been rarely reported to date with selective serotonin-reuptake inhibitors (paroxetine and fluoxetine), we used fluvoxamine in our patient. The disappearance of ocular symptoms and the normalization of intraocular pressure two days after stopping fluvoxamine suggest a possible relationship between fluvoxamine and aggravation of glaucoma. Fluvoxamine should be considered as a drug that can induce or aggravate narrow-angle glaucoma.

  19. [Sensitivity and Specificity of the Nerve Fibre Imaging Using Scanning Laser Ophthalmoscopy and of Optic Nerve Analysis Using Heidelberg Retina Tomography in Glaucoma].

    PubMed

    Hirsch, T; Hirsch, F; Koch, E C; Fuest, M; Plange, N

    2015-11-01

    Imaging of the optic nerve head and the nerve fibre layer are used in the diagnosis of glaucoma. We have investigated the diagnostic precision of nerve fibre layer imaging using a manually operated scanning laser ophthalmoscope and analysis of the optic nerve head using the Heidelberg Retina Tomograph II (HRT). 42 patients with glaucoma, 16 patients with ocular hypertension (OHT) and 24 healthy control subjects were included in a clinical study. Nerve fibre layer imaging was performed using a scanning laser ophthalmoscope (SLO, Rodenstock Instr. argon laser 488 nm). Nerve fibre layer defects were analysed peripapillarily for every single degree (defect or no defect) at 1.7 mm (near) and at 3.4 mm (far) distance to the optic nerve head. Specificity and sensitivity of the HRT II were calculated using the Moorfields regression analysis (MRA). Patients with glaucoma were found to have 109 ± 92° (near) and 109 ± 92° (far) defects of the nerve fibre layer. Patients with OHT (8 ± 14° [far] and 6 ± 11° [near]) and control subjects (0 ± 0° [far] and 0 ± 1° [near]) showed significantly smaller defects (p < 0.0001). Sensitivity at > 90 % specificity for POAG and controls was 85.7 % (far) and 82.9 % (near). Sensitivity at > 90 % specifity for OHT and POAG was 85.7 % (far) und 82.9 % (near). Specificity of controls for the MRA was 83.3 % (borderline classified as normal). Specificity of OHT patients was 93.8 % (borderline classified normal). Sensitivity of the MRA for POAG was 80.9 % (borderline classified normal) and 90.5 % (borderline classified glaucoma). Nerve fiber layer imaging using a manually operated scanning laser ophthalmoscope was found to achieve a higher diagnostic precision as compared to optic disc evaluation using the HRT II. Georg Thieme Verlag KG Stuttgart · New York.

  20. Laser Induced Surface Chemical Epitaxy

    DTIC Science & Technology

    1990-03-01

    Laser-Induced Surface Chemical Epitaxy ( LSCE ). The essential features of LSCE as applied to CdTe epitaxy involve: coadsorption of DMCd and DMTe on a GaAs...DIAGRAM OF THE LSCE PROCESS UHV environment 1M substra1e 9 /X Adsorbed thin film produced CH 3 -Cd-GH 3 CH 3 -Te-CH, by molecular beam source hv ’ CH...with Anneal W/// substraIe %/"/,’ Figure 1.1. Schematic of the LSCE process. (1-2) t I 2. EXPERIMENTAL APPROACH 2.1 Experimental Apparatus The

  1. High-resolution imaging of retinal nerve fiber bundles in glaucoma using adaptive optics scanning laser ophthalmoscopy.

    PubMed

    Takayama, Kohei; Ooto, Sotaro; Hangai, Masanori; Ueda-Arakawa, Naoko; Yoshida, Sachiko; Akagi, Tadamichi; Ikeda, Hanako Ohashi; Nonaka, Atsushi; Hanebuchi, Masaaki; Inoue, Takashi; Yoshimura, Nagahisa

    2013-05-01

    To detect pathologic changes in retinal nerve fiber bundles in glaucomatous eyes seen on images obtained by adaptive optics (AO) scanning laser ophthalmoscopy (AO SLO). Prospective cross-sectional study. Twenty-eight eyes of 28 patients with open-angle glaucoma and 21 normal eyes of 21 volunteer subjects underwent a full ophthalmologic examination, visual field testing using a Humphrey Field Analyzer, fundus photography, red-free SLO imaging, spectral-domain optical coherence tomography, and imaging with an original prototype AO SLO system. The AO SLO images showed many hyperreflective bundles suggesting nerve fiber bundles. In glaucomatous eyes, the nerve fiber bundles were narrower than in normal eyes, and the nerve fiber layer thickness was correlated with the nerve fiber bundle widths on AO SLO (P < .001). In the nerve fiber layer defect area on fundus photography, the nerve fiber bundles on AO SLO were narrower compared with those in normal eyes (P < .001). At 60 degrees on the inferior temporal side of the optic disc, the nerve fiber bundle width was significantly lower, even in areas without nerve fiber layer defect, in eyes with glaucomatous eyes compared with normal eyes (P = .026). The mean deviations of each cluster in visual field testing were correlated with the corresponding nerve fiber bundle widths (P = .017). AO SLO images showed reduced nerve fiber bundle widths both in clinically normal and abnormal areas of glaucomatous eyes, and these abnormalities were associated with visual field defects, suggesting that AO SLO may be useful for detecting early nerve fiber bundle abnormalities associated with loss of visual function. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Glaucoma medications.

    PubMed

    Chae, Bora; Cakiner-Egilmez, Tulay; Desai, Manishi

    2013-01-01

    Glaucoma is a common eye condition that affects millions of individuals worldwide, making it the second-leading cause of blindness. Because glaucoma is associated with increased IOP level, the primary goal in treatment of glaucoma includes lowering IOP to prevent further progression of the disease. While various surgical interventions exist, medical therapy is currently the first line of treatment. Medical treatment of glaucoma includes topical beta-blockers, alpha-2 agonists, prostaglandins, parasympathomimetics and CAIs. Anti-glaucoma agents help reduce IOP by affecting the production of aqueous humor or increasing the outflow of aqueous through the trabecular or uveoscleral pathway. Choosing an appropriate medical regimen can be challenging and various factors such as efficacy, safety, cost and patient compliance must be considered. First-line treatment is often topical beta-blockers or prostaglandin analogs. However, beta-blocking agents can be associated with systemic side effects and need to be used cautiously in patients with serious concomitant cardiopulmonary disease. Alpha-2 agonists and parasympathomimetics are often considered second- or third-line treatment options but good adjunctive agents. Oral CAIs are often indicated for patients with elevated IOP in an acute setting or for patients resistant to other glaucoma medications and patients who are not good surgical candidates.

  3. Prevalence of Steroid-Induced Cataract and Glaucoma in Chronic Obstructive Pulmonary Disease Patients Attending a Tertiary Care Center in India.

    PubMed

    Nath, Tirupati; Roy, Subham Sinha; Kumar, Himanshu; Agrawal, Rachit; Kumar, Santosh; Satsangi, S K

    2017-01-01

    Exposure to corticosteroids is known to be associated with an increased risk of cataract and glaucoma. This study was undertaken to determine the prevalence of steroid-induced cataract and glaucoma in patients with chronic obstructive pulmonary disease (COPD) and to assess a dose-response relationship between them. This was a prospective observational study. We identified all COPD patients aged 50 years or older, with minimum steroid exposure of 4 months and on inhaled corticosteroids from March 2014 to March 2015. Average daily dose of inhaled corticosteroids was defined as low (1-250 µg), medium (251-500 µg), and high (501-1000 µg) using fluticasone propionate equivalents. We screened 405 COPD patients, of which 48 were dropouts. We identified 58 cataract and 14 glaucoma patients with a prevalence of 16.24% and 3.92%, respectively. We also observed a dose-response relationship with the highest prevalence of cataract (39.6%) and glaucoma (42.8%) at daily doses of 501-1000 µg fluticasone propionate equivalents. It is evident that higher doses and longer duration of inhaled corticosteroid in COPD patients are associated with a higher prevalence of cataract and glaucoma. Copyright© 2017 Asia-Pacific Academy of Ophthalmology.

  4. Bilateral angle closure glaucoma following general anaesthesia.

    PubMed

    Raj, K Mohan; Reddy, P Arun Subhash; Kumar, Vikram Chella

    2015-04-01

    Angle closure glaucoma is one of the ophthalmic emergencies and treatment has to be given at the earliest. It is a rare complication of general anesthesia. A female patient underwent Hysterectomy under general anesthesia. Following this, patient developed bilateral angle closure glaucoma. This patient was treated with antiglaucoma medications followed by YAG laser iridotomy and patient regained vision.

  5. Induced Pluripotent Stem Cells Restore Function in a Human Cell Loss Model of Open-Angle Glaucoma

    PubMed Central

    Abu-Hassan, Diala W; Li, Xinbo; Ryan, Eileen I; Acott, Ted S; Kelley, Mary J

    2015-01-01

    Normally, trabecular meshwork (TM) and Schlemm's canal inner wall endothelial cells within the aqueous humor outflow pathway maintain intraocular pressure within a narrow safe range. Elevation in intraocular pressure, because of the loss of homeostatic regulation by these outflow pathway cells, is the primary risk factor for vision loss due to glaucomatous optic neuropathy. A notable feature associated with glaucoma is outflow pathway cell loss. Using controlled cell loss in ex vivo perfused human outflow pathway organ culture, we developed compelling experimental evidence that this level of cell loss compromises intraocular pressure homeostatic function. This function was restored by repopulation of the model with fresh TM cells. We then differentiated induced pluripotent stem cells (iPSCs) and used them to repopulate this cell depletion model. These differentiated cells (TM-like iPSCs) became similar to TM cells in both morphology and expression patterns. When transplanted, they were able to fully restore intraocular pressure homeostatic function. This successful transplantation of TM-like iPSCs establishes the conceptual feasibility of using autologous stem cells to restore intraocular pressure regulatory function in open-angle glaucoma patients, providing a novel alternative treatment option. Stem Cells 2015;33:751–761 PMID:25377070

  6. Induced pluripotent stem cells restore function in a human cell loss model of open-angle glaucoma.

    PubMed

    Abu-Hassan, Diala W; Li, Xinbo; Ryan, Eileen I; Acott, Ted S; Kelley, Mary J

    2015-03-01

    Normally, trabecular meshwork (TM) and Schlemm's canal inner wall endothelial cells within the aqueous humor outflow pathway maintain intraocular pressure within a narrow safe range. Elevation in intraocular pressure, because of the loss of homeostatic regulation by these outflow pathway cells, is the primary risk factor for vision loss due to glaucomatous optic neuropathy. A notable feature associated with glaucoma is outflow pathway cell loss. Using controlled cell loss in ex vivo perfused human outflow pathway organ culture, we developed compelling experimental evidence that this level of cell loss compromises intraocular pressure homeostatic function. This function was restored by repopulation of the model with fresh TM cells. We then differentiated induced pluripotent stem cells (iPSCs) and used them to repopulate this cell depletion model. These differentiated cells (TM-like iPSCs) became similar to TM cells in both morphology and expression patterns. When transplanted, they were able to fully restore intraocular pressure homeostatic function. This successful transplantation of TM-like iPSCs establishes the conceptual feasibility of using autologous stem cells to restore intraocular pressure regulatory function in open-angle glaucoma patients, providing a novel alternative treatment option. © 2014 The Authors. STEM CELLS Published by Wiley Periodicals, Inc. on behalf of AlphaMed Press.

  7. Inducible scAAV2.GRE.MMP1 lowers IOP long-term in a large animal model for steroid-induced glaucoma gene therapy

    PubMed Central

    Borrás, Teresa; Buie, LaKisha K.; Spiga, Maria Grazia

    2016-01-01

    Current treatment of glaucoma relies on administration of daily drops or eye surgery. A gene therapy approach to treat steroid-induced glaucoma would bring a resolution to millions of people worldwide that depend on glucocorticoid therapy for a myriad of inflammatory disorders. Previously, we had characterized a short-term Adh.GRE.MMP1 gene vector for the production of steroid-induced MMP1 in the trabecular meshwork and tested reduction of elevated intraocular pressure (IOP) in a sheep model. Here we conducted a trial transferring the same transgene cassette to a clinically safe vector (scAAV2), and extended the therapeutic outcome to longer periods of times. No evidence of ocular and/or systemic toxicity was observed. Viral genome distributions showed potential re-inducible vector DNAs in the trabecular meshwork (0.4 vg/cell) and negligible copies in six major internal organs (0.00002-0.005 vg/cell). Histological sections confirmed successful transduction of scAAV2.GFP to the trabecular meshwork. Optimization of the sheep steroid–induced hypertensive model revealed that topical ophthalmic drug difluprednate 0.05% (durezol) induced the highest IOP elevation in the shortest time. This is the first efficacy/toxicity study of a feasible gene therapy treatment of steroid-induced hypertension using clinically accepted scAAV vectors in a large animal model. PMID:26855269

  8. Management of glaucoma in pregnancy: risks or choices, a dilemma?

    PubMed

    Sethi, Harinder Singh; Naik, Mayuresh; Gupta, Vishnu Swarup

    2016-01-01

    The treatment of glaucoma in and around pregnancy offers the unique challenge of balancing the risk of vision loss to the mother as against the potential harm to the fetus or newborn. Most anti-glaucoma drugs (i.e. beta-blockers, prostaglandin analogues, carbonic anhydrase inhibitors topical and systemic, cholinergics, anticholinesterases, and apraclonidine) are considered category C agents and ophthalmologists are usually limited to treating patients with the category B drugs of brimonidine and dipivefrin. Brimonidine is generally the preferred first-line drug in the first, second and early third trimester. Late in the third trimester, brimonidine should be discontinued because it can induce central nervous system depression in newborns wherein topical carbonic anhydrase inhibitors may be the optimal choice. Glaucoma surgery can be performed with caution in second and third trimester if the patients have a strong indication for the procedure. However, anesthetics, sedative agents, and antimetabolites still have potential risk for the fetus. Argon laser trabeculoplasty (ALT) or selective laser trabeculoplasty (SLT) is an alternative treatment that can be performed in all trimesters. Carbonic anhydrase inhibitors and β-blockers are certified by the American Academy of Pediatrics for use during nursing. However, low doses of these medications should be considered when used in the breast feeding period. Optimum treatment for glaucoma in pregnancy must not be withheld so as to prevent any further deterioration in progressive vision loss and quality of life.

  9. Management of glaucoma in pregnancy: risks or choices, a dilemma?

    PubMed Central

    Sethi, Harinder Singh; Naik, Mayuresh; Gupta, Vishnu Swarup

    2016-01-01

    The treatment of glaucoma in and around pregnancy offers the unique challenge of balancing the risk of vision loss to the mother as against the potential harm to the fetus or newborn. Most anti-glaucoma drugs (i.e. beta-blockers, prostaglandin analogues, carbonic anhydrase inhibitors topical and systemic, cholinergics, anticholinesterases, and apraclonidine) are considered category C agents and ophthalmologists are usually limited to treating patients with the category B drugs of brimonidine and dipivefrin. Brimonidine is generally the preferred first-line drug in the first, second and early third trimester. Late in the third trimester, brimonidine should be discontinued because it can induce central nervous system depression in newborns wherein topical carbonic anhydrase inhibitors may be the optimal choice. Glaucoma surgery can be performed with caution in second and third trimester if the patients have a strong indication for the procedure. However, anesthetics, sedative agents, and antimetabolites still have potential risk for the fetus. Argon laser trabeculoplasty (ALT) or selective laser trabeculoplasty (SLT) is an alternative treatment that can be performed in all trimesters. Carbonic anhydrase inhibitors and β-blockers are certified by the American Academy of Pediatrics for use during nursing. However, low doses of these medications should be considered when used in the breast feeding period. Optimum treatment for glaucoma in pregnancy must not be withheld so as to prevent any further deterioration in progressive vision loss and quality of life. PMID:27990376

  10. Inducible scAAV2.GRE.MMP1 lowers IOP long-term in a large animal model for steroid-induced glaucoma gene therapy.

    PubMed

    Borrás, T; Buie, L K; Spiga, M G

    2016-05-01

    Current treatment of glaucoma relies on administration of daily drops or eye surgery. A gene therapy approach to treat steroid-induced glaucoma would bring a resolution to millions of people worldwide who depend on glucocorticoid therapy for a myriad of inflammatory disorders. Previously, we had characterized a short-term Adh.GRE.MMP1 gene vector for the production of steroid-induced MMP1 in the trabecular meshwork and tested reduction of elevated intraocular pressure (IOP) in a sheep model. Here we conducted a trial transferring the same transgene cassette to a clinically safe vector (scAAV2), and extended the therapeutic outcome to longer periods of times. No evidence of ocular and/or systemic toxicity was observed. Viral genome distributions showed potential reinducible vector DNAs in the trabecular meshwork (0.4 v.g. per cell) and negligible copies in six major internal organs (0.00002-0.005 v.g. per cell). Histological sections confirmed successful transduction of scAAV2.GFP to the trabecular meshwork. Optimization of the sheep steroid-induced hypertensive model revealed that topical ophthalmic drug difluprednate 0.05% (durezol) induced the highest IOP elevation in the shortest time. This is the first efficacy/toxicity study of a feasible gene therapy treatment of steroid-induced hypertension using clinically accepted self-complementary adeno-associated vectors (scAAV) vectors in a large animal model.

  11. The Philadelphia Glaucoma Detection and Treatment Project

    PubMed Central

    Waisbourd, Michael; Pruzan, Noelle L.; Johnson, Deiana; Ugorets, Angela; Crews, John E.; Saaddine, Jinan B.; Henderer, Jeffery D.; Hark, Lisa A.; Katz, L. Jay

    2016-01-01

    Purpose To evaluate the detection rates of glaucoma-related diagnoses and the initial treatments received in the Philadelphia Glaucoma Detection and Treatment Project, a community-based initiative aimed at improving the detection, treatment, and follow-up care of individuals at risk for glaucoma. Design Retrospective analysis. Participants A total of 1649 individuals at risk for glaucoma who were examined and treated in 43 community centers located in underserved communities of Philadelphia. Methods Individuals were enrolled if they were African American aged ≥50 years, were any other adult aged ≥60 years, or had a family history of glaucoma. After attending an informational glaucoma workshop, participants underwent a targeted glaucoma examination including an ocular, medical, and family history; visual acuity testing, intraocular pressure (IOP) measurement, and corneal pachymetry; slit-lamp and optic nerve examination; automated visual field testing; and fundus color photography. If indicated, treatments included selective laser trabeculoplasty (SLT), laser peripheral iridotomy (LPI), or IOP-lowering medications. Follow-up examinations were scheduled at the community sites after 4 to 6 weeks or 4 to 6 months, depending on the clinical scenario. Main Outcome Measures Detection rates of glaucoma-related diagnoses and types of treatments administered. Results Of the 1649 individuals enrolled, 645 (39.1%) received a glaucoma-related diagnosis; 20.0% (n = 330) were identified as open-angle glaucoma (OAG) suspects, 9.2% (n = 151) were identified as having narrow angles (or as a primary angle closure/suspect), and 10.0% (n = 164) were diagnosed with glaucoma, including 9.0% (n = 148) with OAG and 1.0% (n = 16) with angle-closure glaucoma. Overall, 39.0% (n = 64 of 164) of those diagnosed with glaucoma were unaware of their diagnosis. A total of 196 patients (11.9%) received glaucoma-related treatment, including 84 (5.1%) who underwent LPI, 13 (0.8%) who underwent SLT

  12. Glaucoma database.

    PubMed

    K, Rangachari; M, Dhivya; Pj, Eswari Pandaranayaka; N, Prasanthi; P, Sundaresan; Sr, Krishnadas; S, Krishnaswamy

    2011-02-07

    Glaucoma, a complex heterogenous disease, is the leading cause for optic nerve-related blindness worldwide. Primary open angle glaucoma (POAG) is the most common subset and by the year 2020 it is estimated that approximately 60 million people will be affected. MYOC, OPTN, CYP1B1 and WDR36 are the important candidate genes. Nearly 4% of the glaucoma patients have mutation in any one of these genes. Mutation in any of these genes causes disease either directly or indirectly and the severity of the disease varies according to position of the genes. We have compiled all the related mutations and SNPs in the above genes and developed a database, to help access statistical and clinical information of particular mutation. This database is available online at http:bicmku.in:8081/glaucoma The database, constructed using SQL, contains data pertaining to the SNPs and mutation information involved in the above genes and relevant study data. The database is available for free at http:bicmku.in:8081/glaucoma.

  13. Cataract progression after prophylactic laser peripheral iridotomy: potential implications for the prevention of glaucoma blindness.

    PubMed

    Lim, Laurence S; Husain, Rahat; Gazzard, Gus; Seah, Steve K L; Aung, Tin

    2005-08-01

    To evaluate changes in lens opacity in the first year after prophylactic laser peripheral iridotomy (LPI) performed in fellow eyes of subjects with acute primary angle closure (APAC). Prospective observational case series. Sixty Asian subjects with unilateral APAC. All fellow eyes underwent prophylactic LPI within the first week of presentation, followed by 1 week of topical steroids. The degree of lens opacity was graded at the slit-lamp examination using the Lens Opacity Classification System III (LOCS III) with standard color photographs as the reference for grading of lens opacity. This was performed 2 weeks, 4 months, and 12 months after LPI. Progression in lens opacity was defined as an increase in LOCS III grade by 2 or more units in any lens region. Lens Opacity Classification Sytem III grades in nuclear, cortical, and posterior subcapsular (PSC) regions. Most patients were Chinese (85%) and female (63.3%), with an average age of 61.5 +/- 10.6 years. The mean baseline LOCS grades in the nuclear, cortical, and PSC regions were 3.58 +/- 0.74, 0.57 +/- 1.08, and 0.23 +/- 0.72, respectively. With 12 months of follow-up, 14 of the 60 eyes (23.3%; 95% confidence interval, 16.9-29.7%) showed significant progression in any lens region. Progression in the nuclear, cortical, and PSC regions was documented in 5%, 6.7%, and 16.7% of cases, respectively. By use of logistic regression, the following factors were not found to be significant for cataract progression in any lens region: age, race, gender, history of hypertension or diabetes, presence of peripheral anterior synechiae or angle width at baseline, and total laser energy delivered. In fellow eyes of APAC, prophylactic LPI is complicated by significant cataract progression, mainly in the posterior subcapsular region. These findings may have implications for the role of prophylactic LPI in the prevention of angle-closure blindness.

  14. Glaucoma risk index: automated glaucoma detection from color fundus images.

    PubMed

    Bock, Rüdiger; Meier, Jörg; Nyúl, László G; Hornegger, Joachim; Michelson, Georg

    2010-06-01

    Glaucoma as a neurodegeneration of the optic nerve is one of the most common causes of blindness. Because revitalization of the degenerated nerve fibers of the optic nerve is impossible early detection of the disease is essential. This can be supported by a robust and automated mass-screening. We propose a novel automated glaucoma detection system that operates on inexpensive to acquire and widely used digital color fundus images. After a glaucoma specific preprocessing, different generic feature types are compressed by an appearance-based dimension reduction technique. Subsequently, a probabilistic two-stage classification scheme combines these features types to extract the novel Glaucoma Risk Index (GRI) that shows a reasonable glaucoma detection performance. On a sample set of 575 fundus images a classification accuracy of 80% has been achieved in a 5-fold cross-validation setup. The GRI gains a competitive area under ROC (AUC) of 88% compared to the established topography-based glaucoma probability score of scanning laser tomography with AUC of 87%. The proposed color fundus image-based GRI achieves a competitive and reliable detection performance on a low-priced modality by the statistical analysis of entire images of the optic nerve head. Copyright (c) 2010 Elsevier B.V. All rights reserved.

  15. Twenty-four-hour intraocular pressure related changes following adjuvant selective laser trabeculoplasty for normal tension glaucoma.

    PubMed

    Lee, Jacky W Y; Fu, Lin; Chan, Jonathan C H; Lai, Jimmy S M

    2014-12-01

    To investigate intraocular pressure (IOP) related patterns before and after selective laser trabeculoplasty (SLT) for normal tension glaucoma (NTG).In this prospective cohort study, 18 NTG patients underwent SLT. Success was defined as IOP reduction ≥ 20% by Goldmann applanation tonometry. 24-hour IOP-related pattern recording with a contact lens sensor (CLS) (SENSIMED Triggerfish, Sensimed, Switzerland) was done before (baseline) and 1 month after SLT. A cosine function was fitted to the mean CLS patterns for each individual in the SLT success and non-success groups and the amplitude before and after SLT was calculated. Diurnal, nocturnal, and 24-hour CLS pattern local variability was determined for pre- and post-SLT sessions. Cosine amplitude and variability were compared before and after SLT by group using paired t-tests, with α = 0.05. Patients (11 women, 7 men) had a mean age of 65.1 ± 13.7 years. Mean IOP was 15.3 ± 2.2 mm Hg at baseline and was reduced by 17.0% to 12.7 ± 1.8 mm Hg 1 month after SLT (P = 0.001). SLT was successful in 8 patients (44%). The amplitude of the fitted cosine was reduced by 24.6% in the success group, but displayed an amplitude increase of 19.2% post-SLT in the non-success group. Higher diurnal local variability of the CLS pattern was observed after SLT in non-success subjects (P = 0.002), while nocturnal variability showed no significant change. The increase in diurnal variability in the non-success group led to an increase in 24-hour variability in this group (P = 0.001). No change in local variability (diurnal, nocturnal, and 24-hour) was seen in the success group. The IOP-related pattern cosinor amplitude was reduced in NTG patients with a successful SLT treatment whereas the non-success group exhibited an increase of cosine amplitude. Higher diurnal and 24-hour CLS pattern variability was observed in non-success patients 1 month post-SLT.

  16. Laser Induced Damage in Optical Materials: 1979.

    DTIC Science & Technology

    1980-07-01

    an oscillator in laser fusion systems [8, 9]. Tm:YLF, pumped by an XeF laser , and emitting at 453 nm [10], is an efficient storage laser and is being...Chicklis, [4] Wilson, R., Varian Associates (private E.P. and Jenssen, H.P., XeF pumped communication). Tm:YLF an excimer excited storage laser , Technical...caused by pulsed laser -induced thermal stress were not signifi- cantly influenced by transverse heat conduction. However, the fluence levels were above

  17. Acquired color vision loss and a possible mechanism of ganglion cell death in glaucoma.

    PubMed Central

    Nork, T M

    2000-01-01

    PURPOSE: First, to study the cellular mechanisms of acquired color vision loss in retinal detachment and diabetic retinopathy. Second, to learn why, in glaucoma, the type of color vision deficit that is observed is more characteristic of a retinal injury than it is of an optic neuropathy. Third, to test a hypothesis of photoreceptor-induced, ganglion cell death in glaucoma. METHODS: Various histologic techniques were employed to distinguish the L/M-cones (long/medium wavelength-sensitive cones, or red/green sensitive cones) from the S-cones (short wavelength-sensitive cones, or blue sensitive cones) in humans and monkeys with retinal detachment, humans with diabetic retinopathy, and both humans and monkeys with glaucoma. To test if the photoreceptors were contributing to ganglion cell death, laser photocoagulation was used in a experimental model of glaucoma to focally eliminate the photoreceptors. As a control, optic nerve transection was done following retinal laser photocoagulation in one animal. RESULTS: Selective and widespread loss of the S-cones was found in retinal detachment as well as diabetic retinopathy. By contrast, in human as well as experimental glaucoma, marked swelling of the L/M-cones was the predominant histopathologic feature. Retinal laser photocoagulation followed by experimental glaucoma resulted in selective protection of ganglion cells overlying the laser spots. This was not seen with retinal laser photocoagulation by optic nerve transection. CONCLUSIONS: In retinal detachment and diabetic retinopathy, acquired tritan-like color vision loss could be caused, or contributed to, by selective loss of the S-cones. Both L- and M-cones are affected in glaucoma, which is also consistent with a tritan-like deficit. Although not a therapeutic option, protection of ganglion cells by retinal laser in experimental glaucoma is consistent with an hypothesis of anterograde, photoreceptor-induced, ganglion cell death. Images FIGURE 1 FIGURE 2 FIGURE 3

  18. Laser-induced gas breakdown and ignition

    NASA Astrophysics Data System (ADS)

    Chen, Ying-Ling Ann

    Laser-induced gas breakdown and ignition are studied in atmospheric pressure gas flow. The nanosecond-pulsed, 1064-nm Nd:YAG laser was used to create the cascade-type optical breakdown in air, oxygen, ammonia, and the combustible ammonia/oxygen mixture. We investigate the formation of the initial plasma and the chemical and gasdynamic development of the breakdown kernel. The spatial and temporal features of the energy deposition process are presented for laser breakdowns in still air. The generation of air-breakdown events is very stable between laser pulses when the incident laser power is two times larger than the threshold value. The effects associated with the ammonia flow-speed in the range of 1- 7 cm/sec are shown to be significant for the plasma. formation and stability of both laser-induced breakdown and ignition kernel, even though the flow field is laminar. The post-breakdown development of laser breakdown and ignition is studied using high-speed photographic and spectroscopic techniques including shadowgraphs, planar laser-induced fluorescence (PLIF), spontaneous emission and Rayleigh scattering. These time- resolved two-dimensional images provide gasdynamic, radiative and NH radical concentration and temperature information to aid the understanding of the kernel dynamics. The asymmetric feature of the initial plasma and the gas dynamics that leads to the backstreaming effect in laser-induced breakdown is suggested and evaluated.

  19. Altered aquaporin expression in glaucoma eyes.

    PubMed

    Tran, Thuy Linh; Bek, Toke; la Cour, Morten; Nielsen, Søren; Prause, Jan Ulrik; Hamann, Steffen; Heegaard, Steffen

    2014-09-01

    Aquaporins (AQP) are channels in the cell membrane that mainly facilitate a passive transport of water. In the eye, AQPs are expressed in the ciliary body and retina and may contribute to the pathogenesis of glaucoma and optic neuropathy. We investigated the expression of AQP1, AQP3, AQP4, AQP5, AQP7 and AQP9 in human glaucoma eyes compared with normal eyes. Nine glaucoma eyes were examined. Of these, three eyes were diagnosed with primary open angle glaucoma; three eyes had neovascular glaucoma; and three eyes had chronic angle-closure glaucoma. Six eyes with normal intraocular pressure and without glaucoma were used as control. Immunohistochemistry was performed using antibodies against AQP1, AQP3, AQP4, AQP5, AQP7 and AQP9. For each specimen, optical densities of immunoprecipitates were measured using Photoshop and the staining intensities were calculated. Immunostaining showed labelling of AQP7 and AQP9 in the nonpigmented ciliary epithelium and the staining intensities were significantly decreased in glaucoma eyes (p = 0.003; p = 0.018). AQP7 expression in the Müller cell endfeet was increased (p = 0.046), and AQP9 labelling of the retinal ganglion cells (RGC) showed decreased intensity (p = 0.037). No difference in AQP1, AQP4 and AQP9 expression was found in the optic nerve fibres. This study is the first investigating AQPs in human glaucoma eyes. We found a reduced expression of AQP9 in the retinal ganglion cells of glaucoma eyes. Glaucoma also induced increased AQP7 expression in the Müller cell endfeet. In the ciliary body of glaucoma eyes, the expression of AQP7 and AQP9 was reduced. Therefore, the expression of AQPs seems to play a role in glaucoma.

  20. Pressure-Induced Alterations in PEDF and PEDF-R Expression: Implications for Neuroprotective Signaling in Glaucoma

    PubMed Central

    Lee, Sean J; Duncan, D’Anne S; Echevarria, Franklin D; McLaughlin, William M; Hatcher, Jeremy B; Sappington, Rebecca M

    2015-01-01

    Introduction Alterations in neuron-glia signaling are implicated in glaucoma, a neurodegenerative disease characterized by retinal ganglion cell (RGC) death. Pigment epithelium derived factor (PEDF) is a secreted protein with potential neuroprotective qualities in retinal disease, including chronic ocular hypertension. Here we sought to determine whether moderate, short-term elevations in IOP alter PEDF signaling and whether pressure-induced PEDF signaling directly impacts RGC apoptosis. Methods In retina from naïve mice and mice with unilateral, microbead-induced glaucoma, we examined expression and cell type-specific localization of PEDF and its receptor (PEDF-R), using quantitative PCR and immunohistochemistry. Using primary cultures of purified RGCs and Müller cells, we examined cell type-specific expression of PEDF in response to 48 hours of elevated hydrostatic pressure, using multiplex ELISA and immunocytochemistry. We also measured pressure-induced apoptosis of RGCs in the presence or absence of atglistatin, a potent and selective inhibitor of PEDF-R, and recombinant PEDF, using TUNEL assays. Results PEDF and PEDF-R are constitutively expressed in naïve retina, primarily in the ganglion cell and nerve fiber layers. Elevated IOP increases PEDF and PEDF-R expression, particularly associated with RGCs and Müller cells. Elevated pressure in vitro increased PEDF secretion by 6-fold in RGCs and trended towards an increase in expression by Müller cells, as compared to ambient pressure. This was accompanied by changes in the subcellular localization of PEDF-R in both cell types. Inhibition of PEDF signaling with atglistatin increased pressure-induced apoptosis in RGCs and treatment with recombinant PEDF inhibited pressure-induced apoptosis, both in a dose-dependent manner. Conclusion Our findings suggest that moderate, short-term elevations in IOP promote PEDF signaling via up-regulation of both PEDF and PEDF-R. Based on in vivo and in vitro studies, this PEDF

  1. On laser-induced harpooning reactions

    NASA Astrophysics Data System (ADS)

    Weiner, J.

    1980-05-01

    In the present paper, the switching of chemical reactivity by a nonresonant laser field in simple gas-phase collisions of the type A + BC to AB + C is discussed in terms of a second-order optical/collision perturbation. A simple expression relating laser-induced harpooning cross sections to the laser power density is derived and is applied to Hg/Cl2 collisions.

  2. Interaction of Laser Induced Micro-shockwaves

    NASA Astrophysics Data System (ADS)

    Leela, Ch.; Bagchi, Suman; Tewari, Surya P.; Kiran, P. Prem

    Laser induced Shock Waves (LISWs) characterized by several optical methods provide Equation of State (EOS) for a variety of materials used in high-energy density physics experiments at Mbar pressures [1, 2]. Other applications include laser spark ignition for fuel-air mixtures, internal combustion engines, pulse detonation engines, laser shock peening [3], surface cleaning [4] and biological applications (SW lithotripsy) [5] to name a few.

  3. Oseltamivir (Tamiflu)-induced bilateral acute angle closure glaucoma and transient myopia

    PubMed Central

    Lee, Ji Woong; Lee, Ji Eun; Choi, Hee Young; Lee, Jong Soo

    2014-01-01

    A 27-year-old woman developed bilateral acute angle closure glaucoma (AACG) and transient myopia after taking oseltamivir for four days. On the fourth day, she received systemic and topical intraocular pressure (IOP)-lowering agents, and IOP decreased in both eyes. However, her visual acuity was unchanged. A myopic shift of -5.25 D OD and -5.0 D OS was estimated to have occurred in the acute phase. A-scan ultrasonography and Pentacam showed markedly shallow anterior chambers and increased lens thickness. Ultrasound biomicroscopy revealed an annular ciliochoroidal effusion with forward displacement of the lens-iris diaphragm. Ciliochoroidal effusion and transient myopia were resolved after discontinuation of oseltamivir. PMID:23571265

  4. Temperature Dependence of Laser Induced Breakdown

    DTIC Science & Technology

    1994-01-01

    consistent dependence on the temperature of the medium. The theory of the temperature dependence of LIB and experimental observations for all pulse...durations and their implications for retinal damage are discussed. Laser Induced Breakdown, Temperature dependence , Threshold valve, Nanosecond, Picosecond, Femtosecond, laser pulses.

  5. Optical Probes for Laser Induced Shocks

    DTIC Science & Technology

    1992-03-01

    waves generated by a laser -induced plasma were investigated using a pump - and-probe technique. Both 7-ns and 40-ps laser pulses at 1.06 gIm were employed...what follows, a TEM00 the time it takes to ablate a layer of thickness 60, i.e., the laser beam is assumed. To describe this I apply the results...Frauchiger and W. Liithy, Opt. Quantum Electron. 19, 231 (1987). transverse the irradiated spot during the laser pulse, as is ’It should read i 10(dv

  6. Laser Induced Chemical Liquid Phase Deposition (LCLD)

    SciTech Connect

    Nanai, Laszlo; Balint, Agneta M.

    2012-08-17

    Laser induced chemical deposition (LCLD) of metals onto different substrates attracts growing attention during the last decade. Deposition of metals onto the surface of dielectrics and semiconductors with help of laser beam allows the creation of conducting metal of very complex architecture even in 3D. In the processes examined the deposition occurs from solutions containing metal ions and reducing agents. The deposition happens in the region of surface irradiated by laser beam (micro reactors). Physics -chemical reactions driven by laser beam will be discussed for different metal-substrate systems. The electrical, optical, mechanical properties of created interfaces will be demonstrated also including some practical-industrial applications.

  7. Laser-induced caesium-137 decay

    SciTech Connect

    Barmina, E V; Simakin, A V; Shafeev, G A

    2014-08-31

    Experimental data are presented on the laser-induced beta decay of caesium-137. We demonstrate that the exposure of a gold target to a copper vapour laser beam (wavelengths of 510.6 and 578.2 nm, pulse duration of 15 ns) for 2 h in an aqueous solution of a caesium-137 salt reduces the caesium-137 activity by 70%, as assessed from the gamma activity of the daughter nucleus {sup 137m}Ba, and discuss potential applications of laser-induced caesium-137 decay in radioactive waste disposal. (letters)

  8. Laser-induced regeneration of cartilage

    NASA Astrophysics Data System (ADS)

    Sobol, Emil; Shekhter, Anatoly; Guller, Anna; Baum, Olga; Baskov, Andrey

    2011-08-01

    Laser radiation provides a means to control the fields of temperature and thermo mechanical stress, mass transfer, and modification of fine structure of the cartilage matrix. The aim of this outlook paper is to review physical and biological aspects of laser-induced regeneration of cartilage and to discuss the possibilities and prospects of its clinical applications. The problems and the pathways of tissue regeneration, the types and features of cartilage will be introduced first. Then we will review various actual and prospective approaches for cartilage repair; consider possible mechanisms of laser-induced regeneration. Finally, we present the results in laser regeneration of joints and spine disks cartilages and discuss some future applications of lasers in regenerative medicine.

  9. Novel surgical procedures in glaucoma: advances in penetrating glaucoma surgery.

    PubMed

    Filippopoulos, Theodoros; Rhee, Douglas J

    2008-03-01

    Despite late modifications and enhancements, traditional penetrating glaucoma surgery is not without complications and is reserved for patients in whom pharmacologic treatment and/or laser trabeculoplasty do not suffice to control the intraocular pressure. This article critically reviews recent advances in penetrating glaucoma surgery with particular attention paid to two novel surgical approaches: ab interno trabeculectomy with the Trabectome and implantation of the Ex-PRESS shunt. Ab interno trabeculectomy (Trabectome) achieves a sustained 30% reduction in intraocular pressure by focally ablating and cauterizing the trabecular meshwork/inner wall of Schlemm's canal. It has a remarkable safety profile with respect to early hypotonous or infectious complications as it does not generate a bleb, but it can be associated with early postoperative intraocular pressure spikes that may necessitate additional glaucoma surgery. The Ex-PRESS shunt is more commonly implanted under a partial thickness scleral flap, and appears to have similar efficacy to standard trabeculectomy offering some advantages with respect to the rate of early complications related to hypotony. Penetrating glaucoma surgery will continue to evolve. As prospective randomized clinical trials become available, we will determine the exact role of these surgical techniques in the glaucoma surgical armamentarium.

  10. Laser induced white lighting of graphene foam

    PubMed Central

    Strek, Wieslaw; Tomala, Robert; Lukaszewicz, Mikolaj; Cichy, Bartlomiej; Gerasymchuk, Yuriy; Gluchowski, Pawel; Marciniak, Lukasz; Bednarkiewicz, Artur; Hreniak, Dariusz

    2017-01-01

    Laser induced white light emission was observed from porous graphene foam irradiated with a focused continuous wave beam of the infrared laser diode. It was found that the intensity of the emission increases exponentially with increasing laser power density, having a saturation level at ca. 1.5 W and being characterized by stable emission conditions. It was also observed that the white light emission is spatially confined to the focal point dimensions of the illuminating laser light. Several other features of the laser induced white light emission were also discussed. It was observed that the white light emission is highly dependent on the electric field intensity, allowing one to modulate the emission intensity. The electric field intensity ca. 0.5 V/μm was able to decrease the white light intensity by half. Origins of the laser-induced white light emission along with its characteristic features were discussed in terms of avalanche multiphoton ionization, inter-valence charge transfer and possible plasma build-up processes. It is shown that the laser-induced white light emission may be well utilized in new types of white light sources. PMID:28112254

  11. Laser induced white lighting of graphene foam

    NASA Astrophysics Data System (ADS)

    Strek, Wieslaw; Tomala, Robert; Lukaszewicz, Mikolaj; Cichy, Bartlomiej; Gerasymchuk, Yuriy; Gluchowski, Pawel; Marciniak, Lukasz; Bednarkiewicz, Artur; Hreniak, Dariusz

    2017-01-01

    Laser induced white light emission was observed from porous graphene foam irradiated with a focused continuous wave beam of the infrared laser diode. It was found that the intensity of the emission increases exponentially with increasing laser power density, having a saturation level at ca. 1.5 W and being characterized by stable emission conditions. It was also observed that the white light emission is spatially confined to the focal point dimensions of the illuminating laser light. Several other features of the laser induced white light emission were also discussed. It was observed that the white light emission is highly dependent on the electric field intensity, allowing one to modulate the emission intensity. The electric field intensity ca. 0.5 V/μm was able to decrease the white light intensity by half. Origins of the laser-induced white light emission along with its characteristic features were discussed in terms of avalanche multiphoton ionization, inter-valence charge transfer and possible plasma build-up processes. It is shown that the laser-induced white light emission may be well utilized in new types of white light sources.

  12. Laser-Induced Incandescence: Excitation Intensity

    NASA Astrophysics Data System (ADS)

    Vander Wal, Randall L.; Jensen, Kirk A.

    1998-03-01

    Assumptions of theoretical laser-induced incandescence (LII) models along with possible effects of high-intensity laser light on soot aggregates and the constituent primary particles are discussed in relation to selection of excitation laser fluence. Ex situ visualization of laser-heated soot by use of transmission electron microscopy reveals significant morphological changes (graphitization) induced by pulsed laser heating. Pulsed laser transmission measurements within a premixed laminar sooting flame suggest that soot vaporization occurs for laser fluences greater than 0.5 J cm 2 at 1064 nm. Radial LII intensity profiles at different axial heights in a laminar ethylene gas jet diffusion flame reveal a wide range of signal levels depending on the laser fluence that is varied over an eight fold range. Results of double-pulse excitation experiments in which a second laser pulse heats in situ the same soot that was heated by a prior laser pulse are detailed. These two-pulse measurements suggest varying degrees of soot structural change for fluences below and above a vaporization threshold of 0.5 J cm 2 at 1064 nm. Normalization of the radial-resolved LII signals based on integrated intensities, however, yields self-similar profiles. The self-similarity suggests robustness of LII for accurate relative measurement of soot volume fraction despite the morphological changes induced in the soot, variations in soot aggregate and primary particle size, and local gas temperature. Comparison of LII intensity profiles with soot volume fractions ( f v ) derived by light extinction validates LII for quantitative determination of f v upon calibration for laser fluences ranging from 0.09 to 0.73 J cm 2 .

  13. Laser-induced incandescence: excitation intensity.

    PubMed

    Vander Wal, R L; Jensen, K A

    1998-03-20

    Assumptions of theoretical laser-induced incandescence (LII) models along with possible effects of high-intensity laser light on soot aggregates and the constituent primary particles are discussed in relation to selection of excitation laser fluence. Ex situ visualization of laser-heated soot by use of transmission electron microscopy reveals significant morphological changes (graphitization) induced by pulsed laser heating. Pulsed laser transmission measurements within a premixed laminar sooting flame suggest that soot vaporization occurs for laser fluences greater than 0.5 J/cm(2) at 1064 nm. Radial LII intensity profiles at different axial heights in a laminar ethylene gas jet diffusion flame reveal a wide range of signal levels depending on the laser fluence that is varied over an eight fold range. Results of double-pulse excitation experiments in which a second laser pulse heats in situ the same soot that was heated by a prior laser pulse are detailed. These two-pulse measurements suggest varying degrees of soot structural change for fluences below and above a vaporization threshold of 0.5 J/cm(2) at 1064 nm. Normalization of the radial-resolved LII signals based on integrated intensities, however, yields self-similar profiles. The self-similarity suggests robustness of LII for accurate relative measurement of soot volume fraction despite the morphological changes induced in the soot, variations in soot aggregate and primary particle size, and local gas temperature. Comparison of LII intensity profiles with soot volume fractions (f(v)) derived by light extinction validates LII for quantitative determination of f(v) upon calibration for laser fluences ranging from 0.09 to 0.73 J/cm(2).

  14. Recent advances in pharmacotherapy of glaucoma

    PubMed Central

    Gupta, S. K.; Niranjan D., Galpalli; Agrawal, S. S.; Srivastava, Sushma; Saxena, Rohit

    2008-01-01

    Glaucoma is a slow progressive degeneration of the retinal ganglion cells (RGCs) and the optic nerve axons, leading to irreversible blindness if left undiagnosed and untreated. Although increased intraocular pressure is a major risk factor of glaucoma, other factors include increased glutamate levels, alterations in nitric oxide (NO) metabolism, vascular alterations and oxidative damage caused by reactive oxygen species. Glaucoma is the second leading cause of blindness globally, accounting for 12.3% of the total blindness. Glaucoma has been broadly classified as primary or secondary open-angle or angle-closure glaucoma. The primary goal in management of glaucoma is to prevent the risk factor, especially elevated intraocular pressure (IOP), using medications, laser therapy or conventional surgery. The first-line treatment of glaucoma usually begins with the use of a topical selective or nonselective blocker or a prostaglandin analog. Second-line drugs of choice include alpha-agonists and topical carbonic anhydrase inhibitors. Cholinergic agonists are considered third-line treatment options. When a single therapy is not sufficient to lower the IOP, a combination therapy is indicated. To enhance the patient compliance, drug delivery systems like electronic devices, ocular inserts, tansdermal and mechanical drug delivery systems have been developed. Use of viscoelastic agents in ophthalmic formulations, emulsions and soluble ophthalmic drug inserts (SODI) enhance patience compliance and ocular drug delivery in patients in long-term glaucoma therapy. For patients who do not respond to antiglaucoma medications, laser trabeculoplasty and incisional surgery are recommended. Several nutrients and botanicals hold promise for the treatment of glaucoma, but most studies are preliminary, and larger, controlled studies are required. Future directions for the development of a novel therapy glaucoma may target glutamate inhibition, NMDA receptor blockade, exogenously applied

  15. Prostaglandin analogue-induced pigmentation of the skin of the nasal septum and nasal alae in a glaucoma patient.

    PubMed

    Holló, Gábor; Kóthy, Péter

    2015-05-25

    To present a case of topical prostaglandin analogue-induced skin pigmentation in a location previously never reported, with a differential diagnostic significance. An 83-year-old man successfully treated for primary open-angle glaucoma of both eyes with the bimatoprost/timolol fixed combination for 6 years reported increased pigmentation of the skin of the nasal septum and alae. According to his report, the darkened skin area was not present when he was a young or middle-aged man. The patient had noted periocular pigmentation and deepening of the upper lid sulcus on both sides, which developed during the years of his bimatoprost/timolol treatment. Dermatology consultation excluded any nevus, malignancy, or other pathology as a cause of the pigmentation. The otorhinolaryngology consultation failed to identify any pathologic condition in the nasal cavity, but described mild chronic senile rhinitis. The acquired pigmentation of the skin of the nasal septum and alae in our patient represents a new form of cutaneous pigmentation induced by topical prostaglandin analogue therapy, which may have differential diagnostic significance in clinical practice. We speculate that the senile rhinitis of the patient increased the exposure of the nasal skin to the prostaglandin analogue solution drained via the nasolacrimal duct, and could therefore play a role in the development of skin pigmentation in this location.

  16. Microbead-Induced Ocular Hypertensive Mouse Model for Screening and Testing of Aqueous Production Suppressants for Glaucoma

    PubMed Central

    Yang, Qiang; Cho, Kin-Sang; Chen, Huihui; Yu, Dekuang; Wang, Wan-Heng; Luo, Gang; Pang, Iok-Hou; Guo, Wenyi; Chen, Dong Feng

    2012-01-01

    Purpose. To characterize the microbead-induced ocular hypertension (OHT) mouse model and investigate its potential use for preclinical screening and evaluation of ocular hypotensive agents, we tested the model's responses to major antiglaucoma drugs. Methods. Adult C57BL/6J mice were induced to develop OHT unilaterally by intracameral injection of microbeads. The effects of the most commonly used ocular hypotensive drugs, including timolol, brimonidine, brinzolamide, pilocarpine, and latanoprost, on IOP and glaucomatous neural damage were evaluated. Degeneration of retinal ganglion cells (RGCs) and optic nerve axons were quantitatively assessed using immunofluorescence labeling and histochemistry. Thickness of the ganglion cell complex (GCC) was also assessed with spectral-domain optical coherence tomography (SD-OCT). Results. A microbead-induced OHT model promptly responded to drugs, such as timolol, brimonidine, and brinzolamide, that lower IOP through suppressing aqueous humor production and showed improved RGC and axon survival as compared to vehicle controls. Accordingly, SD-OCT detected significantly less reduction of GCC thickness in mice treated with all three aqueous production suppressants as compared to the vehicle contol–treated group. In contrast, drugs that increase aqueous outflow, such as pilocarpine and latanoprost, failed to decrease IOP in the microbead-induced OHT mice. Conclusions. Microbead-induced OHT mice carry dysfunctional aqueous outflow facility and therefore offer a unique model that allows selective screening of aqueous production suppressant antiglaucoma drugs or for studying the mechanisms regulating aqueous humor production. Our data set the stage for using GCC thickness assessed by SD-OCT as an imaging biomarker for noninvasive tracking of neuronal benefits of glaucoma therapy in this model. PMID:22599582

  17. Microbead-induced ocular hypertensive mouse model for screening and testing of aqueous production suppressants for glaucoma.

    PubMed

    Yang, Qiang; Cho, Kin-Sang; Chen, Huihui; Yu, Dekuang; Wang, Wan-Heng; Luo, Gang; Pang, Iok-Hou; Guo, Wenyi; Chen, Dong Feng

    2012-06-20

    To characterize the microbead-induced ocular hypertension (OHT) mouse model and investigate its potential use for preclinical screening and evaluation of ocular hypotensive agents, we tested the model's responses to major antiglaucoma drugs. Adult C57BL/6J mice were induced to develop OHT unilaterally by intracameral injection of microbeads. The effects of the most commonly used ocular hypotensive drugs, including timolol, brimonidine, brinzolamide, pilocarpine, and latanoprost, on IOP and glaucomatous neural damage were evaluated. Degeneration of retinal ganglion cells (RGCs) and optic nerve axons were quantitatively assessed using immunofluorescence labeling and histochemistry. Thickness of the ganglion cell complex (GCC) was also assessed with spectral-domain optical coherence tomography (SD-OCT). A microbead-induced OHT model promptly responded to drugs, such as timolol, brimonidine, and brinzolamide, that lower IOP through suppressing aqueous humor production and showed improved RGC and axon survival as compared to vehicle controls. Accordingly, SD-OCT detected significantly less reduction of GCC thickness in mice treated with all three aqueous production suppressants as compared to the vehicle contol-treated group. In contrast, drugs that increase aqueous outflow, such as pilocarpine and latanoprost, failed to decrease IOP in the microbead-induced OHT mice. Microbead-induced OHT mice carry dysfunctional aqueous outflow facility and therefore offer a unique model that allows selective screening of aqueous production suppressant antiglaucoma drugs or for studying the mechanisms regulating aqueous humor production. Our data set the stage for using GCC thickness assessed by SD-OCT as an imaging biomarker for noninvasive tracking of neuronal benefits of glaucoma therapy in this model.

  18. Activation of autophagy induces retinal ganglion cell death in a chronic hypertensive glaucoma model

    PubMed Central

    Park, H-Y Lopilly; Kim, J H; Park, C K

    2012-01-01

    Autophagy is reported to have important roles in relation to regulated cell death pathways and neurodegeneration. This study used chronic hypertensive glaucoma rat model to investigate whether the autophagy pathway has a role in the apoptosis of retinal ganglion cells (RGCs) after chronic intraocular pressure (IOP) elevation. Under electron microscopy, autophagosomes were markedly accumulated in the dendrites and cytoplasm of RGCs after IOP elevation. Western blot analysis showed that LC3-II/LC3-I and beclin-1 were upregulated throughout the 8-weeks period after IOP elevation. The pattern of LC3 immunostaining showed autophagy activation in the cytoplasm of RGCs to increase and peak at 4 weeks after IOP elevation. Most of these LC3B-positive RGCs underwent apoptosis by terminal deoxynucleotidyltransferase-mediated biotinylated UTP nick end labeling, and inhibition of autophagy with 3-methyladenine decreased RGC apoptosis. The activated pattern shows that autophagy is initially activated in the dendrites of the RGCs, but, thereafter autophagy is mainly activated in the cytoplasm of RGCs. This may show that autophagy is differently regulated in different compartments of the neuron. This present study showed that autophgy is activated in RGCs and has a role in autophagic cell death after chronic IOP elevation. PMID:22476098

  19. Uveitis and glaucoma: new insights in the pathogenesis and treatment.

    PubMed

    Sng, Chelvin C A; Ang, Marcus; Barton, Keith

    2015-01-01

    Glaucoma is a potentially blinding complication of uveitis, where intraocular inflammation, secondary corticosteroid response, and varying types and degrees of angle abnormalities contribute to its pathogenesis. Management of uveitic glaucoma remains challenging. Treatment is targeted at reducing the inflammation and lowering the intraocular pressure. Recent studies have highlighted the role of viruses, such as cytomegalovirus, herpes simplex virus, and more recently Ebola virus, in the pathogenesis of uveitic glaucoma. Antiviral therapy may be beneficial in eyes with detectable viral DNA. The success of glaucoma surgery is decreased in eyes with uveitic glaucoma, and surgical interventions are associated with a higher incidence of postoperative complications. Novel glaucoma surgical and laser treatments may improve the predictability of surgery for uveitic glaucoma, but these require further evaluation.

  20. [Selective Laser Trabeculoplasty in the treatment of chronic open-angle glaucoma: retrospective analysis 12 years after treatment in a cohort of 28 patients].

    PubMed

    Giocanti-Aurégan, A; Abitbol, O; Bensmail, D; Bensaid, A; Lachkar, Y

    2014-12-01

    To determine long-term efficacy of selective Laser Trabeculoplasty (SLT) over 12 years in chronic open-angle glaucoma (OAG) patients. In this retrospective study, all patients treated by SLT between 1997 and 1999 for OAG were included and followed up every 6 months. The procedure was performed with a Coherent Selecta 7000 Nd:YAG with 100 ± 10 non overlapping 400 μm spots over 360 degrees centered on the trabecular meshwork. Patients were excluded in the case of prior filtration surgery or Argon laser trabeculoplasty. Our primary study parameter was the number of patients requiring filtration surgery within the follow-up period. Our secondary parameters were intraocular pressure (IOP) and SLT-related complications. We included 46 eyes of 28 patients. The 12-year success rate was 26.1%. Thirty-nine percent of all eyes underwent filtration surgery (failure) during the follow-up period, and 34.8% were lost to follow-up. In the pigmentary glaucoma (PG) subgroup, the 12-year success rate was 16%, while it was 37.5% in the Primary OAG subgroup. The overall mean IOP was 22.8 mm Hg (D.S. 3.78) prior to laser, 16.08 mm Hg (D.S. 2.7) at 1 year and 15 mm Hg (D.S. 1.8) at 12 years. The mean number of medications was 1.6 (D.S. 0.8) prior to SLT, 1.36 (D.S. 0.8) at 1 year, and 1.3 (D.S. 1.2), 12 years after SLT respectively. No patients had a second SLT treatment. No significant complications occurred during follow-up. Selective laser trabeculoplasty may at times be a useful resource to lower IOP in patients with OAG. Nonetheless, the failure rate is significant especially in PG, which requires confirmation by larger prospective studies. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  1. Management of exfoliative glaucoma: challenges and solutions

    PubMed Central

    Holló, Gábor; Katsanos, Andreas; Konstas, Anastasios GP

    2015-01-01

    Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist. PMID:26045655

  2. Management of exfoliative glaucoma: challenges and solutions.

    PubMed

    Holló, Gábor; Katsanos, Andreas; Konstas, Anastasios Gp

    2015-01-01

    Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist.

  3. [21st century management of glaucoma].

    PubMed

    Tsukahara, Shigeo

    2003-12-01

    According to a recent epidemiological study done in Japan, 2 or 3 million Japanese people are thought to be suffering from glaucoma, and 70-80% of them have not been examined or diagnosed by ophthalmologists. Therefore, the problem is how to find these untreated and undiagnosed people. At present, treatment of glaucoma continues to be directed at lowering intraocular pressure to prevent progression of glaucomatous optic neuropathy. However, theoretically, there are three stages in the prevention of progression of glaucoma. In the first stage, diagnosis of glaucoma can be done by genetic examination, before occurrence of glaucoma. The MYOCILIN/trabecular meshwork-inducible glucocorticoid response gene and the optineurin gene were identified as the genes that cause open angle glaucoma. Although some Japanese patients have sequence changes in the myocilin gene, there are no apparent specific mutations in Japanese glaucoma patients, in the MYOCILIN/TIGR and optineurin genes. Secondary glaucoma such as steroid glaucoma, induced by allergic diseases, and neovascular glaucoma, induced by retinal circulatory insufficiency, are preventable by improving the causal diseases, diabetes and hypertension. The education of doctors and laymen is important to reduce the occurrence of diabetes, and hypertension to prevent diabetic retinopathy, and retinal vessel occlusion. The second stage in preventing progression of glaucoma is to find the disease as early as possible. In Japan, a physical examination system is in place for everybody over 40 years old, in companies and local districts. Therefore, ocular examination, specially non-mydriatic fundus photographs should be taken in these examinations, and the film should be evaluated by an ophthalmologist, to search for retinal and optic disc abnormalities. Primary open angle glaucoma can be detected through this system in early stages. In primary angle closure glaucoma, instruments for estimating anterior chamber rapidly and accurately

  4. Metal surface nitriding by laser induced plasma

    NASA Astrophysics Data System (ADS)

    Thomann, A. L.; Boulmer-Leborgne, C.; Andreazza-Vignolle, C.; Andreazza, P.; Hermann, J.; Blondiaux, G.

    1996-10-01

    We study a nitriding technique of metals by means of laser induced plasma. The synthesized layers are composed of a nitrogen concentration gradient over several μm depth, and are expected to be useful for tribological applications with no adhesion problem. The nitriding method is tested on the synthesis of titanium nitride which is a well-known compound, obtained at present by many deposition and diffusion techniques. In the method of interest, a laser beam is focused on a titanium target in a nitrogen atmosphere, leading to the creation of a plasma over the metal surface. In order to understand the layer formation, it is necessary to characterize the plasma as well as the surface that it has been in contact with. Progressive nitrogen incorporation in the titanium lattice and TiN synthesis are studied by characterizing samples prepared with increasing laser shot number (100-4000). The role of the laser wavelength is also inspected by comparing layers obtained with two kinds of pulsed lasers: a transversal-excited-atmospheric-pressure-CO2 laser (λ=10.6 μm) and a XeCl excimer laser (λ=308 nm). Simulations of the target temperature rise under laser irradiation are performed, which evidence differences in the initial laser/material interaction (material heated thickness, heating time duration, etc.) depending on the laser features (wavelength and pulse time duration). Results from plasma characterization also point out that the plasma composition and propagation mode depend on the laser wavelength. Correlation of these results with those obtained from layer analyses shows at first the important role played by the plasma in the nitrogen incorporation. Its presence is necessary and allows N2 dissociation and a better energy coupling with the target. Second, it appears that the nitrogen diffusion governs the nitriding process. The study of the metal nitriding efficiency, depending on the laser used, allows us to explain the differences observed in the layer features

  5. Femtosecond Laser-Induced Damage of Dielectrics

    NASA Astrophysics Data System (ADS)

    Lenzner, M.

    Optical damage in non-metals (dielectrics) may severely affect the performance of high-power laser systems as well as the efficiency of optical systems based on nonlinear processes and has therefore been subject to extensive research for some 30 years. The current knowledge of laser-induced optical damage in these materials is reviewed. Emphasis is placed on the recent extension of available experimental data into the femtosecond range. Recent results are presented achieved with a sub-10 fs laser system which explores the limits of time resolution as well as the limit of intensities that a solid can sustain without irreversible damage. It is concluded that sub-10fs laser pulses open up the way to reversible nonperturbative nonlinear optics at intensities greater than 1014 W/cm2 (slightly below damage threshold) and to nanometer-precision laser ablation (slightly above threshold) in dielectric materials.

  6. Detection of lead in water using laser-induced breakdown spectroscopy and laser-induced fluorescence.

    PubMed

    Lui, Siu L; Godwal, Yogesh; Taschuk, Michael T; Tsui, Ying Y; Fedosejevs, Robert

    2008-03-15

    Laser-induced breakdown spectroscopy (LIBS) is a well-known technique for fast, stand-off, and nondestructive analysis of the elemental composition of a sample. We have been investigating micro-LIBS for the past few years and demonstrating its application to microanalysis of surfaces. Recently, we have integrated micro-LIBS with laser-induced fluorescence (LIF), and this combination, laser ablation laser-induced fluorescence (LA-LIF), allows one to achieve much higher sensitivity than traditional LIBS. In this study, we use a 170 microJ laser pulse to ablate a liquid sample in order to measure the lead content. The plasma created was re-excited by a 10 microJ laser pulse tuned to one of the lead resonant lines. Upon optimization, the 3sigma limit of detection was found to be 35 +/- 7 ppb, which is close to the EPA standard for the level of lead allowed in drinking water.

  7. Managing advanced unilateral pseudoexfoliative glaucoma

    PubMed Central

    Marques, André

    2014-01-01

    The only proven therapy for glaucoma is intraocular pressure (IOP) reduction, which can be accomplished by different means. Each should be properly discussed with patients in order to best preserve visual function and quality of life. We report a case of unilateral pseudoexfoliative glaucoma, treated for years with triple topical IOP-lowering drugs. The patient presented with advanced optic neuropathy and important ocular side effects secondary to the treatment. Having discussed his options and prognosis, laser trabeculoplasty was performed while maintaining the remaining therapy considering the advanced stage of glaucoma. His IOP was effectively reduced and no progression was noted after 1-year follow-up. Although medical therapy is the mainstream in glaucoma management, its side effects should not be ignored, especially in unilateral cases. Surgery might have been a better solution, but we chose to perform laser trabeculoplasty, an effective and safer alternative, considering the unlikely but serious risk of the “wipe-out phenomenon” in this case. PMID:24850557

  8. Zeeman effect induced by intense laser light.

    PubMed

    Stambulchik, E; Maron, Y

    2014-08-22

    We analyze spectral line shapes of hydrogenlike species subjected to fields of electromagnetic waves. It is shown that the magnetic component of an electromagnetic wave may significantly influence the spectra. In particular, the Zeeman effect induced by a visible or infrared light can be experimentally observed using present-day powerful lasers. In addition, the effect may be used for diagnostics of focused beam intensities achieved at existing and newly built laser facilities.

  9. Heat pump processes induced by laser radiation

    NASA Technical Reports Server (NTRS)

    Garbuny, M.; Henningsen, T.

    1980-01-01

    A carbon dioxide laser system was constructed for the demonstration of heat pump processes induced by laser radiation. The system consisted of a frequency doubling stage, a gas reaction cell with its vacuum and high purity gas supply system, and provisions to measure the temperature changes by pressure, or alternatively, by density changes. The theoretical considerations for the choice of designs and components are dicussed.

  10. Induced Current Characteristics Due to Laser Induced Plasma and Its Application to Laser Processing Monitoring

    SciTech Connect

    Madjid, Syahrun Nur; Idris, Nasrullah; Kurniawan, Koo Hendrik

    2011-03-30

    In laser processing, suitable conditions for laser and gas play important role in ensuring a high quality of processing. To determine suitable conditions, we employed the electromagnetic phenomena associated with laser plasma generation. An electrode circuit was utilised to detect induced current due to the fast electrons propelled from the material during laser material processing. The characteristics of induced current were examined by changing parameters such as supplied voltage, laser pulse energy, number of laser shots, and type of ambient gas. These characteristics were compared with the optical emission characteristics. It was shown that the induced current technique proposed in this study is much more sensitive than the optical method in monitoring laser processing, that is to determine the precise focusing condition, and to accurately determine the moment of completion of laser beam penetration. In this study it was also shown that the induced current technique induced by CW CO{sub 2} laser can be applied in industrial material processing for monitoring the penetration completion in a stainless steel plate drilling process.

  11. Laser-Induced Transfer of Metal Nanoparticles

    NASA Astrophysics Data System (ADS)

    Kuznetsov, Arseniy I.; Koch, Jürgen; Chichkov, Boris N.

    2010-10-01

    A novel approach for the fabrication of metallic micro- and nanostructures based on femtosecond laser-induced transfer of metallic nanodroplets is developed. The size of the transferred droplets depends on the volume of laser-molten metal and can be varied by changing the laser beam focus on the sample surface and the metal film thickness. Controllable fabrication of high quality spherical gold micro- and nanoparticles with sizes between 170 nm and 1500 nm is realized. Fabrication of miscellaneous structures consisting of gold particles as elementary building blocks is demonstrated.

  12. Laser-induced electric breakdown in solids

    NASA Technical Reports Server (NTRS)

    Bloembergen, N.

    1974-01-01

    A review is given of recent experimental results on laser-induced electric breakdown in transparent optical solid materials. A fundamental breakdown threshold exists characteristic for each material. The threshold is determined by the same physical process as dc breakdown, namely, avalanche ionization. The dependence of the threshold on laser pulse duration and frequency is consistent with this process. The implication of this breakdown mechanism for laser bulk and surface damage to optical components is discussed. It also determines physical properties of self-focused filaments.

  13. Electromagnetically induced transparency with noisy lasers

    SciTech Connect

    Xiao Yanhong; Wang Tun; Baryakhtar, Maria; Jiang Liang; Lukin, Mikhail D.; Van Camp, Mackenzie; Crescimanno, Michael; Hohensee, Michael; Walsworth, Ronald L.; Phillips, David F.; Yelin, Susanne F.

    2009-10-15

    We demonstrate and characterize two coherent phenomena that can mitigate the effects of laser phase noise for electromagnetically induced transparency (EIT): a laser-power-broadening-resistant resonance in the transmitted intensity cross correlation between EIT optical fields, and a resonant suppression of the conversion of laser phase noise to intensity noise when one-photon noise dominates over two-photon-detuning noise. Our experimental observations are in good agreement with both an intuitive physical picture and numerical calculations. The results have wide-ranging applications to spectroscopy, atomic clocks, and magnetometers.

  14. Laser-induced crystallization and crystal growth.

    PubMed

    Sugiyama, Teruki; Masuhara, Hiroshi

    2011-11-04

    Recent streams of laser studies on crystallization and crystal growth are summarized and reviewed. Femtosecond multiphoton excitation of solutions leads to their ablation at the focal point, inducing local bubble formation, shockwave propagation, and convection flow. This phenomenon, called "laser micro tsunami" makes it possible to trigger crystallization of molecules and proteins from their supersaturated solutions. Femtosecond laser ablation of a urea crystal in solution triggers the additional growth of a single daughter crystal. Intense continuous wave (CW) near infrared laser irradiation at the air/solution interface of heavy-water amino acid solutions results in trapping of the clusters and evolves to crystallization. A single crystal is always prepared in a spatially and temporally controlled manner, and the crystal polymorph of glycine depends on laser power, polarization, and solution concentration. Upon irradiation at the glass/solution interface, a millimeter-sized droplet is formed, and a single crystal is formed by shifting the irradiation position to the surface. Directional and selective crystal growth is also possible with laser trapping. Finally, characteristics of laser-induced crystallization and crystal growth are summarized.

  15. Ultraviolet radiation induced discharge laser

    DOEpatents

    Gilson, Verle A.; Schriever, Richard L.; Shearer, James W.

    1978-01-01

    An ultraviolet radiation source associated with a suitable cathode-anode electrode structure, disposed in a gas-filled cavity of a high pressure pulsed laser, such as a transverse electric atmosphere (TEA) laser, to achieve free electron production in the gas by photoelectric interaction between ultraviolet radiation and the cathode prior to the gas-exciting cathode-to-anode electrical discharge, thereby providing volume ionization of the gas. The ultraviolet radiation is produced by a light source or by a spark discharge.

  16. Laser Induced Breakdown Spectroscopy of Metals

    NASA Astrophysics Data System (ADS)

    Palmer, Andria; Lawhead, Carlos; Ujj, Laszlo

    2015-03-01

    Laser Induced Breakdown Spectroscopy (LIBS) is a very practical spectroscopy to determine the chemical composition of materials. Recent technical developments resulted in equipment used on the MARS Rover by NASA. It is capable of measuring the emission spectra of laser induced plasma created by energetic laser pulses focused on the sample (rocks, metals, etc.). We have develop a Laser Induced Breakdown Spectroscopy setup and investigated the necessary experimental and methodological challenges needed to make such material identification measurements. 355 and 532 nm laser pulses with 5 ns temporal duration was used to generate micro-plasma from which compositions can be determined based on known elemental and molecular emission intensities and wavelengths. The performance of LIBS depends on several parameters including laser wavelength, pulse energy, pulse duration, time interval of observation, geometrical configuration of collecting optics, and the properties of ambient medium. Spectra recorded from alloys (e.g. US penny coin) and pure metals will be presented. Special thanks for the financial support of the Office of Undergraduate Research of UWF.

  17. Secondary glaucoma in CAPN5-associated neovascular inflammatory vitreoretinopathy

    PubMed Central

    Cham, Abdourahman; Bansal, Mayank; Banda, Himanshu K; Kwon, Young; Tlucek, Paul S; Bassuk, Alexander G; Tsang, Stephen H; Sobol, Warren M; Folk, James C; Yeh, Steven; Mahajan, Vinit B

    2016-01-01

    Objective The objective of this study was to review the treatment outcomes of patients with secondary glaucoma in cases of autosomal dominant neovascular inflammatory vitreoretinopathy (ADNIV), a hereditary autoimmune uveitis due to mutations in CAPN5. Patients and methods A retrospective, observational case series was assembled from ADNIV patients with secondary glaucoma. The main outcome measures were intraocular pressure (IOP), visual acuity, use of antiglaucoma medications, ocular surgeries, and adverse outcomes. Perimetry and optic disk optical coherence tomography (OCT) were also analyzed. Results Nine eyes of five ADNIV patients with secondary glaucoma were reviewed. Each received a fluocinolone acetonide (FA) implant for the management of posterior uveitis. Following implantation, no eyes developed neovascular glaucoma. Five eyes (in patients 1, 2, and 5) required Ahmed glaucoma valve surgery for the management of steroid-responsive glaucoma. Patient 2 also developed angle closure with iris bombe and underwent laser peripheral iridotomy. Patient 4 had both hypotony and elevated IOP that required periodic antiglaucoma medication in the FA-implanted eye. Patient 3 did not develop steroid-response glaucoma in either eye. Optic disk examinations were obscured by fibrosis and better assessed with OCT. Conclusion ADNIV patients show combined mechanism secondary glaucoma best assessed by OCT of the optic disk. The FA implants have reduced uveitic and neovascular glaucoma. Nevertheless, IOP management remains complex due to steroid-response glaucoma, angle closure glaucoma, and hypotony. PMID:27390515

  18. Peripheral iridotomy for pigmentary glaucoma.

    PubMed

    Michelessi, Manuele; Lindsley, Kristina

    2016-02-12

    Glaucoma is a chronic optic neuropathy characterized by retinal ganglion cell death resulting in damage to the optic nerve head and the retinal nerve fiber layer. Pigment dispersion syndrome is characterized by a structural disturbance in the iris pigment epithelium (the densely pigmented posterior surface of the iris) that leads to dispersion of the pigment and its deposition on various structures within the eye. Pigmentary glaucoma is a specific form of open-angle glaucoma found in patients with pigment dispersion syndrome.Topcial medical therapy is usually the first-line treatment; however, peripheral laser iridotomy has been proposed as an alternate treatment. Peripheral laser iridotomy involves creating an opening in the iris tissue to allow drainage of fluid from the posterior chamber to the anterior chamber and vice versa. Equalizing the pressure within the eye may help to alleviate the friction that leads to pigment dispersion and prevent visual field deterioration. However, the effectiveness of peripheral laser iridotomy in reducing the development or progression of pigmentary glaucoma is unknown. The objective of this review was to assess the effects of peripheral laser iridotomy compared with other interventions, including medication, trabeculoplasty, and trabeculectomy, or no treatment, for pigment dispersion syndrome and pigmentary glaucoma. We searched a number of electronic databases including CENTRAL, MEDLINE and EMBASE and clinical trials websites such as (mRCT) and ClinicalTrials.gov. We last searched the electronic databases on 2 November 2015. We included randomized controlled trials (RCTs) that had compared peripheral laser iridotomy versus no treatment or other treatments for pigment dispersion syndrome and pigmentary glaucoma. We used standard methodological procedures for systematic reviews. Two review authors independently screened articles for eligibility, extracted data, and assessed included trials for risk of bias. We did not perform a

  19. Peripheral iridotomy for pigmentary glaucoma

    PubMed Central

    Michelessi, Manuele; Lindsley, Kristina

    2016-01-01

    Background Glaucoma is a chronic optic neuropathy characterized by retinal ganglion cell death resulting in damage to the optic nerve head and the retinal nerve fiber layer. Pigment dispersion syndrome is characterized by a structural disturbance in the iris pigment epithelium (the densely pigmented posterior surface of the iris) that leads to dispersion of the pigment and its deposition on various structures within the eye. Pigmentary glaucoma is a specific form of open-angle glaucoma found in patients with pigment dispersion syndrome. Topcial medical therapy is usually the first-line treatment; however, peripheral laser iridotomy has been proposed as an alternate treatment. Peripheral laser iridotomy involves creating an opening in the iris tissue to allow drainage of fluid from the posterior chamber to the anterior chamber and vice versa. Equalizing the pressure within the eye may help to alleviate the friction that leads to pigment dispersion and prevent visual field deterioration. However, the effectiveness of peripheral laser iridotomy in reducing the development or progression of pigmentary glaucoma is unknown. Objectives The objective of this review was to assess the effects of peripheral laser iridotomy compared with other interventions, including medication, trabeculoplasty, and trabeculectomy, or no treatment, for pigment dispersion syndrome and pigmentary glaucoma. Search methods We searched a number of electronic databases including CENTRAL, MEDLINE and EMBASE and clinical trials websites such as (mRCT) and ClinicalTrials.gov. We last searched the electronic databases on 2 November 2015. Selection criteria We included randomized controlled trials (RCTs) that had compared peripheral laser iridotomy versus no treatment or other treatments for pigment dispersion syndrome and pigmentary glaucoma. Data collection and analysis We used standard methodological procedures for systematic reviews. Two review authors independently screened articles for eligibility

  20. [The place of SLT in managing glaucoma].

    PubMed

    Nordmann, J-P

    2008-07-01

    Selective laser trabeculoplasty (SLT) is effective in reducing intraocular pressure (IOP) in glaucomatous patients and patients with ocular hypertension. Equivalent to argon laser trabeculoplasty in terms of IOP reduction, SLT has the advantage of preserving surrounding structures. Easy and rapid to perform, SLT may be an interesting therapeutic approach in the management of glaucoma.

  1. Mestastable State Population in Laser Induced Plasmas

    NASA Technical Reports Server (NTRS)

    Kwong, V. H. S.; Kyriakides, C.; Ward, W. K.

    2006-01-01

    Laser induced plasma has been used as a source of neutrals and ions in the study of astrophysical plasmas. The purity of state of this source is essential in the determination of collision parameters such as the charge transfer rate coefficients between ions and neutrals. We will show that the temperature of the laser induced plasma is a rapidly decreasing function of time. The temperature is initially high but cools off rapidly through collisions with the expanding plasma electrons as the plasma recombines and streams into the vacuum. This rapid expansion of the plasma, similar to a supersonic jet, drastically lowers the internal energy of the neutrals and ions.

  2. Seedless Laser Velocimetry Using Heterodyne Laser-Induced Thermal Acoustics

    NASA Technical Reports Server (NTRS)

    Hart, Roger C.; Balla, R. Jeffrey; Herring, G. C.; Jenkins, Luther N.; Bushnell, Dennis M. (Technical Monitor)

    2001-01-01

    A need exists for a seedless equivalent of laser Doppler velocimetry (LDV) for use in low-turbulence or supersonic flows or elsewhere where seeding is undesirable or impractical. A compact laser velocimeter using heterodyne non-resonant laser-induced thermal acoustics (LITA) to measure a single component of velocity is described. Neither molecular (e.g. NO2) nor particulate seed is added to the flow. In non-resonant LITA two beams split from a short-pulse pump laser are crossed; interference produces two counterpropagating sound waves by electrostriction. A CW probe laser incident on the sound waves at the proper angle is directed towards a detector. Measurement of the beating between the Doppler-shifted light and a highly attenuated portion of the probe beam allows determination of one component of flow velocity, speed of sound, and temperature. The sound waves essentially take the place of the particulate seed used in LDV. The velocimeter was used to study the flow behind a rearward-facing step in NASA Langley Research Center's Basic Aerodynamics Research Tunnel. Comparison is made with pitot-static probe data in the freestream over the range 0 m/s - 55 m/s. Comparison with LDV is made in the recirculation region behind the step and in a well-developed boundary layer in front of the step. Good agreement is found in all cases.

  3. Laser-induced semicold fusion

    SciTech Connect

    Steinert, C. )

    1990-01-01

    The large high-energy lasers required for inertial fusion are at present beyond state-of-the-art, and there are other problems (instability of the fuel target, suprathermal electrons, etc.) as well. Therefore, it is hoped that the energy requirement for inertial fusion can be reduced with the help of cold fusion, which takes place within the electrode material confining the fuel (avoiding instability problems). With the semicold fusion cell, laser energy is transferred into the hot part of the fuel, which is confined within the cathode in a cavity, and credit is taken from fast projectiles (tritium) stemming from the (t,p) branch of cold fusion in the cold metal lattice. The latter is the key to the model of a dynamic process for potential growth between the cold electrode and the hot confined fuel in the semicold fusion cell.

  4. Laser induced phosphorescence uranium analysis

    DOEpatents

    Bushaw, Bruce A.

    1986-01-01

    A method is described for measuring the uranium content of aqueous solutions wherein a uranyl phosphate complex is irradiated with a 5 nanosecond pulse of 425 nanometer laser light and resultant 520 nanometer emissions are observed for a period of 50 to 400 microseconds after the pulse. Plotting the natural logarithm of emission intensity as a function of time yields an intercept value which is proportional to uranium concentration.

  5. Laser induced phosphorescence uranium analysis

    DOEpatents

    Bushaw, B.A.

    1983-06-10

    A method is described for measuring the uranium content of aqueous solutions wherein a uranyl phosphate complex is irradiated with a 5 nanosecond pulse of 425 nanometer laser light and resultant 520 nanometer emissions are observed for a period of 50 to 400 microseconds after the pulse. Plotting the natural logarithm of emission intensity as a function of time yields an intercept value which is proportional to uranium concentration.

  6. Advanced Glaucoma: Management Pearls

    PubMed Central

    Gessesse, Girum W.; Damji, Karim F.

    2013-01-01

    A significant proportion of glaucoma patients present late, particularly in the developing world, and unfortunately, in an advanced stage of the disease. They are at imminent danger of losing remaining vision, and may also be afflicted with various socioeconomic and health challenges. The encounter with such a patient is typically characterized by anxiety/fear and sometimes hopelessness from the patient's perspective. The physician may also feel that they are in a difficult position managing the patient's disease. When dealing with such cases, we suggest a holistic, individualized approach taking into account the ‘biopsychosociospiritual’ (BPSS) profile of each patient. The BPSS model takes into account relevant ocular as well as systemic biology (factors such as the mechanism of glaucoma, level of intraocular pressure [IOP], rate of progression, life expectancy, general health), psychological considerations (e.g., fear, depression), socio-economic factors and spiritual/cultural values and beliefs before being able to decide with the patient and their care partner(s) what treatment goals should be and how they can best be approached. Treatment for advanced glaucoma can be highly effective, and patients and their care partners should be informed that aggressive IOP lowering to the low teens or even single digits offers the best chance of protecting remaining vision. This can be achieved safely and effectively in most cases with trabeculectomy (including an antimetabolite), and in some cases with medical and/or laser therapy. Vision rehabilitation and psychosocial support should also be considered in order to optimize remaining vision, replace fear with hope as appropriate, and thus improve the overall quality of life. PMID:23741132

  7. Laser-induced tissue reactions and dermatology.

    PubMed

    Weber, Rebecca J; Taylor, Brent R; Engelman, Dendy E

    2011-01-01

    Knowledge of laser tissue reactions and tissue properties allows the practitioner to tailor a treatment to an individual patient's need and goals. A laser's power, spot size and pulse duration may be manipulated to yield different tissue reactions. Five tissue reactions, each the result of varying laser pulse durations and energy densities, may be achieved. They are photochemical, photothermal, photoablation, plasma-induced ablation and photomechanical. Of these, photothermal reactions are most utilized in dermatology. When higher powered pulses are applied, tissue often undergoes multiple reactions simultaneously. An understanding of these reactions allows their effects to be predicted. In this chapter, the various reactions are reviewed, and the reactions caused by many of the most commonly used lasers in dermatology are discussed.

  8. Laser-induced inactivation of Plasmodium falciparum

    PubMed Central

    2012-01-01

    Background Haemozoin crystals, produced by Plasmodium during its intra-erythrocytic asexual reproduction cycle, can generate UV light via the laser-induced, non-linear optical process of third harmonic generation (THG). In the current study the feasibility of using haemozoin, constitutively stored in the parasite’s food vacuole, to kill the parasite by irradiation with a near IR laser was evaluated. Methods Cultured Plasmodium parasites at different stages of development were irradiated with a pulsed NIR laser and the viability of parasites at each stage was evaluated from their corresponding growth curves using the continuous culture method. Additional testing for germicidal effects of haemozoin and NIR laser was performed by adding synthetic haemozoin crystals to Escherichia coli in suspension. Cell suspensions were then irradiated with the laser and small aliquots taken and spread on agar plates containing selective agents to determine cell viability (CFU). Results Parasites in the late-trophozoites form as well as trophozoites in early-stage of DNA synthesis were found to be the most sensitive to the treatment with ~4-log reduction in viability after six passes through the laser beam; followed by parasites in ring phase (~2-log reduction). A ~1-log reduction in E. coli viability was obtained following a 60 min irradiation regimen of the bacteria in the presence of 1 μM synthetic haemozoin and a ~2-log reduction in the presence of 10 μM haemozoin. Minimal (≤15%) cell kill was observed in the presence of 10 μM haemin. Conclusions Laser-induced third-harmonic generation by haemozoin can be used to inactivate Plasmodium. This result may have clinical implications for treating severe malaria symptoms by irradiating the patient’s blood through the skin or through dialysis tubing with a NIR laser. PMID:22873646

  9. Scanning laser ophthalmoscopy of the optic nerve head in exfoliation glaucoma and ocular hypertension with exfoliation syndrome

    PubMed Central

    Harju, M.; Vesti, E.

    2001-01-01

    AIMS—To study the relation between optic nerve head topography (Heidelberg retina tomograph, HRT) and disc area, visual field index mean defect (MD), and intraocular pressure (IOP), and to see whether change in HRT parameters is associated with change in MD in a prospective follow up.
METHODS—80 consecutive patients (69 patients with exfoliation glaucoma and 11 with ocular hypertension combined with exfoliation syndrome) were examined before IOP reducing intervention and prospectively followed every 6 months for 2 years.
RESULTS—At the entry point, multiple regression analysis showed significant linear association between MD and all HRT parameters, when controlling for disc area. Disc area showed significant association with cup area, cup/disc area ratio, rim area, cup volume, and mean RNFL thickness. Six months after intervention IOP had decreased significantly. Reversible changes in cup area, cup/disc area ratio, rim area, cup volume, rim volume, mean cup depth, and maximum cup depth were associated with decrease in IOP. During the follow up period from 6 month to 2 years, IOP did not change significantly, and MD was used as a measure of progression of glaucoma. During this period, only cup shape measure among HRT parameters showed significant association with subsequent change in MD.
CONCLUSION—Disc area should be taken into account when using HRT to compare patients. Any effect of change in IOP should be also taken into account when using HRT in follow up. Cup shape measure is a promising indicator of progression of glaucomatous damage.

 PMID:11222334

  10. Beta-blocker-induced complications and the patient with glaucoma. Newer treatments to help reduce systemic adverse events.

    PubMed

    Stewart, W C; Garrison, P M

    1998-02-09

    Primary open-angle glaucoma is a condition associated with an elevated intraocular pressure (IOP) that is defined as optic degeneration with a slowly progressive deterioration of the visual field that may lead to blindness. More than 1 million Americans are being treated for glaucoma, and 80,000 are legally blind as a result of the disease. Glaucoma has its highest prevalence among the elderly population, with an incidence of approximately 1% in those older than 60 years, 3% in those between the ages of 70 and 80 years, and more than 9% in those older than 80 years. Treatment is directed at lowering high ocular pressures. The initial treatment, in most cases topical therapy with a beta-adrenergic blocking agent, reduces the IOP to help preserve sight. But such topical agents may also have adverse systemic effects on cardiac, pulmonary, central nervous system (CNS), and endocrine functions.

  11. UV Laser-Induced DNA Photochemistry

    DTIC Science & Technology

    1991-05-13

    nicking of DNA) can be described by a Poisson distribution (Armitage, 1971; Kroeber and LaForge, 1980). Such a distribution can be used to determine...specificity of the alkali-sensitive lesions induced in DNA by high intensity ultraviolet laser radiation", Photochem. Photohiol. 52:509-517 Kroeber , D.W

  12. Laser-Induced Fluorescence in Gaseous [I[subscript]2] Excited with a Green Laser Pointer

    ERIC Educational Resources Information Center

    Tellinghuisen, Joel

    2007-01-01

    A green laser pointer could be used in a flashy demonstration of laser-induced fluorescence in the gas phase by directing the beam of the laser through a cell containing [I[subscript]2] at its room temperature vapor pressure. The experiment could be used to provide valuable insight into the requirements for laser-induced fluorescence (LIF) and the…

  13. Laser-Induced Fluorescence in Gaseous [I[subscript]2] Excited with a Green Laser Pointer

    ERIC Educational Resources Information Center

    Tellinghuisen, Joel

    2007-01-01

    A green laser pointer could be used in a flashy demonstration of laser-induced fluorescence in the gas phase by directing the beam of the laser through a cell containing [I[subscript]2] at its room temperature vapor pressure. The experiment could be used to provide valuable insight into the requirements for laser-induced fluorescence (LIF) and the…

  14. Management of sulcus-fixated single-piece intraocular lens-induced pigmentary glaucoma with 3-piece IOL exchange.

    PubMed

    Rabie, Hossein Mohammad; Esfandiari, Hamed; Rikhtegar, Mohammad Hassan; Hekmat, Vahid

    2017-01-04

    To describe our experience with exchanging sulcus-fixated single-piece intraocular lens (IOL) with 3-piece IOLs for management of pigmentary glaucoma. In this retrospective study, records of patients who underwent sulcus-fixated single-piece IOL exchanged with 3-piece IOLs were retrieved, and demographic and baseline data of patients, type of IOL, pre- and post-IOL exchange BCVA, IOP, number of anti-glaucoma medications, and optic nerve head examination were documented. Baseline and final examinations were analyzed and compared. Mean age of the patients was 59 ± 10 years, and 5 (41.6%) were female. Mean interval between primary cataract extraction operation and IOL exchange was 17 ± 5 months. Nine patients received in sulcus implantation of Alcon SA60AT, and three patients had SN60WF model at the end of primary surgery. BCVA changed insignificantly from 0.06 ± 0.06 logMAR to 0.06 ± 0.06 after IOL exchange. (P = 0.22) IOP was controlled in 8 cases (66.6%), but four cases (33.3%) needed glaucoma surgery to further control glaucoma condition. IOP decreased significantly from preoperative 17 ± 3 to 14 ± 1 mmHg postoperatively. Patients with advanced age and higher baseline IOP were more likely to undergo glaucoma surgery after IOL exchange. (P = 0.07 and 0.00, respectively). single-piece IOL exchange with 3-piece IOL dramatically decreases pigment release and reduces IOP. Those with advanced age and higher IOP are less likely to respond to IOL exchange and may need glaucoma surgery to control high intraocular pressure.

  15. Pigment dispersion syndrome and pigmentary glaucoma--a major review.

    PubMed

    Niyadurupola, Nuwan; Broadway, David C

    2008-12-01

    Pigment dispersion syndrome (PDS) is an interesting condition that can lead to secondary open angle glaucoma. Pigmentary glaucoma is primarily a disease of young people, myopes and men. PDS is characterized by the presence of Krukenberg spindles, iris trans-illumination defects, trabecular meshwork pigmentation and backward bowing of the iris. Posterior bowing of the iris causes rubbing of the pigmented iris epithelium against lens structures, liberation of pigment and trabecular meshwork changes that result in reduced aqueous outflow with the risk of glaucoma. Peripheral laser iridotomy can reverse backward bowing of the iris and may prevent progression of pigmentary glaucoma.

  16. Diagnosis and management of pigmentary glaucoma.

    PubMed

    Lehto, I; Vesti, E

    1998-04-01

    Pigment dispersion syndrome and pigmentary glaucoma affect typically young, myopic persons. Iridozonular contact causes pigment dispersion and obstruction of the trabecular meshwork. Accumulation of pigment may result in transient elevation of intraocular pressure or irreparable damage to the meshwork accompanied by uncontrolled glaucoma. In the reviewed publications the transition from pigment dispersion syndrome to pigmentary glaucoma was found to be 20%. The main risk factors for the transition were ocular hypertension and myopia. Dapiprazole, an alpha-adrenergic blocking agent, was found to be effective in treating pigmentary glaucoma and in preventing pressure spikes after exercise. Dapiprazole causes miosis without affecting accommodation. Yttrium aluminum garnet laser iridotomy reduced the incidence of ocular hypertension in pigment dispersion syndrome, although the effect was less pronounced in persons older than 40 years of age. Lattice degeneration was found in 33.3% of the eyes with pigment dispersion syndrome.

  17. Laser-induced lipolysis on adipose cells

    NASA Astrophysics Data System (ADS)

    Solarte, Efrain; Gutierrez, O.; Neira, Rodrigo; Arroyave, J.; Isaza, Carolina; Ramirez, Hugo; Rebolledo, Aldo F.; Criollo, Willian; Ortiz, C.

    2004-10-01

    Recently, a new liposuction technique, using a low-level laser (LLL) device and Ultrawet solution prior to the procedure, demonstrated the movement of fat from the inside to the outside of the adipocyte (Neira et al., 2002). To determine the mechanisms involved, we have performed Scanning and Transmission Electron Microscopy studies; Light transmittance measurements on adipocyte dilutions; and a study of laser light propagation in adipose tissue. This studies show: 1. Cellular membrane alterations. 2. LLL is capable to reach the deep adipose tissue layer, and 3. The tumescence solution enhances the light propagation by clearing the tissue. MRI studies demonstrated the appearance of fat on laser treated abdominal tissue. Besides, adipocytes were cultivated and irradiated to observe the effects on isolated cells. These last studies show: 1. 635 nm-laser alone is capable of mobilizing cholesterol from the cell membrane; this action is enhanced by the presence of adrenaline and lidocaine. 2. Intracellular fat is released from adipocytes by co joint action of adrenaline, aminophyline and 635 nm-laser. Results are consistent with a laser induced cellular process, which causes fat release from the adipocytes into the intercellular space, besides the modification of the cellular membranes.

  18. Clinical impact of 8 prospective, randomized, multicenter glaucoma trials.

    PubMed

    Panarelli, Joseph F; Banitt, Michael R; Sidoti, Paul A; Budenz, Donald L; Singh, Kuldev

    2015-01-01

    To determine the impact of 8 multicenter randomized clinical trials (RCTs) on glaucoma practice. An electronic survey was distributed to the members of the American Glaucoma Society (AGS). Each participant was asked 2 study-specific questions and 1 standard question common to all 8 RCTs assessing the study's impact on clinical practice. RCTs included in the survey were the Advanced Glaucoma Intervention Study (AGIS), Collaborative Initial Glaucoma Treatment Study (CIGTS), Collaborative Normal Tension Glaucoma (CNTG) Study, European Glaucoma Prevention Study (EGPS), Early Manifest Glaucoma Trial (EMGT), Glaucoma Laser Trial (GLT), Ocular Hypertension Treatment Study (OHTS), and Tube Versus Trabeculectomy (TVT) Study. A 5-point Likert scale was used for rating all responses. The practice setting and duration of glaucoma practice was determined for all AGS members who responded. A total of 206 (23.0%) of 894 AGS members participated in the survey. Among those who responded, 46.4% were self classified as academic practitioners and 53.6% worked in a private practice setting. Mean Likert scores for the standard question evaluating the overall impact of the RCT were OHTS 4.47, CNTG Study 4.13, AGIS 3.78, TVT Study 3.53, EMGT 3.48, CIGTS 3.44, GLT 3.39, and 2.69 EGPS. Substantial differences were observed in the clinical impact of several RCTs in glaucoma. The reported impact of each study likely reflects several factors including study timing, design, conduct, and interpretation of results.

  19. Daily Life with Glaucoma

    MedlinePlus

    ... Size Small Text Medium Text Large Text Contrast Dark on Light Light on Dark Donate Search Menu Donate What is Glaucoma? Care ... Low Vision Resources Medication Guide Resources on the Web » See All Articles Help the Cause Glaucoma affects ...

  20. Glaucoma in Asian Populations

    MedlinePlus

    ... Us Donate In This Section Glaucoma In Asian Populations email Send this article to a friend by ... an even more serious problem as the world population and longevity increases. The other major glaucoma type ...

  1. Types of Glaucoma

    MedlinePlus

    ... Support Groups For more information about area support groups, please click here . NEWSWORTHY WORLD GLAUCOMA WEEK - GET INVOLVED! click for info © Copyright 2017 The Glaucoma Foundation. All Rights Reserved. | Site Map Web design by Integra Strategic Technologies

  2. Tank-Binding Kinase 1 (TBK1) Gene and Open-Angle Glaucomas (An American Ophthalmological Society Thesis).

    PubMed

    Fingert, John H; Robin, Alan L; Scheetz, Todd E; Kwon, Young H; Liebmann, Jeffrey M; Ritch, Robert; Alward, Wallace L M

    2016-08-01

    To investigate the role of TANK-binding kinase 1 (TBK1) gene copy-number variations (ie, gene duplications and triplications) in the pathophysiology of various open-angle glaucomas. In previous studies, we discovered that copy-number variations in the TBK1 gene are associated with normal-tension glaucoma. Here, we investigated the prevalence of copy-number variations in cohorts of patients with other open-angle glaucomas-juvenile-onset open-angle glaucoma (n=30), pigmentary glaucoma (n=209), exfoliation glaucoma (n=225), and steroid-induced glaucoma (n=79)-using a quantitative polymerase chain reaction assay. No TBK1 gene copy-number variations were detected in patients with juvenile-onset open-angle glaucoma, pigmentary glaucoma, or steroid-induced glaucoma. A TBK1 gene duplication was detected in one (0.44%) of the 225 exfoliation glaucoma patients. TBK1 gene copy-number variations (gene duplications and triplications) have been previously associated with normal-tension glaucoma. An exploration of other open-angle glaucomas detected a TBK1 copy-number variation in a patient with exfoliation glaucoma, which is the first example of a TBK1 mutation in a glaucoma patient with a diagnosis other than normal-tension glaucoma. A broader phenotypic range may be associated with TBK1 copy-number variations, although mutations in this gene are most often detected in patients with normal-tension glaucoma.

  3. Laser induced fluorescence technique for environmental applications

    NASA Astrophysics Data System (ADS)

    Utkin, Andrei B.; Felizardo, Rui; Gameiro, Carla; Matos, Ana R.; Cartaxana, Paulo

    2014-08-01

    We discuss the development of laser induced fluorescence sensors and their application in the evaluation of water pollution and physiological status of higher plants and algae. The sensors were built on the basis of reliable and robust solid-state Nd:YAG lasers. They demonstrated good efficiency in: i) detecting and characterizing oil spills and dissolved organic matter; ii) evaluating the impact of stress on higher plants (cork oak, maritime pine, and genetically modified Arabidopsis); iii) tracking biomass changes in intertidal microphytobenthos; and iv) mapping macroalgal communities in the Tagus Estuary.

  4. Kinetic Approach for Laser-Induced Plasmas

    SciTech Connect

    Omar, Banaz; Rethfeld, Baerbel

    2008-10-22

    Non-equilibrium distribution functions of electron gas and phonon gas excited with ultrashort intense laser pulses are calculated for laser-induced plasmas occurring in solids. The excitation during femtosecond irradiation and the subsequent thermalization of the free electrons, as well as the dynamics of phonons are described by kinetic equations. The microscopic collision processes, such as absorption by inverse bremsstrahlung, electron-electron collisions, and electron-phonon interactions are considered by complete Boltzmann collision integrals. We apply our kinetic approach for gold by taking s-band electron into account and compare it with the case of excitation of d-band electrons.

  5. Modeling of Laser-Induced Metal Combustion

    SciTech Connect

    Boley, C D; Rubenchik, A M

    2008-02-20

    Experiments involving the interaction of a high-power laser beam with metal targets demonstrate that combustion plays an important role. This process depends on reactions within an oxide layer, together with oxygenation and removal of this layer by the wind. We present an analytical model of laser-induced combustion. The model predicts the threshold for initiation of combustion, the growth of the combustion layer with time, and the threshold for self-supported combustion. Solutions are compared with detailed numerical modeling as benchmarked by laboratory experiments.

  6. Kinetic Approach for Laser-Induced Plasmas

    NASA Astrophysics Data System (ADS)

    Omar, Banaz; Rethfeld, Bärbel

    2008-10-01

    Non-equilibrium distribution functions of electron gas and phonon gas excited with ultrashort intense laser pulses are calculated for laser-induced plasmas occurring in solids. The excitation during femtosecond irradiation and the subsequent thermalization of the free electrons, as well as the dynamics of phonons are described by kinetic equations. The microscopic collision processes, such as absorption by inverse bremsstrahlung, electron-electron collisions, and electron-phonon interactions are considered by complete Boltzmann collision integrals. We apply our kinetic approach for gold by taking s-band electron into account and compare it with the case of excitation of d-band electrons.

  7. Quantifying pulsed laser induced damage to graphene

    SciTech Connect

    Currie, Marc; Caldwell, Joshua D.; Bezares, Francisco J.; Robinson, Jeremy; Anderson, Travis; Chun, Hayden; Tadjer, Marko

    2011-11-21

    As an emerging optical material, graphene's ultrafast dynamics are often probed using pulsed lasers yet the region in which optical damage takes place is largely uncharted. Here, femtosecond laser pulses induced localized damage in single-layer graphene on sapphire. Raman spatial mapping, SEM, and AFM microscopy quantified the damage. The resulting size of the damaged area has a linear correlation with the optical fluence. These results demonstrate local modification of sp{sup 2}-carbon bonding structures with optical pulse fluences as low as 14 mJ/cm{sup 2}, an order-of-magnitude lower than measured and theoretical ablation thresholds.

  8. Glaucoma - Multiple Languages

    MedlinePlus

    ... Section Glaucoma - العربية (Arabic) Bilingual PDF Health Information Translations Chinese, Simplified (Mandarin dialect) (简体中文) Expand Section Glaucoma - ... Chinese, Simplified (Mandarin dialect)) Bilingual PDF ... Health Information Translations Chinese, Traditional (Cantonese dialect) (繁體中文) Expand Section Glaucoma - ...

  9. Laser-induced natural convection and thermophoresis

    NASA Astrophysics Data System (ADS)

    Wang, C. Y.; Morse, T. F.; Cipolla, J. W., Jr.

    1985-02-01

    The influence of axial laser volumetric heating and forced convection on the motion of aerosol particles in a vertical tube has been studied using the Boussinesq approximation. For constant wall temperature, an asymptotic case provides simple temperature and velocity profiles that determine the convection and thermophoretic motion of small aerosol particles. Laser heating induces upward buoyant motion near the tube center, and when forced convection is downward, there may be an inflection in the velocity profile. For constant laser heating (a small absorption limit), a velocity profile may be found that will minimize the distance over which particles are deposited on the wall. Such an observation may have some bearing on the manufacture of preforms from which optical fibers are drawn.

  10. Laser-Induced Damage of Calcium Fluoride

    SciTech Connect

    Espana, A.; Joly, A.G.; Hess, W.P.; Dickinson, J.T.

    2004-01-01

    As advances continue to be made in laser technology there is an increasing demand for materials that have high thresholds for laser-induced damage. Laser damage occurs when light is absorbed, creating defects in the crystal lattice. These defects can lead to the emission of atoms, ions and molecules from the sample. One specific field where laser damage is of serious concern is semiconductor lithography, which is beginning to use light at a wavelength of 157 nm. CaF2 is a candidate material for use in this new generation of lithography. In order to prevent unnecessary damage of optical components, it is necessary to understand the mechanisms for laser damage and the factors that serve to enhance it. In this research, we study various aspects of laser interactions with CaF2, including impurity absorbance and various forms of damage caused by incident laser light. Ultraviolet (UV) laser light at 266 nm with both femtosecond (fs) and nanosecond (ns) pulse widths is used to induce ion and neutral particle emission from cleaved samples of CaF2. The resulting mass spectra show significant differences suggesting that different mechanisms for desorption occur following excitation using the different pulse durations. Following irradiation by ns pulses at 266 nm, multiple single-photon absorption from defect states is likely responsible for ion emission whereas the fs case is driven by a multi-photon absorption process. This idea is further supported by the measurements made of the transmission and reflection of fs laser pulses at 266 nm, the results of which reveal a non-linear absorption process in effect at high incident intensities. In addition, the kinetic energy profiles of desorbed Ca and K contaminant atoms are different indicating that a different mechanism is responsible for their emission as well. Overall, these results show that purity plays a key role in the desorption of atoms from CaF2 when using ns pulses. On the other hand, once the irradiance reaches high

  11. Electromagnetically induced transparency in modulated laser fields

    NASA Astrophysics Data System (ADS)

    Jiao, Yuechun; Yang, Zhiwei; Zhang, Hao; Zhang, Linjie; Raithel, Georg; Zhao, Jianming; Jia, Suotang

    2017-02-01

    We study electromagnetically induced transparency (EIT) in a room-temperature cesium vapor cell using wavelength-modulated probe laser light. In the utilized cascade level scheme, the probe laser drives the lower transition 6S {}1/2(F = 4) → 6P {}3/2 (F’ = 5), while the coupling laser drives the Rydberg transition 6P {}3/2 → 57S {}1/2. The probe laser has a fixed average frequency and is modulated at a frequency of a few kHz, with a variable modulation amplitude in the range of tens of MHz. The probe transmission is measured as a function of the detuning of the coupling laser from the Rydberg resonance. The first-harmonic demodulated EIT signal has two peaks that are, in the case of large modulation amplitude, separated by the peak-to-peak modulation amplitude of the probe laser times a scaling factor {λ }{{p}}/{λ }{{c}}, where {λ }{{p}} and {λ }{{c}} are the probe- and coupling-laser wavelengths. The scaling factor is due to Doppler shifts in the EIT geometry. Second-harmonic demodulated EIT signals, obtained with small modulation amplitudes, yield spectral lines that are much narrower than corresponding lines in the modulation-free EIT spectra. The resultant spectroscopic resolution enhancement is conducive to improved measurements of radio-frequency (RF) fields based on Rydberg-atom EIT, an approach in which the response of Rydberg atoms to RF fields is exploited to characterize RF fields. Here, we employ wavelength modulation spectroscopy to reduce the uncertainty of atom-based frequency and field measurement of an RF field in the VHF radio band.

  12. Laser induced fluorescence of trapped molecular ions

    SciTech Connect

    Winn, J.S.

    1980-10-01

    Laser induced fluoresence (LIF) spectra (laser excitation spectra) are conceptually among the most simple spectra to obtain. One need only confine a gaseous sample in a suitable container, direct a laser along one axis of the container, and monitor the sample's fluorescence at a right angle to the laser beam. As the laser wavelength is changed, the changes in fluorescence intensity map the absorption spectrum of the sample. (More precisely, only absorption to states which have a significant radiative decay component are monitored.) For ion spectroscopy, one could benefit in many ways by such an experiment. Most optical ion spectra have been observed by emission techniques, and, aside from the problems of spectral analysis, discharge emission methods often produce the spectra of many species, some of which may be unknown or uncertain. Implicit in the description of LIF given above is certainty as to the chemical identity of the carrier of the spectrum. This article describes a method by which the simplifying aspects of LIF can be extended to molecular ions (albeit with a considerable increase in experimental complexity over that necessary for stable neutral molecules).

  13. Laser-induced incandescence from laser-heated silicon nanoparticles

    NASA Astrophysics Data System (ADS)

    Menser, Jan; Daun, Kyle; Dreier, Thomas; Schulz, Christof

    2016-11-01

    This work describes the application of temporally and spectrally resolved laser-induced incandescence to silicon nanoparticles synthesized in a microwave plasma reactor. Optical properties for bulk silicon presented in the literature were extended for nanostructured particles analyzed in this paper. Uncertainties of parameters in the evaporation submodel, as well as measurement noise, are incorporated into the inference process by Bayesian statistics. The inferred nanoparticle sizes agree with results from transmission electron microscopy, and the determined accommodation coefficient matches the values of the preceding study.

  14. Longitudinal relationship between retinal nerve fiber layer thickness parameters assessed by scanning laser polarimetry (GDxVCC) and visual field in glaucoma.

    PubMed

    Makabe, Kenichi; Takei, Kazuo; Oshika, Tetsuro

    2012-04-01

    To investigate the longitudinal relationship between retinal nerve fiber layer (RNFL) thickness parameters assessed by scanning laser polarimetry with variable corneal compensation (GDxVCC) and visual field parameters obtained with the Humphrey field analyzer (HFA) in patients with glaucoma, and to assess the usefulness of GDxVCC in longitudinal follow-up. A total of 242 eyes in 122 patients with glaucoma were periodically assessed using GDxVCC and HFA program SITA fast 30–2 for 3–5 years. Eyes with more than four times of reliable HFA and GDxVCC data were obtained from during the follow-up periods were included in the analysis. Changes in HFA parameters (mean deviation [MD], pattern standard deviation [PSD]) and those in GDxVCC parameters (superior average, inferior average, temporal-superior-nasal-inferior-temporal [TSNIT] average, TSNIT standard deviation [SD], nerve fiber indicator [NFI]) were determined by regression analysis. The relationship between HFA and GDxVCC parameters at the initial point and their annual changes were analyzed with canonical correlation analysis and Pearson’s correlation coefficients. Twenty-four eyes (9.9%) of 19 patients that met inclusion criteria were statistically analyzed. Longitudinal progression was 0.039 ± 0.971 dB/year in MD, 0.156 ± 0.644 dB/year in PSD, −0.197 ± 0.970 μm/year in TSNIT average, −0.503 ± 1.341 μm/year in superior average, −0.282 ± 0.974 μm/year in inferior average, −0.284 ± 1.013/year in TSNIT SD and 1.269 ± 2.560/year in NFI. In canonical correlation analysis at the initial point, first canonical variates were not statistically significant between HFA and GDxVCC parameters. First canonical variates of annual changes significantly correlated between HFA and GDxVCC parameters (p < 0.01), with correlation coefficient of 0.85. In Pearson’s correlation analysis of each parameter, there was a significant relationship between MD and NFI at the initial point

  15. Femtosecond laser induced breakdown for combustion diagnostics

    SciTech Connect

    Kotzagianni, M.; Couris, S.

    2012-06-25

    The focused beam of a 100 fs, 800 nm laser is used to induce a spark in some laminar premixed air-methane flames operating with variable fuel content (equivalence ratio). The analysis of the light escaping from the plasma revealed that the Balmer hydrogen lines, H{sub {alpha}} and H{sub {beta}}, and some molecular origin emissions were the most prominent spectral features, while the CN ({Beta}{sup 2}{Sigma}{sup +}-{Chi}{sup 2}{Sigma}{sup +}) band intensity was found to depend linearly with methane content, suggesting that femtosecond laser induced breakdown spectroscopy can be a useful tool for the in-situ determination and local mapping of fuel content in hydrocarbon-air combustible mixtures.

  16. The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients.

    PubMed

    Tokuda, Naoto; Kitaoka, Yasushi; Matsuzawa, Akiko; Miyamoto, Junsuke; Sakae, Shinsuke; Munemasa, Yasunari; Takagi, Hitoshi

    2015-01-01

    Purpose. To examine the efficacy of ophthalmic rebamipide suspensions on ocular surface disorders induced by antiglaucoma eye drops. Patients and Methods. Forty eyes of 40 patients receiving latanoprost (0.005%) and timolol (0.5%) were included in this randomized prospective study. The patients were randomly divided into two groups (n = 20): the rebamipide-treated group and control group. Changes in intraocular pressure, tear film break-up time (TBUT), and corneal epithelial barrier function were evaluated at baseline, 4 weeks, and 8 weeks after rebamipide administration. Furthermore, superficial punctate keratopathy severity was evaluated by scoring the lesion area and density. Results. There was no significant difference in intraocular pressure before and after rebamipide treatment. However, corneal epithelial barrier function improved significantly 4 and 8 weeks after rebamipide treatment. TBUT was partially, but significantly, increased (P = 0.02) 8 weeks after rebamipide treatment, whereas no significant change was observed at 4 weeks. Additionally, a significant decrease in area and density of keratopathy was observed 8 weeks after rebamipide treatment but not at 4 weeks. The control group showed no significant difference compared to baseline. Conclusions. Our data suggests that rebamipide treatment may reduce the occurrence of drug-induced ocular surface disorder.

  17. Pulsed Infrared Laser Induced Visible Luminescence.

    DTIC Science & Technology

    1979-01-01

    Tne- Technic~1 ~~~~~~~~ scence ”r~ ——— 6. PERFORMING ORG. REPORT NUMBER _____________ ______UN BE R(a)I~~~~I1 ~~~~I1a~~~~ B...here can produce pressure waves reaching kilobar 1evels)~~ 13 A possibility , then , is one of laser shock induced tribolumine — scence . This could be

  18. Selective Nitrations: Laser-Induced Nitrations

    DTIC Science & Technology

    1989-01-01

    Produt Mol Thermalt Laser-Induced Propane Nitrornethane 22.0 (32.3) 32 Nitroethane 16.6 (24I.2) 17 1-nitropropane 13.2 (2 4. 2) 15 2-nitropropane 48.2...Alrich Library of FT-IR Spectra, Ed. 1, Charles J. Pouchert (1985, Alrich Chemical Company, Inc., Milwaukee, WI), p. 397. 11. Norton, R. H. and Beer , R

  19. Laser-Induced Breakdown in Liquid Helium

    NASA Astrophysics Data System (ADS)

    Sirisky, S.; Yang, Y.; Wei, W.; Maris, H. J.

    2017-10-01

    We report on experiments in which focused laser light is used to induce optical breakdown in liquid helium-4. The threshold intensity has been measured over the temperature range from 1.1 to 2.8 K with light of wavelength 1064 nm. In addition to the measurement of the threshold, we have performed experiments to study how the breakdown from one pulse modifies the probability that a subsequent pulse will result in breakdown.

  20. Pediatric Glaucoma: Pharmacotherapeutic Options.

    PubMed

    Samant, Monica; Medsinge, Anagha; Nischal, Ken K

    2016-06-01

    Childhood glaucoma is a major therapeutic challenge for pediatric ophthalmologists and glaucoma specialists worldwide. Management depends on the etiology and age at presentation. A variety of drugs are available for the control of intraocular pressure in children; however, none of these drugs have been licensed by the regulatory agencies for use in children. Furthermore, evidence gained from randomized controlled trials in the pediatric population is sparse, and little is known regarding the use of newer anti-glaucoma preparations. This evidence-based review aims to discuss the available pharmacotherapeutic options for glaucoma in children. Topical adrenoceptor blockers, topical and systemic carbonic anhydrase inhibitors, prostaglandin (PG) analogs, adrenoceptor agonists, parasympathomimetics, and combined preparations are available for use in children, but usually as an off-label indication. Therefore, it is important to recognize that serious side effects have been reported, even with topical drops, and measures to reduce systemic absorption should be taken. Most drugs have been shown to have comparable ocular hypotensive effects, with the lowest occurrence of systemic side effects with PG analogs. Whereas a newly introduced prostaglandin analog, tafluprost, and some other preservative-free preparations have shown promising results in adult glaucoma patients, no pediatric reports are available as yet. Future studies may describe their role in treating pediatric glaucoma. This review also shares some suggested treatment pathways for primary congenital glaucoma (PCG), juvenile open angle glaucoma (JOAG), developmental glaucoma, aphakic/pseudophakic glaucoma, and uveitic glaucoma.

  1. Laser-induced torques in metallic ferromagnets

    NASA Astrophysics Data System (ADS)

    Freimuth, Frank; Blügel, Stefan; Mokrousov, Yuriy

    2016-10-01

    We study laser-induced torques in bcc Fe, hcp Co, and L 10 FePt based on first-principles electronic structure calculations and the Keldysh nonequilibrium formalism. We find that the torques have two contributions, one from the inverse Faraday effect (IFE) and one from the optical spin-transfer torque (OSTT). Depending on the ferromagnet at hand and on the quasiparticle broadening the two contributions may be of similar magnitude, or one contribution may dominate over the other. Additionally, we determine the nonequilibrium spin polarization in order to investigate its relation to the torque. We find the torques and the perpendicular component of the nonequilibrium spin polarization to be odd in the helicity of the laser light, while the spin polarization that is induced parallel to the magnetization is helicity independent. The parallel component of the nonequilibrium spin polarization is orders of magnitude larger than the perpendicular component. In the case of hcp Co we find good agreement between the calculated laser-induced torque and a recent experiment.

  2. Diagnostic tools for glaucoma detection and management.

    PubMed

    Sharma, Pooja; Sample, Pamela A; Zangwill, Linda M; Schuman, Joel S

    2008-11-01

    Early diagnosis of glaucoma is critical to prevent permanent structural damage and irreversible vision loss. Detection of glaucoma typically relies on examination of structural damage to the optic nerve combined with measurements of visual function. To aid the clinician in evaluation of visual function and structure, computer-based devices such as confocal scanning laser ophthalmoscopy, scanning laser polarimetry, and optical coherence tomography provide quantitative assessments of structural damage, and visual function testing includes standard automated perimetry as well as selective techniques, including short-wavelength automated perimetry and frequency-doubling technology perimetry are available. This article will review current literature on diagnostic modalities available for glaucoma with emphasis on the best evidence available in the literature to support their use in clinical practice.

  3. Tank-Binding Kinase 1 (TBK1) Gene and Open-Angle Glaucomas (An American Ophthalmological Society Thesis)

    PubMed Central

    Fingert, John H.; Robin, Alan L.; Scheetz, Todd E.; Kwon, Young H.; Liebmann, Jeffrey M.; Ritch, Robert; Alward, Wallace L.M.

    2016-01-01

    Purpose To investigate the role of TANK-binding kinase 1 (TBK1) gene copy-number variations (ie, gene duplications and triplications) in the pathophysiology of various open-angle glaucomas. Methods In previous studies, we discovered that copy-number variations in the TBK1 gene are associated with normal-tension glaucoma. Here, we investigated the prevalence of copy-number variations in cohorts of patients with other open-angle glaucomas—juvenile-onset open-angle glaucoma (n=30), pigmentary glaucoma (n=209), exfoliation glaucoma (n=225), and steroid-induced glaucoma (n=79)—using a quantitative polymerase chain reaction assay. Results No TBK1 gene copy-number variations were detected in patients with juvenile-onset open-angle glaucoma, pigmentary glaucoma, or steroid-induced glaucoma. A TBK1 gene duplication was detected in one (0.44%) of the 225 exfoliation glaucoma patients. Conclusions TBK1 gene copy-number variations (gene duplications and triplications) have been previously associated with normal-tension glaucoma. An exploration of other open-angle glaucomas detected a TBK1 copy-number variation in a patient with exfoliation glaucoma, which is the first example of a TBK1 mutation in a glaucoma patient with a diagnosis other than normal-tension glaucoma. A broader phenotypic range may be associated with TBK1 copy-number variations, although mutations in this gene are most often detected in patients with normal-tension glaucoma. PMID:27881886

  4. Characterization of glucocorticoid receptor on lymphocytes in Chinese patients with glucocorticoid-induced glaucoma.

    PubMed

    Zhuo, Y; Ge, J; Guo, Y

    1998-09-01

    We studied the pathogenesis of glucocorticoid-induced glucoma (GIG) through characterization of glucocorticoid receptor (GR) on lymphocytes in Chinese patients with GIG. By radioligand receptor binding followed by Scatchard analysis, the specific binding sites were characterized and quantitated for glucocorticoid receptors on peripheral blood lymphocytes obtained from patients with GIG and the control group. The binding sites we detected were as follows: 12.7 +/- 1.47 x 10(3) receptors per cell with a KD of 3.02 +/- 0.62 nmol/L in patients with GIG, 7.26 +/- 0.45 x 10(3) receptors per cell with a KD of 3.03 +/- 0.56 nmol/L in the control group. The statistical difference of receptors per cell is significant between two groups (p < 0.05), patients with GIG having more GR binding sites, while the difference of Kd is not significant (p > 0.05). The preliminary findings suggest that patients with GIG are more sensitive to glucocorticoid and the increase of binding sites of GR may be the receptor and molecular basis of the pathogenesis of GIG.

  5. The Pathophysiology and Treatment of Glaucoma

    PubMed Central

    Weinreb, Robert N.; Aung, Tin; Medeiros, Felipe A.

    2015-01-01

    IMPORTANCE Glaucoma is a worldwide leading cause of irreversible vision loss. Because it may be asymptomatic until a relatively late stage, diagnosis is frequently delayed. A general understanding of the disease pathophysiology, diagnosis, and treatment may assist primary care physicians in referring high-risk patients for comprehensive ophthalmologic examination and in more actively participating in the care of patients affected by this condition. OBJECTIVE To describe current evidence regarding the pathophysiology and treatment of open-angle glaucoma and angle-closure glaucoma. EVIDENCE REVIEW A literature search was conducted using MEDLINE, the Cochrane Library, and manuscript references for studies published in English between January 2000 and September 2013 on the topics open-angle glaucoma and angle-closure glaucoma. From the 4334 abstracts screened, 210 articles were selected that contained information on pathophysiology and treatment with relevance to primary care physicians. FINDINGS The glaucomas are a group of progressive optic neuropathies characterized by degeneration of retinal ganglion cells and resulting changes in the optic nerve head. Loss of ganglion cells is related to the level of intraocular pressure, but other factors may also play a role. Reduction of intraocular pressure is the only proven method to treat the disease. Although treatment is usually initiated with ocular hypotensive drops, laser trabeculoplasty and surgery may also be used to slow disease progression. CONCLUSIONS AND RELEVANCE Primary care physicians can play an important role in the diagnosis of glaucoma by referring patients with positive family history or with suspicious optic nerve head findings for complete ophthalmologic examination. They can improve treatment outcomes by reinforcing the importance of medication adherence and persistence and by recognizing adverse reactions from glaucoma medications and surgeries. PMID:24825645

  6. Application Of Laser Coagulation In Retinal Detachment And Open - Angle Glaucoma, On The Basis Of Own Experiments

    NASA Astrophysics Data System (ADS)

    Palacz, Olgierd; Karczewicz, Danuta; Owczarska, Wieslawa; Sylwestrzak, Zofia

    1987-10-01

    The first part of the paper presents the results of laser ¬Â¢hotocoaculation treatment involving: 141 patients with retinal detachment , 20 with holes in the macula, and 33 with holes at the eye fundus periphery. At estimating the results, the apposition of retina and the observation time have been taken into account. The second part contains the results of observation of 21 patients, in whom, in 26 eyes laser trabeculoplasty was performed. Normalization of intraocular pressure has been obtained in 76.9% of cases. The outflow coefficient after trabeculoplasty has increased in 57.6% of cases.

  7. Glaucoma Surgery in Pregnancy: A Case Series and Literature Review

    PubMed Central

    Razeghinejad, Mohammad Reza; Masoumpour, Masoumeh; Eghbal, Mohammad Hossein; Myers, Jonathan S.; Moster, Marlene R.

    2016-01-01

    Glaucoma management in pregnant patients is a real challenge, especially when the glaucoma is not controlled with medications. We report the results of 6 incisional glaucoma surgeries for the management of medically uncontrolled glaucoma patients during pregnancy. This retrospective, case series was conducted on the 6 eyes of 3pregnant patients with uncontrolled glaucoma using maximum tolerable medications. Details of the glaucoma surgical management of these patients as well as their postoperative care and pregnancy and clinical outcomes on longitudinal follow-up are discussed. All 3 patients had juvenile open-angle glaucoma and were on various anti-glaucoma medications, including oral acetazolamide. The first case described underwent trabeculectomy without antimetabolites in both eyes because of uncontrolled intraocular pressure with topical medications. The surgery was done with topical lidocaine jelly and subconjunctival lidocaine during the second and third trimesters. The second patient had an Ahmed valve implantation in both eyes during the second and third trimesters because of uncontrolled IOP with topical medications and no response to selective laser trabeculoplasty. Surgery was done with topical tetracaine and subconjunctival and sub-Tenon’s lidocaine. The third case had a Baerveldt valve implantation under general anesthesia in the second trimester. In selected pregnant glaucoma patients with medically uncontrolled intraocular pressure threatening vision, incisional surgery may lead to good outcomes for the patient with no risk for the fetus. PMID:27582594

  8. Misalignment Effects in Laser-Induced Grating Experiments.

    PubMed

    Kiefer, Johannes; Sahlberg, Anna-Lena; Hot, Dina; Aldén, Marcus; Li, Zhongshan

    2016-12-01

    Laser-induced grating spectroscopy (LIGS) is an experimental method in which two pulsed laser beams and a continuous-wave laser beam have to be superimposed under well-defined angles to generate a coherent signal beam. In this Note, the possible effects of different forms of misalignment are examined. This includes the overlap of the pump lasers as well as the influence of the probe laser alignment on the temporal profile of the signal.

  9. 24-h Efficacy of Glaucoma Treatment Options.

    PubMed

    Konstas, Anastasios G P; Quaranta, Luciano; Bozkurt, Banu; Katsanos, Andreas; Garcia-Feijoo, Julian; Rossetti, Luca; Shaarawy, Tarek; Pfeiffer, Norbert; Miglior, Stefano

    2016-04-01

    Current management of glaucoma entails the medical, laser, or surgical reduction of intraocular pressure (IOP) to a predetermined level of target IOP, which is commensurate with either stability or delayed progression of visual loss. In the published literature, the hypothesis is often made that IOP control implies a single IOP measurement over time. Although the follow-up of glaucoma patients with single IOP measurements is quick and convenient, such measurements often do not adequately reflect the untreated IOP characteristics, or indeed the quality of treated IOP control during the 24-h cycle. Since glaucoma is a 24-h disease and the damaging effect of elevated IOP is continuous, it is logical that we should aim to understand the efficacy of all treatment options throughout the 24-h period. This article first reviews the concept and value of diurnal and 24-h IOP monitoring. It then critically evaluates selected available evidence on the 24-h efficacy of medical, laser and surgical therapy options. During the past decade several controlled trials have significantly enhanced our understanding on the 24-h efficacy of all glaucoma therapy options. Nevertheless, more long-term evidence is needed to better evaluate the 24-h efficacy of glaucoma therapy and the precise impact of IOP characteristics on glaucomatous progression and visual prognosis.

  10. Laser-induced ionization of Na vapor

    SciTech Connect

    Wu, R.C.Y.; Judge, D.L.; Roussel, F.; Carre, B.; Breger, P.; Spiess, G.

    1982-01-01

    The production of Na/sub 2//sup +/ ions by off-resonant laser excitation in the 5800-6200A region mainly results from two-photon absorption by the Na/sub 2/ molecule to highly excited gerade states followed by (a) direct ionization by absorbing a third photon or (b) coupling to the molecular Na/sub 2/ D/sup 1/PI..mu.. Rydberg state which is subsequently ionized by absorbing a third photon. This mechanism, i.e., a two-photon resonance three photon ionization process, explains a recent experimental observation of Roussel et al. It is suggested that the very same mechanism is also responsible for a similar observation reported by Polak-Dingels et al in their work using two crossed Na beams. In the latter two studies the laser-induced associative ionization processes were reported to be responsible for producing the Na/sub 2//sup +/ ion. From the ratio of molecular to atomic concentration in the crossed beam experiment of Polak-Dingels et al we estimate that the cross section for producing Na/sub 2//sup +/ through laser-induced associative ionization is at least four orders of magnitude smaller than ionization through the two-photon resonance three photon ionization process in Na/sub 2/ molecules.

  11. Laser-induced ionization of Na vapor

    NASA Astrophysics Data System (ADS)

    Wu, C. Y. Robert; Judge, D. L.; Roussel, F.; Carré, B.; Breger, P.; Spiess, G.

    1982-09-01

    The production of Na2+ ions by off-resonant laser excitation in the 5800-6200Å region mainly results from two-photon absorption by the Na2 molecule to highly excited gerade states followed by (a) direct ionization by absorbing a third photon or (b) coupling to the molecular Na2 D1Πu Rydberg state which is subsequently ionized by absorbing a third photon. This mechanism, i.e., a two-photon resonance three photon ionization process, explains a recent experimental observation of Roussel et al. It is suggested that the very same mechanism is also responsible for a similar observation reported by Polak-Dingels et al in their work using two crossed Na beams. In the latter two studies the laser-induced associative ionization processes were reported to be responsible for producing the Na2+ ion. From the ratio of molecular to atomic concentration in the crossed beam experiment of Polak-Dingels et al. we estimate that the cross section for producing Na2+ through laser-induced associative ionization is at least four orders of magnitude smaller than ionization through the two-photon resonance three photon ionization process in Na2 molecules.

  12. Laser induced nanoparticles and crystals and their characterization

    NASA Astrophysics Data System (ADS)

    Rezaee, Mohammadreza; Compton, Robert

    2014-03-01

    Intense nanosecond lasers are used to fabricate nanoparticles by direct laser solid interactions as well as laser produced shock wave induced crystallization in saturated solutions. In particular, laser graphite interactions under liquid nitrogen results in variety of interesting new carbon nanoclusters. In particular, exfoliation of graphite to produce graphene is considered. Laser produced shock wave in unsaturated salt (e.g. NaCl, NaClO3) solution immediately produces thousands of tiny crystals. These nonmaterials are examined using Raman spectroscopy under liquid nitrogen, RUN), laser induced fluorescence, plasma spectroscopy, UV-Vis spectroscopy as well as conventional characterization methods such as SEM and HRTEM imaging.

  13. Does Marijuana Help Treat Glaucoma?

    MedlinePlus

    ... Ophthalmologist Patient Stories Español Eye Health / Tips & Prevention Marijuana Sections Does Marijuana Help Treat Glaucoma? Why Eye ... Don't Recommend Marijuana for Glaucoma Infographic Does Marijuana Help Treat Glaucoma? Written by: David Turbert , contributing ...

  14. Laser-induced fluorescence imaging of bacteria

    NASA Astrophysics Data System (ADS)

    Hilton, Peter J.

    1998-12-01

    This paper outlines a method for optically detecting bacteria on various backgrounds, such as meat, by imaging their laser induced auto-fluorescence response. This method can potentially operate in real-time, which is many times faster than current bacterial detection methods, which require culturing of bacterial samples. This paper describes the imaging technique employed whereby a laser spot is scanned across an object while capturing, filtering, and digitizing the returned light. Preliminary results of the bacterial auto-fluorescence are reported and plans for future research are discussed. The results to date are encouraging with six of the eight bacterial strains investigated exhibiting auto-fluorescence when excited at 488 nm. Discrimination of these bacterial strains against red meat is shown and techniques for reducing background fluorescence discussed.

  15. Nanodot formation induced by femtosecond laser irradiation

    SciTech Connect

    Abere, M. J.; Kang, M.; Goldman, R. S.; Yalisove, S. M.; Chen, C.; Rittman, D. R.; Phillips, J. D.; Torralva, B.

    2014-10-20

    The femtosecond laser generation of ZnSe nanoscale features on ZnSe surfaces was studied. Irradiation with multiple exposures produces 10–100 nm agglomerations of nanocrystalline ZnSe while retaining the original single crystal structure of the underlying material. The structure of these nanodots was verified using a combination of scanning transmission electron microscopy, scanning electron microscopy, and atomic force microscopy. The nanodots continue to grow hours after irradiation through a combination of bulk and surface diffusion. We suggest that in nanodot formation the result of ultrafast laser induced point defect formation is more than an order of magnitude below the ZnSe ultrafast melt threshold fluence. This unique mechanism of point defect injection will be discussed.

  16. Laser induced fluorescence of dental caries

    NASA Technical Reports Server (NTRS)

    Albin, S.; Byvik, C. E.; Buoncristiani, A. M.

    1988-01-01

    Significant differences between the optical spectra taken from sound regions of teeth and carious regions have been observed. These differences appear both in absorption and in laser induced fluorescence spectra. Excitation by the 488 nm line of an argon ion laser beam showed a peak in the emission intensity around 553 nm for the sound dental material while the emission peak from the carious region was red-shifted by approximately 40 nm. The relative absorption of carious region was significantly higher at 488 nm; however its fluorescence intensity peak was lower by an order of magnitude compared to the sound tooth. Implications of these results for a safe, reliable and early detection of dental caries are discussed.

  17. Laser induced fluorescence of dental caries

    NASA Technical Reports Server (NTRS)

    Albin, S.; Byvik, C. E.; Buoncristiani, A. M.

    1988-01-01

    Significant differences between the optical spectra taken from sound regions of teeth and carious regions have been observed. These differences appear both in absorption and in laser induced fluorescence spectra. Excitation by the 488 nm line of an argon ion laser beam showed a peak in the emission intensity around 553 nm for the sound dental material while the emission peak from the carious region was red-shifted by approximately 40 nm. The relative absorption of carious region was significantly higher at 488 nm; however its fluorescence intensity peak was lower by an order of magnitude compared to the sound tooth. Implications of these results for a safe, reliable and early detection of dental caries are discussed.

  18. Laser Induced Fluorescence Spectroscopy of Boron Carbide

    NASA Astrophysics Data System (ADS)

    Cheung, A. S.-C.; Ng, Y. W.; Pang, H. F.

    2011-06-01

    Laser induced fluorescence spectrum of boron carbide (BC) between 490 and 560 nm has been recorded and analyzed. Gas-phase BC molecule was produced by the reaction of B2H6 and CH4 in the presence of magnesium atom from laser ablation process. The (0, 0), (1, 0), and (2, 0) bands of the B4 Σ- - X4 Σ- transition were recorded and rotationally analyzed. Spectra of both isotopes: 10BC and 11BC were observed. Equilibrium molecular constants for the B4 Σ- and the X4 Σ- states for both isotopes were determined. A comparison of the determined gas-phase molecular constants with those obtained using matrix isolation spectroscopy and the theoretical calculations will be presented. Financial support from the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. HKU 701008P) is gratefully acknowledged.

  19. Laser Induced Fluorescence Spectrum of Iridium Monophosphide

    NASA Astrophysics Data System (ADS)

    Pang, H. F.; Liu, Anwen; Cheung, A. S.-C.

    2009-06-01

    Laser induced fluorescence spectrum of IrP in the spectral region between 380-600 nm has been studied. Reacting laser ablated iridium atoms with 1% PH_3 seeded in argon produced the IrP molecule. A few vibronic transitions have been recorded. Preliminary analysis of the rotational structure indicated that these vibronic bands are with Ω^' = 0 and Ω^'' = 0 and is likely to be ^{1}Σ - X ^{1}Σ transition. Vibrational separation of the excited state is estimated to be about 442 cm^{-1}. The ground state bond length is determined to be 1.766 Å. This work represents the first experimental investigation of the spectra of IrP.

  20. Laser-induced autofluorescence of caries

    NASA Astrophysics Data System (ADS)

    Koenig, Karsten; Hibst, Raimund; Flemming, Gabriela; Schneckenburger, Herbert

    1993-07-01

    The laser induced autofluorescence from carious regions of human teeth was studied using a krypton ion laser at 407 nm as an excitation source, a fiberoptical detection system combined with a polychromator and an optical multichannel analyzer. In addition, time-resolved and time-gated fluorescence measurements in the nanosecond range were carried out. It was found that carious regions contain different fluorophores which emit in the red spectral range. The emission spectra with maxima around 590 nm, 625 nm and 635 nm are typical for metalloporphyrins, copro- and protoporphyrin. During excitation the fluorescence was bleached. Non-carious regions showed a broad fluorescence band with a maximum in the short-wavelength spectral region with shorter fluorescence decay times than the carious regions. Therefore, caries can be detected by spectral analysis of the autofluorescence as well as by determination of the fluorescence decay times or by time-gated imaging.

  1. Rapid laser induced energy transfer in atomic systems

    NASA Technical Reports Server (NTRS)

    Harris, S. E.; Young, J. F.

    1978-01-01

    Analytical and experimental studies of the rapid transfer of stored populations from metastable states to selected target states of a different species are reported. Both laser-induced or laser-switched collision and laser-induced two-photon spontaneous emission are described. It is shown that the laser-induced collision method is particularly useful in the visible and UV spectral regions. It has applications in photochemistry, gas-phase kinetics, and in high-power, high-energy gas-phase lasers. The anti-Stokes source is useful in the VUV and soft X-ray spectral regions.

  2. Laser-Induced Damage with Femtosecond Pulses

    NASA Astrophysics Data System (ADS)

    Kafka, Kyle R. P.

    The strong electric fields of focused femtosecond laser pulses lead to non-equilibrium dynamics in materials, which, beyond a threshold intensity, causes laser-induced damage (LID). Such a strongly non-linear and non-perturbative process renders important LID observables like fluence and intensity thresholds and damage morphology (crater) extremely difficult to predict quantitatively. However, femtosecond LID carries a high degree of precision, which has been exploited in various micro/nano-machining and surface engineering applications, such as human eye surgery and super-hydrophobic surfaces. This dissertation presents an array of experimental studies which have measured the damage behavior of various materials under femtosecond irradiation. Precision experiments were performed to produce extreme spatio-temporal confinement of the femtosecond laser-solid damage interaction on monocrystalline Cu, which made possible the first successful direct-benchmarking of LID simulation with realistic damage craters. A technique was developed to produce laser-induced periodic surface structures (LIPSS) in a single pulse (typically a multi-pulse phenomenon), and was used to perform a pump-probe study which revealed asynchronous LIPSS formation on copper. Combined with 1-D calculations, this new experimental result suggests more drastic electron heating than expected. Few-cycle pulses were used to study the LID performance and morphology of commercial ultra-broadband optics, which had not been systematically studied before. With extensive surface analysis, various morphologies were observed, including LIPSS, swelling (blisters), simple craters, and even ring-shaped structures, which varied depending on the coating design, number of pulses, and air/vacuum test environment. Mechanisms leading to these morphologies are discussed, many of which are ultrafast in nature. The applied damage behavior of multi-layer dielectric mirrors was measured and compared between long pulse (150 ps

  3. Benzalkonium Chloride and Glaucoma

    PubMed Central

    Kaufman, Paul L.; Kiland, Julie A.

    2014-01-01

    Abstract Glaucoma patients routinely take multiple medications, with multiple daily doses, for years or even decades. Benzalkonium chloride (BAK) is the most common preservative in glaucoma medications. BAK has been detected in the trabecular meshwork (TM), corneal endothelium, lens, and retina after topical drop installation and may accumulate in those tissues. There is evidence that BAK causes corneal and conjunctival toxicity, including cell loss, disruption of tight junctions, apoptosis and preapoptosis, cytoskeleton changes, and immunoinflammatory reactions. These same effects have been reported in cultured human TM cells exposed to concentrations of BAK found in common glaucoma drugs and in the TM of primary open-angle glaucoma donor eyes. It is possible that a relationship exists between chronic exposure to BAK and glaucoma. The hypothesis that BAK causes/worsens glaucoma is being tested experimentally in an animal model that closely reflects human physiology. PMID:24205938

  4. Benzalkonium chloride and glaucoma.

    PubMed

    Rasmussen, Carol A; Kaufman, Paul L; Kiland, Julie A

    2014-01-01

    Glaucoma patients routinely take multiple medications, with multiple daily doses, for years or even decades. Benzalkonium chloride (BAK) is the most common preservative in glaucoma medications. BAK has been detected in the trabecular meshwork (TM), corneal endothelium, lens, and retina after topical drop installation and may accumulate in those tissues. There is evidence that BAK causes corneal and conjunctival toxicity, including cell loss, disruption of tight junctions, apoptosis and preapoptosis, cytoskeleton changes, and immunoinflammatory reactions. These same effects have been reported in cultured human TM cells exposed to concentrations of BAK found in common glaucoma drugs and in the TM of primary open-angle glaucoma donor eyes. It is possible that a relationship exists between chronic exposure to BAK and glaucoma. The hypothesis that BAK causes/worsens glaucoma is being tested experimentally in an animal model that closely reflects human physiology.

  5. Effect of CNTF on Retinal Ganglion Cell Survival in Experimental Glaucoma

    PubMed Central

    Pease, Mary Ellen; Zack, Donald J; Berlinicke, Cynthia; Bloom, Kristen; Cone, Frances; Wang, Yuxia; Klein, Ronald L.; Hauswirth, William W.; Quigley, Harry A.

    2009-01-01

    Purpose To assess the neuroprotective effect of virally-mediated over-expression of ciliary derived neurotrophic factor (CNTF) and brain-derived neurotrophic factor (BDNF) in experimental rat glaucoma. Methods Laser-induced glaucoma was produced in one eye of 224 Wistar rats after injection of adeno-associated viral vectors (type 2) containing either CNTF, BDNF or both, using saline injected eyes and uninjected glaucoma eyes as controls. IOP was measured with the TonoLab and semi-automated optic nerve axon counts were performed by masked observers. IOP exposure over time was adjusted in multivariate regression analysis to calculate the effect of CNTF and BDNF. Results By multivariate regression, CNTF had a significant protective effect, with 15% less RGC axon death (p < 0.01). Both combined CNTF—BDNF and BDNF over-expression alone had no statistically significant improvement in RGC axon survival. By Western blot, there was a quantitative increase in CNTF and BDNF expression in retinas exposed to single viral vectors carrying each gene, but no increase with sequential injection of both vectors. Conclusion These data confirm that CNTF can exert a protective effect in experimental glaucoma. The reason for a lack of observed effect with the BDNF overexpression groups is unclear, but may be a function of the level of neurotrophin expression achieved. PMID:19060281

  6. Laser-induced breakdown spectroscopy in Asia

    NASA Astrophysics Data System (ADS)

    Wang, Zhen-Zhen; Deguchi, Yoshihiro; Zhang, Zhen-Zhen; Wang, Zhe; Zeng, Xiao-Yan; Yan, Jun-Jie

    2016-12-01

    Laser-induced breakdown spectroscopy (LIBS) is an analytical detection technique based on atomic emission spectroscopy to measure the elemental composition. LIBS has been extensively studied and developed due to the non-contact, fast response, high sensitivity, real-time and multi-elemental detection features. The development and applications of LIBS technique in Asia are summarized and discussed in this review paper. The researchers in Asia work on different aspects of the LIBS study in fundamentals, data processing and modeling, applications and instrumentations. According to the current research status, the challenges, opportunities and further development of LIBS technique in Asia are also evaluated to promote LIBS research and its applications.

  7. Laser induced fluorescence model of human goiter

    NASA Astrophysics Data System (ADS)

    Jaliashvili, Z. V.; Medoidze, T. D.; Mardaleishvili, K. M.; Ramsden, J. J.; Melikishvili, Z. G.

    2008-03-01

    Laser induced fluorescence (LIF) with wide area surveillance for resected thyroid tissue solid chunks is presented. The characteristic LIF spectra of goiter were established. The state of tissue at each point represents a superposition of normal and pathology states. To our knowledge two co-existing pathological effects were observed optically for the first time. It is demonstrated that the LIF spectral functions and their intensities well-labeled such areas and represent a good tool for medical diagnostics of goiter and for the definition of the degree of abnormality and geometrical sizes of these areas.

  8. [Neuroprotection in glaucoma].

    PubMed

    Kuprjanowicz, Leszek; Karczewicz, Danuta

    2007-01-01

    The aim of this research is to describe one of the most frequent ophthalmology disease-glaucoma and to look at their neurodegenerative nature and methods to stop disease. We use neuroprotection in glaucoma from a short time but despite of ethiological reasons neuroprotection seems to be one of the main mechanism to slow their progression. This research is talking about new opinions about neuroprotection in glaucoma and their epidemiology and etiology.

  9. Laser induced single spot oxidation of titanium

    NASA Astrophysics Data System (ADS)

    Jwad, Tahseen; Deng, Sunan; Butt, Haider; Dimov, S.

    2016-11-01

    Titanium oxides have a wide range of applications in industry, and they can be formed on pure titanium using different methods. Laser-induced oxidation is one of the most reliable methods due to its controllability and selectivity. Colour marking is one of the main applications of the oxidation process. However, the colourizing process based on laser scanning strategies is limited by the relative large processing area in comparison to the beam size. Single spot oxidation of titanium substrates is proposed in this research in order to increase the resolution of the processed area and also to address the requirements of potential new applications. The method is applied to produce oxide films with different thicknesses and hence colours on titanium substrates. High resolution colour image is imprinted on a sheet of pure titanium by converting its pixels' colours into laser parameter settings. Optical and morphological periodic surface structures are also produced by an array of oxide spots and then analysed. Two colours have been coded into one field and the dependencies of the reflected colours on incident and azimuthal angles of the light are discussed. The findings are of interest to a range of application areas, as they can be used to imprint optical devices such as diffusers and Fresnel lenses on metallic surfaces as well as for colour marking.

  10. The choroid in glaucoma.

    PubMed

    Banitt, Michael

    2013-03-01

    Prior studies have not conclusively established a relationship between the choroid and glaucoma. The development of an enhanced imaging technique for spectral domain optical coherence tomography (SD-OCT) has allowed for measurements of choroidal thickness that are more accurate than previously possible. Therefore, the SD-OCT may be capable of documenting the changes in the choroid as they relate to glaucoma. When applied to the SD-OCT, the technique of enhanced depth imaging allows for reproducible measurements of choroidal thickness. Nine reports have been published about choroidal thickness within the macula, as measured by OCT, in eyes with glaucoma. In six publications, there was no significant difference between the macular choroidal thicknesses of patients with glaucoma compared with those without glaucoma. Additional five studies have reported on peripapillary choroidal thickness in glaucoma patients. Although three of the studies determined that the peripapillary choroid is thinner in glaucoma patients, two others failed to establish this relationship. The SD-OCT is capable of reproducibly measuring choroidal thickness in the peripapillary and macular areas. In those with glaucoma, choroidal thickness does not change within the macula. In a few subsets of glaucoma, the peripapillary choroid is thinner when compared with normals.

  11. [Sport and Glaucoma].

    PubMed

    Rüfer, F

    2017-02-01

    Traumatic changes in the iridocorneal angle, e.g. in ball sports, can lead to secondary glaucoma. High intensity resistance exercise or yoga exercises - such as the headstand - can increase IOP, and deterioration in the visual field and acute narrow angle glaucoma attacks have been described in some case reports. Glaucoma therapy of professional athletes with steroids, carbonic anhydrase inhibitors and beta-blockers can result in positive doping tests. In manifest glaucoma, moderate aerobic exercise is presumably of use because of the IOP lowering effect, improved retinal perfusion and reduction in oxidative stress. Georg Thieme Verlag KG Stuttgart · New York.

  12. Malignant Glaucoma: A Review of the Modern Literature

    PubMed Central

    Shahid, H.; Salmon, J. F.

    2012-01-01

    Malignant glaucoma is a rare form of glaucoma that typically follows surgery in patients with primary angle closure and primary angle-closure glaucoma. In this paper, the clinical features, classification, pathogenesis, and principles of management are discussed. Despite a high prevalence of primary angle closure glaucoma in South-East Asia, the vast majority of cases of malignant glaucoma are reported in White populations. This may reflect differing mechanisms of angle closure in White and Asian patients, which somehow reduces the likelihood of an aberrant relationship developing between the lens, ciliary body, anterior hyaloid, and vitreous structures within the eye. Although the exact underlying pathogenic mechanism remains unclear, the prognosis is good with modern medical, laser, and surgical treatment modalities. PMID:22545204

  13. Maximizing cost-effectiveness by adjusting treatment strategy according to glaucoma severity.

    PubMed

    Guedes, Ricardo Augusto Paletta; Guedes, Vanessa Maria Paletta; Gomes, Carlos Eduardo de Mello; Chaoubah, Alfredo

    2016-12-01

    The aim of this study is to determine the most cost-effective strategy for the treatment of primary open-angle glaucoma (POAG) in Brazil, from the payer's perspective (Brazilian Public Health System) in the setting of the Glaucoma Referral Centers. Study design was a cost-effectiveness analysis of different treatment strategies for POAG. We developed 3 Markov models (one for each glaucoma stage: early, moderate and advanced), using a hypothetical cohort of POAG patients, from the perspective of the Brazilian Public Health System (SUS) and a horizon of the average life expectancy of the Brazilian population. Different strategies were tested according to disease severity. For early glaucoma, we compared observation, laser and medications. For moderate glaucoma, medications, laser and surgery. For advanced glaucoma, medications and surgery. Main outcome measures were ICER (incremental cost-effectiveness ratio), medical direct costs and QALY (quality-adjusted life year). In early glaucoma, both laser and medical treatment were cost-effective (ICERs of initial laser and initial medical treatment over observation only, were R$ 2,811.39/QALY and R$ 3,450.47/QALY). Compared to observation strategy, the two alternatives have provided significant gains in quality of life. In moderate glaucoma population, medical treatment presented the highest costs among treatment strategies. Both laser and surgery were highly cost-effective in this group. For advanced glaucoma, both tested strategies were cost-effective. Starting age had a great impact on results in all studied groups. Initiating glaucoma therapy using laser or surgery were more cost-effective, the younger the patient. All tested treatment strategies for glaucoma provided real gains in quality of life and were cost-effective. However, according to the disease severity, not all strategies provided the same cost-effectiveness profile. Based on our findings, there should be a preferred strategy for each glaucoma stage

  14. Maximizing cost-effectiveness by adjusting treatment strategy according to glaucoma severity

    PubMed Central

    Guedes, Ricardo Augusto Paletta; Guedes, Vanessa Maria Paletta; Gomes, Carlos Eduardo de Mello; Chaoubah, Alfredo

    2016-01-01

    Abstract Background: The aim of this study is to determine the most cost-effective strategy for the treatment of primary open-angle glaucoma (POAG) in Brazil, from the payer's perspective (Brazilian Public Health System) in the setting of the Glaucoma Referral Centers. Methods: Study design was a cost-effectiveness analysis of different treatment strategies for POAG. We developed 3 Markov models (one for each glaucoma stage: early, moderate and advanced), using a hypothetical cohort of POAG patients, from the perspective of the Brazilian Public Health System (SUS) and a horizon of the average life expectancy of the Brazilian population. Different strategies were tested according to disease severity. For early glaucoma, we compared observation, laser and medications. For moderate glaucoma, medications, laser and surgery. For advanced glaucoma, medications and surgery. Main outcome measures were ICER (incremental cost-effectiveness ratio), medical direct costs and QALY (quality-adjusted life year). Results: In early glaucoma, both laser and medical treatment were cost-effective (ICERs of initial laser and initial medical treatment over observation only, were R$ 2,811.39/QALY and R$ 3,450.47/QALY). Compared to observation strategy, the two alternatives have provided significant gains in quality of life. In moderate glaucoma population, medical treatment presented the highest costs among treatment strategies. Both laser and surgery were highly cost-effective in this group. For advanced glaucoma, both tested strategies were cost-effective. Starting age had a great impact on results in all studied groups. Initiating glaucoma therapy using laser or surgery were more cost-effective, the younger the patient. Conclusion: All tested treatment strategies for glaucoma provided real gains in quality of life and were cost-effective. However, according to the disease severity, not all strategies provided the same cost-effectiveness profile. Based on our findings, there should be a

  15. Laser-induced fluorescence spectroscopy at endoscopy

    NASA Astrophysics Data System (ADS)

    Qu, Jianan Y.; MacAulay, Calum E.; Lam, Stephen; Palcic, Branko

    1994-07-01

    A spectrofluorometry system has been developed for the collection of laser induced fluorescense spectra of tissue during endoscopy. In this system, a catheter with seven optical fibers was used to deliver the excitation light and collect the emitted fluorescence. The system enables one to switch from regular endoscopy into fluorescence measurement in 50 ms using a computerized shutter system. The fluorescence spectra can be recorded in 100 ms. This spectrofluorometry system has been used to obtain spectra from bronchial, larynx and nasopharyngeal tissues when employed with the appropriate endoscopes. The results demonstrate that laser induced fluorescence can be used to differentiate abnormal tissue from normal tissue. The illumination and fluorescence collection patterns of this system have been modeled using a Monte Carlo simulation. The Monte Carlo simulation data shows that the spectra recorded by our collection pattern is very close to the intrinsic spectra of tissue. The experimental results and the Monte Carlo simulation suggest that changes in fluorescence intensity are more robust for the detection of early cancers than the differences in spectral characteristics.

  16. Continuous intraocular pressure measurement by telemetry in alpha-chymotrypsin-induced glaucoma model in the rabbit: effects of timolol, dorzolamide, and epinephrine.

    PubMed

    Percicot, C L; Schnell, C R; Debon, C; Hariton, C

    1996-12-01

    The aim of this study was to set-up and validate the use of a radio-telemetry system in order to record IOP in chronic ocular hypertensive animals. The transmitter of a miniaturized radio-telemetry system was implanted in rabbits, and its catheter was tunnelled subcutaneously to the superior conjunctival sac and inserted into the midvitreous. Implantation was performed in chronic ocular hypertensive rabbits induced by an injection of alpha-chymotrypsin into the posterior chamber of the eye. The effects of 0.5% timolol maleate, 2% dorzolamide hydrochloride and 1% epinephrine were assessed and compared after topical administration in this model. Implanted radio-telemetric system into the vitreous allowed IOP measurement for more than 6 months. In this study, circadian IOP kinetic profiles were monitored in all animals over 24 h for 3 weeks. Timolol maleate was found significantly potent in reducing IOP, while changes depended on the nyctemeral period. Dorzolamide hydrochloride induced a very large IOP reduction and was found to be also well effective at night. We evidenced a biphasic time-dependent effect after topical epinephrine, with a long lasting IOP increase occurring after the administration. This change was found to be related to side effects resulting from a poor ocular tolerance of this drug in the rabbit, leading to either a complete eye closure or a higher blinking rate. By using our method, we confirmed the pressure pulses and undershoots occurring during blinking. Radio-telemetry in chronic glaucoma rabbits appears as a refined method to assess anti-glaucoma drug activity, 24 hours a day, for long-term periods in unrestrained animals, while also providing information on the ocular side effects of eye drops.

  17. Clinical Characteristics and Current Treatment of Glaucoma

    PubMed Central

    Cohen, Laura P.; Pasquale, Louis R.

    2014-01-01

    Glaucoma is a neurodegenerative disorder in which degenerating retinal ganglion cells (RGC) produce significant visual disability. Clinically, glaucoma refers to an array of conditions associated with variably elevated intraocular pressure (IOP) that contributes to RGC loss via mechanical stress, vascular abnormalities, and other mechanisms, such as immune phenomena. The clinical diagnosis of glaucoma requires assessment of the ocular anterior segment with slit lamp biomicroscopy, which allows the clinician to recognize signs of conditions that can produce elevated IOP. After measurement of IOP, a specialized prismatic lens called a gonioscope is used to determine whether the angle is physically open or closed. The structural manifestation of RGC loss is optic nerve head atrophy and excavation of the neuroretinal rim tissue. Treatment is guided by addressing secondary causes for elevated IOP (such as inflammation, infection, and ischemia) whenever possible. Subsequently, a variety of medical, laser, and surgical options are used to achieve a target IOP. PMID:24890835

  18. Metabolomics of the aqueous humor in the rat glaucoma model induced by a series of intracamerular sodium hyaluronate injection.

    PubMed

    Mayordomo-Febrer, A; López-Murcia, M; Morales-Tatay, J M; Monleón-Salvado, D; Pinazo-Durán, M D

    2015-02-01

    Glaucoma models are helpful to study disease characteristics and to design new therapeutic options. Metabolomic profiling approach have been used to elucidating the molecular characteristics of the aqueous humor. Juvenile male Wistar rats experimental (n = 15) and controls (n = 6) were used for these studies. Experimental rats received weekly intracamerular injection of 25 µl of sodium hyaluronate in the left eye and sterile saline solution in the right eye, consecutively for ten weeks. Rats were subjected to anterior/posterior eye segment examinations, intraocular pressure (IOP), and flash electroretinograms (ERG). The aqueous humor was collected at endpoints and analyzed by Nuclear Magnetic Resonance. Elevated IOP and significant reduction of a, b waves and amplitude of oscillatory potential was observed in the left eyes compared to control eyes. The aqueous humor metabolomic profile from control and the experimental eyes were compared. Concentrations of metabolites (amino acids, lipids and carbohydrates) significantly changed after the sodium hyaluronate injections series, compared to the sham-operated eyes. Metabolic changes in the hypertensive eyes correlated with the impaired retinal function. Observed metabolomic changes in aqueous humor in hypertensive state may play a significant role in glaucoma pathogenesis. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Electromagnetically Induced Guiding of Counter-propagating Lasers in Plasmas

    SciTech Connect

    First Author = G. Shvets; A. Pukhov

    1998-05-01

    The interaction of counter-propagating laser pulses in a plasma is considered. When the frequencies of the two lasers are close, nonlinear modification of the refraction index results in the mutual focusing of the two beams. A short (of order the plasma period) laser pulse can also be nonlinearly focused by a long counter-propagating beam which extends over the entire guiding length. This phenomenon of electromagnetically induced guiding can be utilized in laser-driven plasma accelerators.

  20. [Glaucoma in the over-eighties].

    PubMed

    Detry-Morel, M

    2007-11-01

    Due to the recent rapid increase in the aging population, glaucoma in the over-eighties population will become a significant problem of ocular health in the coming decades. It is important to determine the natural effects of aging on the optic nerve head and aqueous humor dynamics in these patients for early diagnosis and monitoring of glaucoma. Its characteristics, context, management, and treatment are very perceptibly different from those of the younger glaucomatous patient. For many reasons, such as its frequent association with macular age-related degeneration, diagnosis of glaucoma in the over-eighties may be difficult. Management of the over-eighties glaucoma is frequently difficult and time-consuming. Less aggressive than in a younger patient and based on topical medications in most cases, it must be discussed case by case and will be based on the general context, the quality of compliance, and especially on the potential consequences of the glaucomatous visual-field defects on the patient's quality of life. In any case, overtreatment as well as treatments that are too complex must be avoided. Given the reduced metabolism in the very elderly, the safest medications must also be selected. It is important to always consider glaucoma medications as part of the patient's medicine regimen. Associated risk factors, especially concomitant systemic hypotension, will be simultaneously treated. Laser trabeculoplasties probably have broader indications than in younger patients. Except for phacoextraction, which is very frequently helpful in controlling IOP, incisional filtering procedures or laser diode cyclophotocoagulations remain infrequently indicated in over-eighties glaucoma patients.

  1. Communication: Bubbles, crystals, and laser-induced nucleation.

    PubMed

    Knott, Brandon C; LaRue, Jerry L; Wodtke, Alec M; Doherty, Michael F; Peters, Baron

    2011-05-07

    Short intense laser pulses of visible and infrared light can dramatically accelerate crystal nucleation from transparent solutions; previous studies invoke mechanisms that are only applicable for nucleation of ordered phases or high dielectric phases. However, we show that similar laser pulses induce CO(2) bubble nucleation in carbonated water. Additionally, in water that is cosupersaturated with argon and glycine, argon bubbles escaping from the water can induce crystal nucleation without a laser. Our findings suggest a possible link between laser-induced nucleation of bubbles and crystals.

  2. Communication: Bubbles, crystals, and laser-induced nucleation

    NASA Astrophysics Data System (ADS)

    Knott, Brandon C.; LaRue, Jerry L.; Wodtke, Alec M.; Doherty, Michael F.; Peters, Baron

    2011-05-01

    Short intense laser pulses of visible and infrared light can dramatically accelerate crystal nucleation from transparent solutions; previous studies invoke mechanisms that are only applicable for nucleation of ordered phases or high dielectric phases. However, we show that similar laser pulses induce CO2 bubble nucleation in carbonated water. Additionally, in water that is cosupersaturated with argon and glycine, argon bubbles escaping from the water can induce crystal nucleation without a laser. Our findings suggest a possible link between laser-induced nucleation of bubbles and crystals.

  3. [Music and Glaucoma].

    PubMed

    Plange, N

    2017-02-01

    Music may have multiple influences on the human organism. A possible therapeutic effect for patients with glaucoma has been postulated, aside from the known impact of music on the cardiovascular system, psychogenic effects and a short-term improvement in mental performance (Mozart effect). The higher level of mental stress in patients with glaucoma and type-A personality behaviour may be related to higher intraocular pressure in patients with glaucoma. Relaxing music may have a positive impact in these patients, related to a reduction in intraocular pressure or its fluctuations. However, only limited data exist on the effects of music on intraocular pressure. No clinical studies have yet been performed to investigate the effect of music or music therapy on glaucoma progression. The music of Mozart may influence visual field examinations, possibly due to a positive short term effect on mental performance. This factor needs to be addressed in studies dealing with the effect of music in glaucoma. The relevance of intraocular pressure increases in professional wind instrument players is controversial. An increased level of care might be advisable in patients with advanced glaucoma. The influences of music on humans, altered personality profiles in patients with glaucoma and the studies showing some effect of stress on intraocular pressure stress the relevance of psychological support for glaucoma patients, who are confronted with a disease with a high longterm risk of blindness.

  4. Laser-induced shockwave propagation from ablation in a cavity

    SciTech Connect

    Zeng Xianzhong; Mao Xianglei; Mao, Samuel S.; Wen, S.-B.; Greif, Ralph; Russo, Richard E.

    2006-02-06

    The propagation of laser-induced shockwaves from ablation inside of cavities was determined from time-resolved shadowgraph images. The temperature and electron number density of the laser-induced plasma was determined from spectroscopic measurements. These properties were compared to those for laser ablation on the flat surface under the same energy and background gas condition. A theoretical model was proposed to determine the amount of energy and vaporized mass stored in the vapor plume based on these measurements.

  5. Intrinsic laser-induced breakdown of silicate glasses

    NASA Astrophysics Data System (ADS)

    Glebov, Leonid B.

    2002-03-01

    This paper is a survey of experimental results in laser- induced damage observed mainly at State Optical Institute (St. Petersburg, Russia; at School of Optics/CREOL (Orlando, FL) which expounds conditions of observation of an intrinsic breakdown of high-purity silicate glasses and proposes the general idea of its mechanism. It is shown that the surface laser-induced breakdown of dielectrics is resulted from photo- and thermo-ionization of surface defects but not from interaction of laser radiation with dielectric material itself. Conditions of thermal ionization of the volume of dielectric materials are determined in dependence on features of absorption of material and temporal features of laser radiation. Statistical properties of laser-induced breakdown of high-purity glasses are caused by statistical properties of laser radiation while the breakdown itself is a deterministic process. Elimination of impact of self-focusing on the results of the breakdown threshold measurements is observed if the spot size of laser radiation in focal plane is less than the wavelength. No photoionization of glass matrix is detected before laser- induced breakdown, and there is no effect of photoionization of impurities and defects on intrinsic breakdown. A mechanism of intrinsic laser-induced breakdown is proposed which is a spasmodic transformation of the electronic level structure in a wide-bandgap dielectric caused by the electric field of laser radiation. This is a collective process converting a transparent material to the opaque state but not an individual process of any type of ionization.

  6. Predictive Value of Retrobulbar Blood Flow Velocities in Glaucoma Suspects

    PubMed Central

    Calvo, Pilar; Ferreras, Antonio; Polo, Vicente; Güerri, Noemi; Seral, Pilar; Fuertes-Lazaro, Isabel; Pablo, Luis E.

    2012-01-01

    Purpose. To determine whether retrobulbar blood flow (RBF) velocities are predictive of conversion to glaucoma. Methods. A total of 262 glaucoma suspects were prospectively selected. Participants had normal visual field, increased intraocular pressure, and glaucomatous optic disc appearance at baseline. Topographic analysis of the optic nerve head was performed using a confocal laser scanning ophthalmoscope and the blood flow velocity of retrobulbar vessels was measured by color Doppler imaging. Conversion to glaucoma was assessed according to the changes in the color-coded Moorfields Regression Analysis (MRA) classification of the confocal laser scanning system during a 48-month follow-up period. Survival curves and hazard ratios (HRs) for the association between RBF parameters and conversion to glaucoma were calculated. Results. End-diastolic velocity and mean velocity in the ophthalmic artery were reduced in subjects that converted to glaucoma based on MRA (36 individuals, 13.7%), while resistivity (RI) and pulsatility indices were increased in the same vessel. Patients with RI values lower than 0.75 in the ophthalmic artery had a survival rate (MRA-converters versus nonconverters) of 93.9%, whereas individuals with RI values greater than 0.75 had a survival rate of 81.7% (HR = 3.306; P = 0.002). Conclusions. Abnormal RBF velocities measured by color Doppler ultrasound may be a risk factor for conversion to glaucoma. An RI value higher than 0.75 in the ophthalmic artery was associated with the development of glaucoma. PMID:22589447

  7. Topical treatment of glaucoma: established and emerging pharmacology.

    PubMed

    Dikopf, Mark S; Vajaranant, Thasarat S; Edward, Deepak P

    2017-06-01

    Glaucoma is a collection of optic neuropathies consisting of retinal ganglion cell death and corresponding visual field loss. Glaucoma is the leading cause of irreversible vision loss worldwide and is forecasted to precipitously increase in prevalence in the coming decades. Current treatment options aim to lower intraocular pressure (IOP) via topical or oral therapy, laser treatment to the trabecular meshwork or ciliary body, and incisional surgery. Despite increasing use of trabecular laser therapy, topical therapy remains first-line in the treatment of most forms of glaucoma. Areas covered: Novel glaucoma therapies are a long-standing focus of investigational study. More than two decades have passed since the last United States Food and Drug Administration (FDA) approval of a topical glaucoma drug. Here, the authors review established topical glaucoma drops as well as those currently in FDA phase 2 and 3 clinical trial, nearing clinical use. Expert opinion: Current investigational glaucoma drugs lower IOP, mainly through enhanced trabecular meshwork outflow. Although few emerging therapies show evidence of retinal ganglion cell and optic nerve neuroprotection in animal models, emerging drugs are focused on lowering IOP, similar to established medicines.

  8. Educating the glaucoma patient.

    PubMed Central

    Rosenthal, A. R.; Zimmerman, J. F.; Tanner, J.

    1983-01-01

    Forty-nine patients with open-angle glaucoma and 32 controls were studied at each of 2 medical centres, one in California and one in England. A 12-point questionnaire was answered before, immediately after, and 6 months after viewing a 6 minute video film about glaucoma. The English glaucoma patients and controls showed lower initial knowledge than their American counterparts. Immediately after the film all groups had substantially improved their knowledge by answering 78-88% of the questions correctly. Recall study showed that both American groups had retained more than their British counterparts and that glaucoma patients retained more knowledge of their disease than did controls. The use of an educational video film in an outpatient setting is a simple and economical method of patient education applicable to both American and British subjects with open-angle glaucoma. PMID:6671096

  9. [Vascular factors in glaucoma].

    PubMed

    Mottet, B; Aptel, F; Geiser, M; Romanet, J P; Chiquet, C

    2015-12-01

    The exact pathophysiology of glaucoma is not fully understood. Understanding of the vascular pathophysiology of glaucoma requires: knowing the techniques for measuring ocular blood flow and characterizing the topography of vascular disease and the mechanisms involved in this neuropathy. A decreased mean ocular perfusion pressure and a loss of vascular autoregulation are implicated in glaucomatous disease. Early decrease in ocular blood flow has been identified in primary open-angle glaucoma and normal pressure glaucoma, contributing to the progression of optic neuropathy. The vascular damage associated with glaucoma is present in various vascular territories within the eye (from the ophthalmic artery to the retina) and is characterized by a decrease in basal blood flow associated with a dysfunction of vasoregulation.

  10. Minimally invasive glaucoma surgery: current status and future prospects

    PubMed Central

    Richter, Grace M; Coleman, Anne L

    2016-01-01

    Minimally invasive glaucoma surgery aims to provide a medication-sparing, conjunctival-sparing, ab interno approach to intraocular pressure reduction for patients with mild-to-moderate glaucoma that is safer than traditional incisional glaucoma surgery. The current approaches include: increasing trabecular outflow (Trabectome, iStent, Hydrus stent, gonioscopy-assisted transluminal trabeculotomy, excimer laser trabeculotomy); suprachoroidal shunts (Cypass micro-stent); reducing aqueous production (endocyclophotocoagulation); and subconjunctival filtration (XEN gel stent). The data on each surgical procedure for each of these approaches are reviewed in this article, patient selection pearls learned to date are discussed, and expectations for the future are examined. PMID:26869753

  11. Cost-comparison of two trabecular micro-bypass stents versus selective laser trabeculoplasty or medications only for intraocular pressure control for patients with open-angle glaucoma.

    PubMed

    Berdahl, John P; Khatana, Anup K; Katz, L Jay; Herndon, Leon; Layton, Andrew J; Yu, Tiffany M; Bauer, Matthew J; Cantor, Louis B

    2017-07-01

    Patients with open-angle glaucoma (OAG) whose intraocular pressure is not adequately controlled by one medication have several treatment options in the US. This analysis evaluated direct costs of unilateral eye treatment with two trabecular micro-bypass stents (two iStents) compared to selective laser trabeculoplasty (SLT) or medications only. A population-based, annual state-transition, probabilistic, cost-of-care model was used to assess OAG-related costs over 5 years. Patients were modeled to initiate treatment in year zero with two iStents, SLT, or medications only. In years 1-5, patients could remain on initial treatment or move to another treatment option(s), or filtration surgery. Treatment strategy change probabilities were identified by a clinician panel. Direct costs were included for drugs, procedures, and complications. The projected average cumulative cost at 5 years was lower in the two-stent treatment arm ($4,420) compared to the SLT arm ($4,730) or medications-only arm ($6,217). Initial year-zero costs were higher with two iStents ($2,810) than with SLT ($842) or medications only ($996). Average marginal annual costs in years 1-5 were $322 for two iStents, $777 for SLT, and $1,044 for medications only. The cumulative cost differences between two iStents vs SLT or medications only decreased over time, with breakeven by 5 or 3 years post-initiation, respectively. By year 5, cumulative savings with two iStents over SLT or medications only was $309 or $1,797, respectively. This analysis relies on clinical expert panel opinion and would benefit from real-world evidence on use of multiple procedures and treatment switching after two-stent treatment, SLT, or polypharmaceutical initial approaches. Despite higher costs in year zero, annual costs thereafter were lowest in the two-stent treatment arm. Two-stent treatment may reduce OAG-related health resource use, leading to direct savings, especially over medications only or at longer time horizons.

  12. Retinal nerve fiber layer in primary open-angle glaucoma with high myopia determined by optical coherence tomography and scanning laser polarimetry.

    PubMed

    Wang, Xiao-en; Wang, Xiao-yu; Gu, Yang-shun; Huang, Zhu

    2013-01-01

    Fundus changes associated with high myopia (HM) may mask those associated with primary open-angle glaucoma (POAG). This study aim to determine the characteristics of RNFL thickness changes in patients with both POAG and HM and compare these to changes in patients with only HM. The diagnostic capabilities of both OCT and GDxVCC in this subset of patients are also evaluated. Twenty-two eyes with POAG and HM (spherical equivalent (SE) between -6.0 and -12.0 D) were evaluated, and 22 eyes with HM were used for comparison. Characteristic retinal nerve fiber layer (RNFL) thickness profiles in patients with POAG and HM were examined using optical coherence tomography (OCT) and scanning laser polarimetry with variable corneal compensation (GDxVCC), and the diagnostic capabilities of these imaging modalities were compared. RNFL parameters evaluated included superior average (Savg-GDx), inferior average (Iavg-GDx), temporal-superior-nasal- inferior-temporal (TSNIT) average, and nerve fiber indicator (NFI) on GDxVCC and superior average (Savg-OCT), inferior average (Iavg-OCT), nasal average (Navg-OCT), temporal average (Tavg-OCT), and average thickness (AvgThick-OCT) on OCT (fast RNFL scan). Visual field testing was performed and defects were evaluated using mean defect (MD) and pattern standard deviation (PSD). The RNFL parameters (P < 0.05) significantly different between groups included Savg-GDx, Iavg-GDx, TSNIT average, NFI, Savg-OCT, Iavg-OCT, Tavg-OCT, and AvgThick-OCT. Significant correlations existed between TSNIT average and AvgThick-OCT (r = 0.778), TSNIT average and MD (r = 0.749), AvgThick-OCT and MD (r = 0.647), TSNIT average and PSD (r = -0.756), and AvgThick-OCT and PSD (r = -0.784). The area under the receiver operating characteristic curve (AUROC) values of TSNIT average, Savg-GDx, Iavg-GDx, NFI, Savg-OCT, Iavg-OCT, Navg-OCT, Tavg-OCT, and AvgThick-OCT were 0.947, 0.962, 0.973, 0.994, 0.909, 0.917, 0.511, 0.906, and 0.913, respectively. The NFI AUROC was the

  13. EFFECTS OF LASER RADIATION ON MATTER. LASER PLASMA: Measurements of laser-induced shock waves in aluminium

    NASA Astrophysics Data System (ADS)

    Werdiger, M.; Arad, B.; Moshe, E.; Eliezer, S.

    1995-02-01

    A simple optical method for measurements of high-irradiance (3×1013 W cm-2) laser-induced shock waves is described. The shock wave velocity (~13 km s-1) was measured with an error not exceeding 5%. The laser-induced one-to-two-dimensional (1D-to-2D) shock wave transition was studied.

  14. Improving Access to Eye Care among Persons at High-Risk of Glaucoma in Philadelphia — Design and Methodology: The Philadelphia Glaucoma Detection and Treatment Project

    PubMed Central

    Myers, Jonathan S.; Henderer, Jeffrey; Crews, John E.; Saaddine, Jinan B.; Molineaux, Jeanne; Johnson, Deiana; Sembhi, Harjeet; Stratford, Shayla; Suleiman, Ayman; Pizzi, Laura; Spaeth, George L.; Katz, L. Jay

    2016-01-01

    Purpose The Wills Eye Glaucoma Research Center initiated a 2-year demonstration project to develop and implement a community-based intervention to improve detection and management of glaucoma in Philadelphia. Methods The glaucoma detection examination consisted of: ocular, medical, and family history; visual acuity testing; corneal pachymetry; biomicroscopy of the anterior segment; intraocular pressure (IOP) measurement; gonioscopy; funduscopy; automated visual field testing; and fundus-color photography. Treatment included laser surgery and/or IOP-lowering medication. A cost analysis was conducted to understand resource requirements. Outcome measures included; prevalence of glaucoma-related pathology and other eye diseases among high-risk populations; the impact of educational workshops on level of knowledge about glaucoma (assessed by pre- and post-test evaluation); and patient satisfaction of the glaucoma detection examinations in the community (assessed by satisfaction survey). Treatment outcome measures were change in IOP at 4–6 weeks and 4–6 months following selective laser trabeculoplasty treatment, deepening of the anterior chamber angle following laser-peripheral iridotomy treatment, and rate of adherence to recommended follow-up examinations. Cost outcomes included total program costs, cost per case of glaucoma detected, and cost per case of ocular disease detected. Results This project enrolled 1649 participants (African Americans aged 50+ years, adults 60+ years and individuals with a family history of glaucoma). A total of 1074 individuals attended a glaucoma educational workshop and 1508 scheduled glaucoma detection examination appointments in the community setting. Conclusions The Philadelphia Glaucoma Detection and Treatment Project aimed to improve access and use of eye care and to provide a model for a targeted community-based glaucoma program. PMID:26950056

  15. Improving Access to Eye Care among Persons at High-Risk of Glaucoma in Philadelphia--Design and Methodology: The Philadelphia Glaucoma Detection and Treatment Project.

    PubMed

    Hark, Lisa; Waisbourd, Michael; Myers, Jonathan S; Henderer, Jeffrey; Crews, John E; Saaddine, Jinan B; Molineaux, Jeanne; Johnson, Deiana; Sembhi, Harjeet; Stratford, Shayla; Suleiman, Ayman; Pizzi, Laura; Spaeth, George L; Katz, L Jay

    2016-01-01

    The Wills Eye Glaucoma Research Center initiated a 2-year demonstration project to develop and implement a community-based intervention to improve detection and management of glaucoma in Philadelphia. The glaucoma detection examination consisted of: ocular, medical, and family history; visual acuity testing; corneal pachymetry; biomicroscopy of the anterior segment; intraocular pressure (IOP) measurement; gonioscopy; funduscopy; automated visual field testing; and fundus-color photography. Treatment included laser surgery and/or IOP-lowering medication. A cost analysis was conducted to understand resource requirements. Outcome measures included; prevalence of glaucoma-related pathology and other eye diseases among high-risk populations; the impact of educational workshops on level of knowledge about glaucoma (assessed by pre- and post-test evaluation); and patient satisfaction of the glaucoma detection examinations in the community (assessed by satisfaction survey). Treatment outcome measures were change in IOP at 4-6 weeks and 4-6 months following selective laser trabeculoplasty treatment, deepening of the anterior chamber angle following laser-peripheral iridotomy treatment, and rate of adherence to recommended follow-up examinations. Cost outcomes included total program costs, cost per case of glaucoma detected, and cost per case of ocular disease detected. This project enrolled 1649 participants (African Americans aged 50+ years, adults 60+ years and individuals with a family history of glaucoma). A total of 1074 individuals attended a glaucoma educational workshop and 1508 scheduled glaucoma detection examination appointments in the community setting. The Philadelphia Glaucoma Detection and Treatment Project aimed to improve access and use of eye care and to provide a model for a targeted community-based glaucoma program.

  16. Laser Induced Fluorescence Spectroscopy of Cobalt Monoboride

    NASA Astrophysics Data System (ADS)

    Pang, H. F.; Ng, Y. W.; Cheung, A. S.-C.

    2011-06-01

    Laser induced fluorescence spectrum of cobalt monoboride (CoB) in the visible region between 465 and 560 nm has been observed. CoB molecule was produced by the reaction of laser ablated cobalt atom and diborane (B_2H_6) seeded in argon. Over twenty five vibronic bands have been recorded, and both Co10B and Co11B isotopic species have been observed and analyzed. Preliminary analysis of the rotational lines showed that the observed vibronic bands belong to two categories namely: the Ω' = 2 - Ω'' = 2 and the Ω' = 3 - Ω'' = 3 transitions, which indicated the ground state of CoB is consistent with an assignment of a ^3Δ_i state predicted from ab initio calculations. Unresolved hyperfine structure arising from the Co nucleus (I = 7/2) causes a broadening of spectral lines. This work represents the first experimental investigation of the spectrum of the CoB molecule. Financial support from the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. HKU 701008P) is gratefully acknowledged.

  17. Volume of a laser-induced microjet

    NASA Astrophysics Data System (ADS)

    Kawamoto, Sennosuke; Hayasaka, Keisuke; Noguchi, Yuto; Tagawa, Yoshiyuki

    2015-11-01

    Needle-free injection systems are of great importance for medical treatments. In spite of their great potential, these systems are not commonly used. One of the common problems is strong pain caused by diffusion shape of the jet. To solve this problem, the usage of a high-speed highly-focused microjet as needle-free injection system is expected. It is thus crucial to control important indicators such as ejected volume of the jet for its safe application. We conduct experiments to reveal which parameter influences mostly the ejected volume. In the experiments, we use a glass tube of an inner diameter of 500 micro-meter, which is filled with the liquid. One end is connected to a syringe and the other end is opened. Radiating the pulse laser instantaneously vapors the liquid, followed by the generation of a shockwave. We find that the maximum volume of a laser-induced bubble is approximately proportional to the ejected volume. It is also found that the occurrence of cavitation does not affect the ejected volume while it changes the jet velocity.

  18. Microcantilever Actuation by Laser Induced Photoacoustic Waves

    PubMed Central

    Gao, Naikun; Zhao, Dongfang; Jia, Ran; Liu, Duo

    2016-01-01

    We present here a combined theoretical and experimental investigation on effective excitation of microcantilever by using photoacoustic waves. The photoacoustic waves arose from a vibrating Al foil induced by an intensity-modulated laser. We demonstrate that, superior to photothermal excitation, this new configuration avoids direct heating of the microcantilever, thus minimizing undesired thermal effects on the vibration of microcantilever, while still keeps the advantage of being a remote, non-contact excitation method. We also measured the vibration amplitude of the microcantilever as a function of distance between the microcantilever and the Al foil and found that the amplitudes decay gradually according to the inverse distance law. This method is universal and can be adopted in bio-microelectromechanical systems (BioMEMs) for the detection of small signals where detrimental thermal effects must be avoided. PMID:26814360

  19. Microcantilever Actuation by Laser Induced Photoacoustic Waves

    NASA Astrophysics Data System (ADS)

    Gao, Naikun; Zhao, Dongfang; Jia, Ran; Liu, Duo

    2016-01-01

    We present here a combined theoretical and experimental investigation on effective excitation of microcantilever by using photoacoustic waves. The photoacoustic waves arose from a vibrating Al foil induced by an intensity-modulated laser. We demonstrate that, superior to photothermal excitation, this new configuration avoids direct heating of the microcantilever, thus minimizing undesired thermal effects on the vibration of microcantilever, while still keeps the advantage of being a remote, non-contact excitation method. We also measured the vibration amplitude of the microcantilever as a function of distance between the microcantilever and the Al foil and found that the amplitudes decay gradually according to the inverse distance law. This method is universal and can be adopted in bio-microelectromechanical systems (BioMEMs) for the detection of small signals where detrimental thermal effects must be avoided.

  20. Changes in Anterior Segment Morphology of Iris Bombe before and after Laser Peripheral Iridotomy in Patients with Uveitic Secondary Glaucoma

    PubMed Central

    Ikegawa, Wakako; Namiguchi, Koji; Mizoue, Shiro; Shiraishi, Atsushi; Ohashi, Yuichi

    2016-01-01

    Purpose. To quantify changes in anterior segment (AS) parameters after laser peripheral iridotomy (LPI) using AS-optical coherence tomography (OCT) of iris bombe. Method. AS images of eight eyes were captured before and after iris bombe and more than 2 weeks after LPI (post-LPI) using AS-OCT. We compared the following AS parameters: anterior chamber depth (ACD), anterior chamber volume (ACV), iris curvature (IC), iris thickness at 500 μm from the scleral spur (IT-1) in the middle between the iris root and pupillary margin (IT-2) and 500 μm from the pupillary margin (IT-3) to the anterior chamber angle (ACA) (angle opening distance [AOD750]), and trabecular iris space area. Results. Mean IT-1 and IT-3, but not IT-2, were lower after iris bombe (IT-1, P = 0.001; IT-2, P = 0.081; and IT-3, P = 0.001). There were no significant differences between ACD at pre-LPI and before iris bombe (P = 0.096). The mean ACV and AOD750 of iris bombe increased at post-LPI (ACV, P < 0.01, and AOD750, P < 0.05). The mean IT-1, IT-2, and IT-3 increased at post-LPI (all, P ≤ 0.01). IC decreased at post-LPI (P < 0.001), and ACD at post-LPI did not change. Conclusions. The iris extends and becomes thinner during iris bombe. LPI during bombe decreases the IC and increases the ACV and ACA. PMID:27872755

  1. Laser-induced fluorescence-cued, laser-induced breakdown spectroscopy biological-agent detection

    SciTech Connect

    Hybl, John D.; Tysk, Shane M.; Berry, Shaun R.; Jordan, Michael P

    2006-12-01

    Methods for accurately characterizing aerosols are required for detecting biological warfare agents. Currently, fluorescence-based biological agent sensors provide adequate detection sensitivity but suffer from high false-alarm rates. Combining single-particle fluorescence analysis with laser-induced breakdown spectroscopy (LIBS) provides additional discrimination and potentially reduces false-alarm rates. A transportable UV laser-induced fluorescence-cued LIBS test bed has been developed and used to evaluate the utility of LIBS for biological-agent detection. Analysis of these data indicates that LIBS adds discrimination capability to fluorescence-based biological-agent detectors.However, the data also show that LIBS signatures of biological agent simulants are affected by washing. This may limit the specificity of LIBS and narrow the scope of its applicability in biological-agent detection.

  2. Pupillary block glaucoma associated with a secondary piggyback intraocular lens.

    PubMed

    Kim, Shane K; Lanciano, Ralph C; Sulewski, Michael E

    2007-10-01

    A 53-year-old woman developed pupillary block glaucoma associated with iris capture of a piggyback intraocular lens (IOL) that was treated with laser peripheral iridotomy. The piggyback IOL was repositioned by dilating the iris pharmacologically and reclining the patient. The IOL maintained its proper position behind the iris with the use of low-concentration pilocarpine eyedrops. Pupillary block glaucoma can occur as a complication of secondary piggyback IOL implantation.

  3. Laser-Induced-Fluorescence Photogrammetry and Videogrammetry

    NASA Technical Reports Server (NTRS)

    Danehy, Paul; Jones, Tom; Connell, John; Belvin, Keith; Watson, Kent

    2004-01-01

    surface of the target. The improved method is denoted laser-induced-fluorescence photogrammetry.

  4. Laser-induced periodic surface structuring of biopolymers

    NASA Astrophysics Data System (ADS)

    Pérez, Susana; Rebollar, Esther; Oujja, Mohamed; Martín, Margarita; Castillejo, Marta

    2013-03-01

    We report here on a systematic study about the formation of laser-induced periodic surface structures (LIPSS) on biopolymers. Self-standing films of the biopolymers chitosan, starch and the blend of chitosan with the synthetic polymer poly (vinyl pyrrolidone), PVP, were irradiated in air with linearly polarized laser beams at 193, 213 and 266 nm, with pulse durations in the range of 6-17 ns. The laser-induced periodic surface structures were topographically characterized by atomic force microscopy and the chemical modifications induced by laser irradiation were inspected via Raman spectroscopy. Formation of LIPSS parallel to the laser polarization direction, with periods similar to the laser wavelength, was observed at efficiently absorbed wavelengths in the case of the amorphous biopolymer chitosan and its blend with PVP, while formation of LIPSS is prevented in the crystalline starch biopolymer.

  5. Management of Primary Angle-Closure Glaucoma.

    PubMed

    Lai, Jimmy; Choy, Bonnie N K; Shum, Jennifer W H

    2016-01-01

    Primary angle-closure glaucoma (PACG) is a progressive optic nerve degeneration and is defined as a glaucomatous optic neuropathy with associated characteristic enlargement of optic disc cupping and visual field loss that is secondary to ocular hypertension caused by closure of the drainage angle. Angle closure is caused by appositional approximation or adhesion between the iris and the trabecular meshwork. The main treatment strategy for PACG lies in the reduction of intraocular pressure, reopening of the closed angle, and possible prevention of further angle closure. There is no universally agreed best surgical treatment for PACG. Trabeculectomy, goniosynechialysis (GSL), glaucoma implant, and cyclodestructive procedures are effective surgical options. Each of them plays an important role in the management of PACG with its own pros and cons. Accumulating evidence is available to show the effectiveness of visually significant and visually nonsignificant cataract extraction in the treatment of PACG. Trabeculectomy and GSL are often combined with cataract extraction, which may offer additional pressure control benefits to patients with PACG. This review article will discuss laser peripheral iridotomy, argon laser peripheral iridoplasty, and surgeries such as GSL, phacoemulsification, and phaco plus glaucoma surgeries that lower intraocular pressure and also alter the anterior segment and/or drainage angle anatomy. Currently, glaucoma implants and cyclodestruction are mainly reserved for PACG patients who have failed previous filtering operations. Their role as initial surgical treatment for PACG will not be discussed.

  6. Femtosecond laser-induced electronic plasma at metal surface

    SciTech Connect

    Chen Zhaoyang; Mao, Samuel S.

    2008-08-04

    We develop a theoretical analysis to model plasma initiation at the early stage of femtosecond laser irradiation of metal surfaces. The calculation reveals that there is a threshold intensity for the formation of a microscale electronic plasma at the laser-irradidated metal surface. As the full width at half maximum of a laser pulse increases from 15 to 200 fs, the plasma formation threshold decreases by merely about 20%. The dependence of the threshold intensity on laser pulse width can be attributed to laser-induced surface electron emission, in particular due to the effect of photoelectric effect.

  7. Enhancement of terahertz wave generation from laser induced plasma

    SciTech Connect

    Xie Xu; Xu Jingzhou; Dai Jianming; Zhang, X.-C.

    2007-04-02

    It is well known that air plasma induced by ultrashort laser pulses emits broadband terahertz waves. The authors report the study of terahertz wave generation from the laser induced plasma where there is a preexisting plasma background. When a laser beam from a Ti:sapphire amplifier is used to generate a terahertz wave, enhancement of the generation is observed if there is another laser beam creating a plasma background. The enhancement of the terahertz wave amplitude lasts hundreds of picoseconds after the preionized background is created, with a maximum enhancement up to 250% observed.

  8. ZnO nanorod array random lasers fabricated by a laser-induced hydrothermal synthesis

    NASA Astrophysics Data System (ADS)

    Fujiwara, Hideki; Suzuki, Takemasa; Niyuki, Ryo; Sasaki, Keiji

    2016-10-01

    We demonstrate random lasing in ZnO nanorod array (NRA) structures fabricated by a laser-induced hydrothermal growth, which would make it possible to control structural parameters, such as diameter, length, density and so on, by adjusting the laser irradiation time and intensity. To realize low-threshold ZnO NRA random lasers, we attempt to optimize the structure by changing the laser irradiation time (growth time). From the results, we confirmed that the fabricated ZnO NRAs after CO2 laser annealing could induce UV random lasing and their thresholds strongly depend on the growth time. Thus, we succeed to realize ZnO NRA random lasers and suggest the possibility to control the random lasing properties by adjusting the irradiated laser conditions.

  9. Microwave interferometry of laser induced air plasmas formed by short laser pulses

    SciTech Connect

    Jungwirth, Patrick W.

    1993-08-01

    Applications for the interaction of laser induced plasmas with electromagnetic probes requires time varying complex conductivity data for specific laser/electromagnetic probe geometries. Applications for this data include plasma switching (Q switching) and the study of ionization fronts. The plasmas were created in laboratory air by 100 ps laser pulses at a wavelength of 1 μm. A long focal length lens focused the laser pulse into WR90 (X band) rectangular waveguide. Two different laser beam/electromagnetic probe geometries were investigated. For the longitudinal geometry, the laser pulse and the microwave counterpropagated inside the waveguide. For the transverse geometry, the laser created a plasma ``post`` inside the waveguide. The effects of the laser beam deliberately hitting the waveguide were also investigated. Each geometry exhibits its own characteristics. This research project focused on the longitudinal geometry. Since the laser beam intensity varies inside the waveguide, the charge distribution inside the waveguide also varies. A 10 GHz CW microwave probe traveled through the laser induced plasma. From the magnitude and phase of the microwave probe, a spatially integrated complex conductivity was calculated. No measurements of the temporal or spatial variation of the laser induced plasma were made. For the ``plasma post,`` the electron density is more uniform.

  10. Femtosecond laser-drilling-induced HgCdTe photodiodes.

    PubMed

    Zha, F-X; Li, M S; Shao, J; Yin, W T; Zhou, S M; Lu, X; Guo, Q T; Ye, Z H; Li, T X; Ma, H L; Zhang, B; Shen, X C

    2010-04-01

    Femtosecond-laser drilling may induce holes in HgCdTe with morphology similar to that induced by ion-milling in loophole technique. So-formed hole structures are proven to be pn junction diodes by the laser beam induced current characterization as well as the conductivity measurement. Transmission and photoluminescence spectral measurements on a n-type dominated hole-array structure give rise to different results from those of an ion-milled sample.

  11. Laser-induced fluorescence of fused silica irradiated by ArF excimer laser

    SciTech Connect

    Zhang Haibo; Yuan Zhijun; Zhou Jun; Dong Jingxing; Wei Yunrong; Lou Qihong

    2011-07-01

    Laser-induced fluorescence (LIF) of high-purity fused silica irradiated by ArF excimer laser is studied experimentally. LIF bands of the fused silica centered at 281 nm, 478 nm, and 650 nm are observed simultaneously. Furthermore, the angular distribution of the three fluorescence peaks is examined. Microscopic image of the laser modified fused silica indicates that scattering of the generated fluorescence by laser-induced damage sites is the main reason for the angular distribution of LIF signals. Finally, the dependence of LIF signals intensities of the fused silica on laser power densities is presented. LIF signals show a squared power density dependence, which indicates that laser-induced defects are formed mainly via two-photon absorption processes.

  12. [Bibliometric analysis of current glaucoma research based on Pubmed database].

    PubMed

    Huang, Wen-bin; Wang, Wei; Zhou, Min-wen; Chen, Shi-da; Zhang, Xiu-lan

    2013-11-01

    To survey the distribution pattern and subject domain knowledge of worldwide glaucoma research based on literatures in Pubmed database. Literatures on glaucoma published in 2007 to 2011 were identified in Pubmed database. The analytic items of an article include published year, country, language author, and journal. After core mesh terms had been characterized by BICOMS, the co-occurrence matrix was built. Cluster analysis was finished by SPSS 20.0. Then visualized network was drawn using ucinet 6.0. Totally 6427 literatures were included, the number of annual articles changed slightly between 2007 and 2011. The United States, England, Germany, Australia, and France together accounted for 77.63% of articles. There were 52 high-frequency subjects and hot topics were clustered into the following 10 categories: (1) Pathology of optic disc and nerve fibers and OCT application, (2) METHODS: of visual field (VF) and visual function examination, (3) Glaucoma drug medications, (4) Pathology and physiology of primary open angle glaucoma (POAG) including VF and intraocular pressure (IOP), (5) Glaucoma surgery, (6) Gene research related to POAG, (7) Glaucoma disease pathology and animal models, (8) Ocular hypertension (OHT) induced complications and corneal changes, (9) Etiology of congenital glaucoma and complications, (10) Etiology and epidemiology of glaucoma. The visualized domain knowledge mapping was successfully built. The pathology of optic disc and nerve fibers, medications, and surgery were well developed. Study on IOP and visual field was in the core domain, which have an important link to etiology, diagnosis, and therapy. The researches on glaucomatous gene, disease pathology model, congenital glaucoma, etiology and epidemiology were not developed well, which are of great promotion space. The distribution pattern and subject domain knowledge of worldwide glaucoma research in the recent five years were shown by using bibliometric analysis.Western developed

  13. Studies of new media radiation induced laser

    NASA Technical Reports Server (NTRS)

    Han, K. S.; Shiu, Y. J.; Raju, S. R.; Hwang, I. H.; Tabibi, B.

    1984-01-01

    Various lasants were investigated especially, 2-iodohepafluoropropane (i-C3F7I) for the direct solar pumped lasers. Optical pumping of iodine laser was achieved using a small flashlamp. Using i-C3F7I as a laser gain medium, threshold inversion density, small signal gain, and laser performance at the elevated temperature were measured. The experimental results and analysis are presented. The iodine laser kinetics of the C3F7I and IBr system were numerically simulated. The concept of a direct solar-pumped laser amplifier using (i-C3F7I) as the laser material was evaluated and several kinetic coefficients for i-C3F7I laser system were reexamined. The results are discussed.

  14. Glaucoma and globe enlargement associated with neurofibromatosis type 1.

    PubMed

    Morales, Jose; Chaudhry, Imtiaz A; Bosley, Thomas M

    2009-09-01

    To describe the features of glaucoma and globe enlargement sometimes associated with neurofibromatosis type 1 (NF1). Single institution, retrospective, and cross-sectional study. Eighty medical records of patients treated at King Khaled Eye Specialist Hospital in Saudi Arabia with NF1 were reviewed, and 46 patients were examined. We reviewed the charts of patients with NF1 and examined available individuals, including gonioscopy, axial length, and ultrasound biomicroscopy in appropriate patients. Presence and type of glaucoma, anterior chamber angle abnormalities, globe axial length, ultrasound biomicroscopy, and visual outcome. Two patient groups were identified: Group 1 had 56 patients with orbito-facial NF1, and group 2 had 24 patients with NF1 but without orbito-facial involvement. Group 1 included 13 patients with glaucoma (23%), which occurred only ipsilateral to the orbito-facial involvement and generally presented before age 3 years. Glaucoma surgery was required in all of these patients, and visual prognosis was poor. In group 1, mean axial length on the side affected by NF1 was 29.8+/-4.1 mm in patients with glaucoma and 25.6+/-2.0 mm in patients without glaucoma. Patients with glaucoma (P<0.001) and without glaucoma (P<0.0001) in group 1 had significantly larger globes on the affected side. Group 2 patients had a mean axial length of 23.6+/-1.6 mm for both eyes without significant globe asymmetry. In this Arab population, glaucoma associated with orbito-facial NF1 occurred less often than the 50% rate that is typically cited. Glaucoma presented early in life and only in patients with ipsilateral orbito-facial involvement. Glaucoma in this setting was always associated with globe enlargement. Glaucoma required surgery, and visual prognosis was poor because of glaucoma and concurrent pathology. Globe enlargement was most severe when associated with glaucoma but also present on the side with orbito-facial involvement in patients without glaucoma. The

  15. Detection of uranium in solids by using laser-induced breakdown spectroscopy combined with laser-induced fluorescence

    SciTech Connect

    Shen, X. K.; Lu, Y. F

    2008-04-10

    Detection of uranium in solids by using laser-induced breakdown spectroscopy has been investigated in combination with laser-induced fluorescence. An optical parametric oscillator wavelength-tunable laser was used to resonantly excite the uranium atoms and ions within the plasma plumes generated by a Q-switched Nd:YAG laser. Both atomic and ionic lines can be selected to detect their fluorescence lines. A uranium concentration of 462 ppm in a glass sample can be detected by using this technique at an excitation wavelength of 385.96 nm for resonant excitation of U II and a fluorescence line wavelength of 409.0 nm from U II.

  16. HCL or DCL chemical laser using laser induced chemistry

    SciTech Connect

    Merritt, J.A.

    1980-05-13

    A chemical HCL or DCL laser is obtained by irradiating CoCl2+H2/D2 in admixture with the P54 line of a CO2 laser. The irradiation is accomplished in a laser cavity provided with appropriate brewster windows, mirrors, and coupling means. The CoCl2 is mixed with H2 or D2 in a properly conditioned system without reacting. The irradiating by the P54 line of a CO2 laser dissociates the CoCl2 to form CO+2Cl* (Cl*-atom in an excited state). The Cl* atom then reacts with H2/D2 present to produce HCL or DCL in an excited vibrational state. The halogen containing molecule then lases.

  17. Railgun system using a laser-induced plasma armature

    SciTech Connect

    Onozuka, M.; Oda, Y.; Azuma, K.

    1996-05-01

    Development of an electromagnetic railgun system that utilizes a laser-induced plasma armature formation has been conducted to investigate the application of the railgun system for high-speed pellet injection into fusion plasmas. Using the laser-induced plasma formation technique, the required breakdown voltage was reduced by one-tenth compared with that for the spark-discharged plasma. The railgun system successfully accelerated the laser-induced plasma armature by an electromagnetic force that accelerated the pellet. The highest velocity of the solid hydrogen pellets, obtained so far, was 2.6 km/sec using a 2m-long railgun. {copyright} {ital 1996 American Institute of Physics.}

  18. Effects of methylprednisolone on laser-induced retinal injuries

    NASA Astrophysics Data System (ADS)

    Rosner, Mordechai; Tchirkov, Marina; Dubinski, Galina; Solberg, Yoram; Belkin, Michael

    1997-05-01

    Methylprednisolone have been demonstrated to ameliorate retinal photic injury. In the current study we examined its effect on laser induced retinal injury. Retinal lesions were inflicted by argon laser in 36 pigmented DA rats. The treated groups received intra-peritoneally methylprednisolone in saline, injected 3 times a day for 2 days, starting immediately after exposure. The controls received the vehicle on the same schedule. The rats were sacrificed 3, 20 or 60 days after laser exposure and the lesions were evaluated by light microscopy and morphometric measurements. Laser injuries were associated with disruption of the outer retinal layers. Three and 20 days after exposure, the loss of the photoreceptor-cell nuclei was significantly milder in the treated groups as compared with controls. There was no difference 60 days after exposure. In conclusion, methylprednisolone reduced temporarily the photoreceptor cell loss in argon laser induced retinal injury, when treatment was started immediately after laser exposure. There was no long term effect.

  19. Research on radiation induced laser plasmas

    NASA Technical Reports Server (NTRS)

    Schneider, R. T.; Rowe, M. J.; Carter, B. D.; Walters, R. A.; Cox, J. D.; Liang, R.; Roxey, T.; Zapata, L.

    1979-01-01

    The development of high power nuclear pumped lasers is discussed. The excitation mechanism of continuous wave (CW) HeNe nuclear pumped lasers is studied and a CO2 nuclear pumped laser is used to demonstrate the CW output in the order of watts. The assumption that high power densities are only achievable by volume fission fragment sources is used to identify laser gases which are compatible with UF6 by excited states lifetime measurements. The examination of Xe2, XeF, and KrF under nuclear irradiation to determine if they are good candidates for nuclear-pumped lasers is described.

  20. Laser induced unzipping: A thermal route to polymer ablation

    NASA Astrophysics Data System (ADS)

    Blanchet, Graciela B.; Fincher, C. R., Jr.

    1994-09-01

    The data presented here show that polytetrafluoroethylene (PTFE) and polymethylmethacrylate (PMMA) can be ablated by the evaporation of solid polymer targets with a pulsed ultraviolet laser. In situ measurements of the plume composition show that the products emitted under laser irradiation are primarily monomer and other species resulting from energetic collisions within the plasma. The similarities between the ablative and pyrolisis mass spectra suggest that ablation of PTFE and PMMA occur through a laser induced pyrolitic decomposition.

  1. [The Spectral Analysis of Laser-Induced Plasma in Laser Welding with Various Protecting Conditions].

    PubMed

    Du, Xiao; Yang, Li-jun; Liu, Tong; Jiao, Jiao; Wang, Hui-chao

    2016-01-01

    The shielding gas plays an important role in the laser welding process and the variation of the protecting conditions has an obvious effect on the welding quality. This paper studied the influence of the change of protecting conditions on the parameters of laser-induced plasma such as electron temperature and electron density during the laser welding process by designing some experiments of reducing the shielding gas flow rate step by step and simulating the adverse conditions possibly occurring in the actual Nd : YAG laser welding process. The laser-induced plasma was detected by a fiber spectrometer to get the spectral data. So the electron temperature of laser-induced plasma was calculated by using the method of relative spectral intensity and the electron density by the Stark Broadening. The results indicated that the variation of protecting conditions had an important effect on the electron temperature and the electron density in the laser welding. When the protecting conditions were changed, the average electron temperature and the average electron density of the laser-induced plasma would change, so did their fluctuation range. When the weld was in a good protecting condition, the electron temperature, the electron density and their fluctuation were all low. Otherwise, the values would be high. These characteristics would have contribution to monitoring the process of laser welding.

  2. Picosecond laser-induced water condensation in a cloud chamber.

    PubMed

    Sun, Haiyi; Liu, Yonghong; Ju, Jingjing; Tian, Ye; Bai, Yafeng; Liu, Yaoxiang; Du, Shengzhe; Wang, Cheng; Wang, Tiejun; Liu, Jiansheng; Chin, See Leang; Li, Ruxin; Xu, Zhizhan

    2016-09-05

    We investigated water condensation in a laboratory cloud chamber induced by picosecond (ps) laser pulses at ~350 ps (800 nm/1-1000 Hz) with a maximum peak power of ~25 MW. The peak power was much lower than the critical power for self-focusing in air (~3-10 GW depending on the pulse duration). Sparks, airflow and snow formation were observed under different laser energies or repetition rates. It was found that weaker ps laser pulses can also induce water condensation by exploding and breaking down ice crystals and/or water droplets into tiny particles although there was no formation of laser filament. These tiny particles would grow until precipitation in a super-saturation zone due to laser-induced airflow in a cold region with a large temperature gradient.

  3. Gene therapy with brain-derived neurotrophic factor as a protection: retinal ganglion cells in a rat glaucoma model.

    PubMed

    Martin, Keith R G; Quigley, Harry A; Zack, Donald J; Levkovitch-Verbin, Hana; Kielczewski, Jennifer; Valenta, Danielle; Baumrind, Lisa; Pease, Mary Ellen; Klein, Ronald L; Hauswirth, William W

    2003-10-01

    To develop a modified adenoassociated viral (AAV) vector capable of efficient transfection of retinal ganglion cells (RGCs) and to test the hypothesis that use of this vector to express brain-derived neurotrophic factor (BDNF) could be protective in experimental glaucoma. Ninety-three rats received one unilateral, intravitreal injection of either normal saline (n = 30), AAV-BDNF-woodchuck hepatitis posttranscriptional regulatory element (WPRE; n = 30), or AAV-green fluorescent protein (GFP)-WPRE (n = 33). Two weeks later, experimental glaucoma was induced in the injected eye by laser application to the trabecular meshwork. Survival of RGCs was estimated by counting axons in optic nerve cross sections after 4 weeks of glaucoma. Transgene expression was assessed by immunohistochemistry, Western blot analysis, and direct visualization of GFP. The density of GFP-positive cells in retinal wholemounts was 1,828 +/- 299 cells/mm(2) (72,273 +/- 11,814 cells/retina). Exposure to elevated intraocular pressure was similar in all groups. Four weeks after initial laser treatment, axon loss was 52.3% +/- 27.1% in the saline-treated group (n = 25) and 52.3% +/- 24.2% in the AAV-GFP-WPRE group (n = 30), but only 32.3% +/- 23.0% in the AAV-BDNF-WPRE group (n = 27). Survival in AAV-BDNF-WPRE animals increased markedly and the difference was significant compared with those receiving either AAV-GFP-WPRE (P = 0.002, t-test) or saline (P = 0.006, t-test). Overexpression of the BDNF gene protects RGC as estimated by axon counts in a rat glaucoma model, further supporting the potential feasibility of neurotrophic therapy as a complement to the lowering of IOP in the treatment of glaucoma.

  4. Factors for progression and glaucoma treatment: the Early Manifest Glaucoma Trial.

    PubMed

    Leske, M Cristina; Heijl, Anders; Hyman, Leslie; Bengtsson, Bo; Komaroff, Eugene

    2004-04-01

    This review summarizes factors for progression in the Early Manifest Glaucoma Trial (EMGT), including the effect of treatment. EMGT randomized patients with early glaucoma either to argon laser trabeculoplasty plus betaxolol (n = 129) or to no immediate treatment (n = 126) and followed them every 3 months. Treated patients had delayed progression, as compared with controls. In Cox regression, EMGT treatment halved the risk of progression (hazard ratio = 0.50; 95% confidence interval: 0.35, 0.71). Risk decreased about 10% with each millimeter mercury of intraocular pressure (IOP) reduction from baseline; the higher (or lower) the IOP at follow-up, the higher (or lower) the risk. Baseline factors increasing progression were higher IOP, exfoliation, bilateral disease, worse perimetric mean deviation and older age; frequent disc hemorrhages at follow-up also increased risk. EMGT treatment reduced progression risk in half, demonstrating the value of IOP lowering in early glaucoma. Age and indicators of disease severity also predicted progression.

  5. Glaucoma related Proteomic Alterations in Human Retina Samples

    PubMed Central

    Funke, Sebastian; Perumal, Natarajan; Beck, Sabine; Gabel-Scheurich, Silke; Schmelter, Carsten; Teister, Julia; Gerbig, Claudia; Gramlich, Oliver W.; Pfeiffer, Norbert; Grus, Franz H.

    2016-01-01

    Glaucoma related proteomic changes have been documented in cell and animal models. However, proteomic studies investigating on human retina samples are still rare. In the present work, retina samples of glaucoma and non-glaucoma control donors have been examined by a state-of-the-art mass spectrometry (MS) workflow to uncover glaucoma related proteomic changes. More than 600 proteins could be identified with high confidence (FDR < 1%) in human retina samples. Distinct proteomic changes have been observed in 10% of proteins encircling mitochondrial and nucleus species. Numerous proteins showed a significant glaucoma related level change (p < 0.05) or distinct tendency of alteration (p < 0.1). Candidates were documented to be involved in cellular development, stress and cell death. Increase of stress related proteins and decrease of new glaucoma related candidates, ADP/ATP translocase 3 (ANT3), PC4 and SRFS1-interacting protein 1 (DFS70) and methyl-CpG-binding protein 2 (MeCp2) could be documented by MS. Moreover, candidates could be validated by Accurate Inclusion Mass Screening (AIMS) and immunostaining and supported for the retinal ganglion cell layer (GCL) by laser capture microdissection (LCM) in porcine and human eye cryosections. The workflow allowed a detailed view into the human retina proteome highlighting new molecular players ANT3, DFS70 and MeCp2 associated to glaucoma. PMID:27425789

  6. Glaucoma Research Foundation

    MedlinePlus

    ... find a cure for glaucoma. The Biomarker Initiative Catalyst for a Cure Applying for a Grant Photos ... Gala The Annual Gala showcases the visionaries and catalysts who believe in our mission. The Gala took ...

  7. Facts about Glaucoma

    MedlinePlus

    ... several evenly spaced burns that stretch the drainage holes in the meshwork. This allows the fluid to ... who may be at high risk for glaucoma-African Americans over age 40; everyone over age 60, especially ...

  8. Five Common Glaucoma Tests

    MedlinePlus

    ... pressure Tonometry The shape and color of the optic nerve Ophthalmoscopy (dilated eye exam) The complete field ... This diagnostic procedure helps the doctor examine your optic nerve for glaucoma damage. Eye drops are used ...

  9. Q-Switched Alexandrite Laser-induced Chrysiasis

    PubMed Central

    Victor Ross, E.

    2015-01-01

    Background: Chyriasis is an uncommon side effect that occurs in patients who are receiving prolonged treatment with either intravenous or intramuscular gold as a distinctive blue-gray pigmentation of light-exposed skin. Laser-induced chrysiasis is a rarely described phenomenon in individuals who have received systemic gold and are subsequently treated with a Q-switched laser. Purpose: To describe the characteristics of patients with laser-induced chrysiasis. Methods: The authors describe a 60-year-old woman who developed chrysiasis at Q-switched alexandrite laser treatment sites. They also reviewed the medical literature using PubMed, searching the terms chrysiasis, gold, and laser-induced. Patient reports and previous reviews of these subjects were critically assessed and the salient features are presented. Results: Including the authors’ patient, laser-induced chrysiasis has been described in five Caucasian arthritis patients (4 women and 1 man); most of the patients had received more than 8g of systemic gold therapy during a period of 3 to 13 years. Gold therapy was still occurring or had been discontinued as long as 26 years prior to laser treatment. All of the patients immediately developed blue macules at the Q-switched laser treatment site. Resolution of the dyschromia occurred in a 70-year-old woman after two treatment sessions with a long-pulsed ruby laser and the authors’ patient after a sequential series of laser sessions using a long-pulsed alexandrite laser, followed by a nonablative fractional laser and an ablative carbon dioxide laser. Conclusion: Laser-induced chrysiasis has been observed following treatment with Q-switched lasers in patients who are receiving or have previously been treated with systemic gold. It can occur decades after treatment with gold has been discontinued. Therefore, inquiry regarding a prior history of treatment with gold—particularly in older patients with arthritis—should be considered prior to treatment with a Q

  10. Q-Switched Alexandrite Laser-induced Chrysiasis.

    PubMed

    Cohen, Philip R; Ross, E Victor

    2015-09-01

    Chyriasis is an uncommon side effect that occurs in patients who are receiving prolonged treatment with either intravenous or intramuscular gold as a distinctive blue-gray pigmentation of light-exposed skin. Laser-induced chrysiasis is a rarely described phenomenon in individuals who have received systemic gold and are subsequently treated with a Q-switched laser. To describe the characteristics of patients with laser-induced chrysiasis. The authors describe a 60-year-old woman who developed chrysiasis at Q-switched alexandrite laser treatment sites. They also reviewed the medical literature using PubMed, searching the terms chrysiasis, gold, and laser-induced. Patient reports and previous reviews of these subjects were critically assessed and the salient features are presented. Including the authors' patient, laser-induced chrysiasis has been described in five Caucasian arthritis patients (4 women and 1 man); most of the patients had received more than 8g of systemic gold therapy during a period of 3 to 13 years. Gold therapy was still occurring or had been discontinued as long as 26 years prior to laser treatment. All of the patients immediately developed blue macules at the Q-switched laser treatment site. Resolution of the dyschromia occurred in a 70-year-old woman after two treatment sessions with a long-pulsed ruby laser and the authors' patient after a sequential series of laser sessions using a long-pulsed alexandrite laser, followed by a nonablative fractional laser and an ablative carbon dioxide laser. Laser-induced chrysiasis has been observed following treatment with Q-switched lasers in patients who are receiving or have previously been treated with systemic gold. It can occur decades after treatment with gold has been discontinued. Therefore, inquiry regarding a prior history of treatment with gold-particularly in older patients with arthritis-should be considered prior to treatment with a Q-switched laser. Also, treatment with a long-pulsed laser

  11. Objective perimetry in glaucoma.

    PubMed

    Klistorner, A; Graham, S L

    2000-12-01

    Objective perimetry in glaucoma is described using the multifocal pattern visually evoked potential (VEP). A multichannel recording technique was used to improve signal detection in healthy volunteers and assess its ability to detect glaucoma and early changes in patients with suspected glaucoma. Prospective, case-control study. Thirty healthy volunteers, 30 patients with suspected glaucoma, and 30 patients with glaucomatous visual field defects were tested. The VEP was recorded using cortically scaled, multifocal, pseudorandomly alternated pattern stimuli with the VERIS system (Electro-Diagnostic Imaging, Inc., San Francisco, CA). An array of four bipolar occipital electrodes provided four differently oriented channels for simultaneous recording. Signals were compared for different locations within the field up to 26 degrees of eccentricity. Healthy volunteers, patients with suspected glaucoma, and glaucoma patients with established visual field defects were tested, and results were compared with Humphrey visual fields (Humphrey Systems, Dublin, CA) performed on the same day. For reproducibility, five healthy volunteers were each tested on four separate days. The patients with suspected glaucoma and the established glaucoma patients were analyzed for intereye asymmetry of signals, and these data were compared with the asymmetry values of the healthy volunteers. Multiple recording channels significantly enhanced the recording of signals from parts of the visual field not reliably sampled with a single channel technique in all healthy volunteers, particularly along the horizontal meridian (P: < 0.001). Signal amplitude did not decline with age in healthy volunteers. Recordings showed good reproducibility within individuals. In all 30 glaucoma patients, the Humphrey visual field defects were well demonstrated by the VEP, and topographic location was strongly correlated (r(s) = 0.79). Despite large interindividual variations in amplitude, scotomas were well

  12. Robust authentication through stochastic femtosecond laser filament induced scattering surfaces

    NASA Astrophysics Data System (ADS)

    Zhang, Haisu; Tzortzakis, Stelios

    2016-05-01

    We demonstrate a reliable authentication method by femtosecond laser filament induced scattering surfaces. The stochastic nonlinear laser fabrication nature results in unique authentication robust properties. This work provides a simple and viable solution for practical applications in product authentication, while also opens the way for incorporating such elements in transparent media and coupling those in integrated optical circuits.

  13. Effect of laser intensity on radio frequency emissions from laser induced breakdown of atmospheric air

    SciTech Connect

    Vinoth Kumar, L.; Manikanta, E.; Leela, Ch.; Prem Kiran, P. E-mail: prem@uohyd.ac.in

    2016-06-07

    The studies on the effect of input laser intensity, through the variation of laser focusing geometry, on radio frequency (RF) emissions, over 30–1000 MHz from nanosecond (ns) and picosecond (ps) laser induced breakdown (LIB) of atmospheric air are presented. The RF emissions from the ns and ps LIB were observed to be decreasing and increasing, respectively, when traversed from tight to loose focusing conditions. The angular and radial intensities of the RF emissions from the ns and ps LIB are found to be consistent with sin{sup 2}θ/r{sup 2} dependence of the electric dipole radiation. The normalized RF emissions were observed to vary with incident laser intensity (Iλ{sup 2}), indicating the increase in the induced dipole moment at moderate input laser intensities and the damping of radiation due to higher recombination rate of plasma at higher input laser intensities.

  14. Caffeine administration prevents retinal neuroinflammation and loss of retinal ganglion cells in an animal model of glaucoma.

    PubMed

    Madeira, Maria H; Ortin-Martinez, Arturo; Nadal-Nícolas, Francisco; Ambrósio, António F; Vidal-Sanz, Manuel; Agudo-Barriuso, Marta; Santiago, Ana Raquel

    2016-06-08

    Glaucoma is the second leading cause of blindness worldwide, being characterized by progressive optic nerve damage and loss of retinal ganglion cells (RGCs), accompanied by increased inflammatory response involving retinal microglial cells. The etiology of glaucoma is still unknown, and despite elevated intraocular pressure (IOP) being a major risk factor, the exact mechanisms responsible for RGC degeneration remain unknown. Caffeine, which is an antagonist of adenosine receptors, is the most widely consumed psychoactive drug in the world. Several evidences suggest that caffeine can attenuate the neuroinflammatory responses and afford protection upon central nervous system (CNS) injury. We took advantage of a well characterized animal model of glaucoma to investigate whether caffeine administration controls neuroinflammation and elicits neuroprotection. Caffeine or water were administered ad libitum and ocular hypertension (OHT) was induced by laser photocoagulation of the limbal veins in Sprague Dawley rats. Herein, we show that caffeine is able to partially decrease the IOP in ocular hypertensive animals. More importantly, we found that drinking caffeine prevented retinal microglia-mediated neuroinflammatory response and attenuated the loss of RGCs in animals with ocular hypertension (OHT). This study opens the possibility that caffeine or adenosine receptor antagonists might be a therapeutic option to manage RGC loss in glaucoma.

  15. Caffeine administration prevents retinal neuroinflammation and loss of retinal ganglion cells in an animal model of glaucoma

    PubMed Central

    Madeira, Maria H.; Ortin-Martinez, Arturo; Nadal-Nícolas, Francisco; Ambrósio, António F.; Vidal-Sanz, Manuel; Agudo-Barriuso, Marta; Santiago, Ana Raquel

    2016-01-01

    Glaucoma is the second leading cause of blindness worldwide, being characterized by progressive optic nerve damage and loss of retinal ganglion cells (RGCs), accompanied by increased inflammatory response involving retinal microglial cells. The etiology of glaucoma is still unknown, and despite elevated intraocular pressure (IOP) being a major risk factor, the exact mechanisms responsible for RGC degeneration remain unknown. Caffeine, which is an antagonist of adenosine receptors, is the most widely consumed psychoactive drug in the world. Several evidences suggest that caffeine can attenuate the neuroinflammatory responses and afford protection upon central nervous system (CNS) injury. We took advantage of a well characterized animal model of glaucoma to investigate whether caffeine administration controls neuroinflammation and elicits neuroprotection. Caffeine or water were administered ad libitum and ocular hypertension (OHT) was induced by laser photocoagulation of the limbal veins in Sprague Dawley rats. Herein, we show that caffeine is able to partially decrease the IOP in ocular hypertensive animals. More importantly, we found that drinking caffeine prevented retinal microglia-mediated neuroinflammatory response and attenuated the loss of RGCs in animals with ocular hypertension (OHT). This study opens the possibility that caffeine or adenosine receptor antagonists might be a therapeutic option to manage RGC loss in glaucoma. PMID:27270337

  16. IR laser-induced protein crystal transformation

    PubMed Central

    Kiefersauer, Reiner; Grandl, Brigitte; Krapp, Stephan; Huber, Robert

    2014-01-01

    A method and the design of instrumentation, and its preliminary practical realisation, including test experiments, with the object of inducing phase changes of biomolecular crystals by controlled dehydration through heating with infrared (IR) light are described. The aim is to generate and select crystalline phases through transformation in the solid state which have improved order (higher resolution in X-ray diffraction experiments) and reduced mosaic spread (more uniformly aligned mosaic blocks) for diffraction data collection and analysis. The crystal is heated by pulsed and/or constant IR laser irradiation. Loss of crystal water following heating and its reabsorption through equilibration with the environment is measured optically by a video system. Heating proved superior to traditional controlled dehydration by humidity change for the test cases CODH (carbon monoxide dehydrogenase) and CLK2 (a protein kinase). Heating with IR light is experimentally simple and offers an exploration of a much broader parameter space than the traditional method, as it allows the option of varying the rate of phase changes through modification of the IR pulse strength, width and repeat frequency. It impacts the crystal instantaneously, isotropically and homogeneously, and is therefore expected to cause less mechanical stress. PMID:24816092

  17. Medical Applications of Laser Induced Breakdown Spectroscopy

    NASA Astrophysics Data System (ADS)

    Pathak, A. K.; Rai, N. K.; Singh, Ankita; Rai, A. K.; Rai, Pradeep K.; Rai, Pramod K.

    2014-11-01

    Sedentary lifestyle of human beings has resulted in various diseases and in turn we require a potential tool that can be used to address various issues related to human health. Laser Induced Breakdown Spectroscopy (LIBS) is one such potential optical analytical tool that has become quite popular because of its distinctive features that include applicability to any type/phase of samples with almost no sample preparation. Several reports are available that discusses the capabilities of LIBS, suitable for various applications in different branches of science which cannot be addressed by traditional analytical methods but only few reports are available for the medical applications of LIBS. In the present work, LIBS has been implemented to understand the role of various elements in the formation of gallstones (formed under the empyema and mucocele state of gallbladder) samples along with patient history that were collected from Purvancal region of Uttar Pradesh, India. The occurrence statistics of gallstones under the present study reveal higher occurrence of gallstones in female patients. The gallstone occurrence was found more prevalent for those male patients who were having the habit of either tobacco chewing, smoking or drinking alcohols. This work further reports in-situ LIBS study of deciduous tooth and in-vivo LIBS study of human nail.

  18. IR laser-induced protein crystal transformation

    SciTech Connect

    Kiefersauer, Reiner Grandl, Brigitte; Krapp, Stephan; Huber, Robert

    2014-05-01

    A novel method and the associated instrumentation for improving crystalline order (higher resolution of X-ray diffraction and reduced mosaicity) of protein crystals by precisely controlled heating is demonstrated. Crystal transformation is optically controlled by a video system. A method and the design of instrumentation, and its preliminary practical realisation, including test experiments, with the object of inducing phase changes of biomolecular crystals by controlled dehydration through heating with infrared (IR) light are described. The aim is to generate and select crystalline phases through transformation in the solid state which have improved order (higher resolution in X-ray diffraction experiments) and reduced mosaic spread (more uniformly aligned mosaic blocks) for diffraction data collection and analysis. The crystal is heated by pulsed and/or constant IR laser irradiation. Loss of crystal water following heating and its reabsorption through equilibration with the environment is measured optically by a video system. Heating proved superior to traditional controlled dehydration by humidity change for the test cases CODH (carbon monoxide dehydrogenase) and CLK2 (a protein kinase). Heating with IR light is experimentally simple and offers an exploration of a much broader parameter space than the traditional method, as it allows the option of varying the rate of phase changes through modification of the IR pulse strength, width and repeat frequency. It impacts the crystal instantaneously, isotropically and homogeneously, and is therefore expected to cause less mechanical stress.

  19. Neuroprotection in Glaucoma

    PubMed Central

    Doozandeh, Azadeh; Yazdani, Shahin

    2016-01-01

    Glaucoma is a degenerative optic neuropathy characterized by retinal ganglion cell (RGC) loss and visual field defects. It is known that in some glaucoma patients, death of RGCs continues despite intraocular pressure (IOP) reduction. Neuroprotection in the field of glaucoma is defined as any treatment, independent of IOP reduction, which prevents RGC death. Glutamate antagonists, ginkgo biloba extract, neurotrophic factors, antioxidants, calcium channel blockers, brimonidine, glaucoma medications with blood regulatory effect and nitric oxide synthase inhibitors are among compounds with possible neuroprotective activity in preclinical studies. A few agents (such as brimonidine or memantine) with neuroprotective effects in experimental studies have advanced to clinical trials; however the results of clinical trials for these agents have not been conclusive. Nevertheless, lack of compelling clinical evidence has not prevented the off-label use of some of these compounds in glaucoma practice. Stem cell transplantation has been reported to halt experimental neurodegenerative disease processes in the absence of cell replacement. It has been hypothesized that transplantation of some types of stem cells activates multiple neuroprotective pathways via secretion of various factors. The advantage of this approach is a prolonged and targeted effect. Important concerns in this field include the secretion of unwanted harmful mediators, graft survival issues and tumorigenesis. Neuroprotection in glaucoma, pharmacologically or by stem cell transplantation, is an interesting subject waiting for broad and multidisciplinary collaborative studies to better clarify its role in clinical practice. PMID:27413504

  20. Clinical Metabolomics and Glaucoma.

    PubMed

    Barbosa-Breda, João; Himmelreich, Uwe; Ghesquière, Bart; Rocha-Sousa, Amândio; Stalmans, Ingeborg

    2017-09-01

    Glaucoma is one of the leading causes of irreversible blindness worldwide. However, there are no biomarkers that accurately help clinicians perform an early diagnosis or detect patients with a high risk of progression. Metabolomics is the study of all metabolites in an organism, and it has the potential to provide a biomarker. This review summarizes the findings of metabolomics in glaucoma patients and explains why this field is promising for new research. We identified published studies that focused on metabolomics and ophthalmology. After providing an overview of metabolomics in ophthalmology, we focused on human glaucoma studies. Five studies have been conducted in glaucoma patients and all compared patients to healthy controls. Using mass spectrometry, significant differences were found in blood plasma in the metabolic pathways that involve palmitoylcarnitine, sphingolipids, vitamin D-related compounds, and steroid precursors. For nuclear magnetic resonance spectroscopy, a high glutamine-glutamate/creatine ratio was found in the vitreous and lateral geniculate body; no differences were detected in the optic radiations, and a lower N-acetylaspartate/choline ratio was observed in the geniculocalcarine and striate areas. Metabolomics can move glaucoma care towards a personalized approach and provide new knowledge concerning the pathophysiology of glaucoma, which can lead to new therapeutic options. © 2017 S. Karger AG, Basel.

  1. Laser applications to fluid materials: laser-induced cavitation in cryogenic liquid and gas decomposition by laser

    NASA Astrophysics Data System (ADS)

    Maeno, Kazuo; Sato, Hitoshi; Endo, Seiichi

    1999-05-01

    In this paper laser applications to fluid dynamical problems are presented. Firstly as for the recent research on cavitations, pulsed-laser-induced cavitation bubble in liquid nitrogen is studied. The bubble is produced by focused and pulsed irradiation of second harmonics of YAG laser in the cryostat. The dynamics of laser-induced bubble is visualized by high-speed shadowgraphs and schlieren photographs by an image-converter camera (Imacon-790). Bubble and solid wall interactions are also investigated. Based on the results obtained, a novel laser surface processing technology using the pulse-laser-induced cavitation bubbles is secondly proposed. The possibility of cold material surface processing by produced cavitation bubble is discussed including the cryogenic range. Furthermore, discussing by the fundamental results of the experiment of laser-gas molecular absorption, the possibility of decomposition of environmental gases by strong CW CO2 laser irradiation is also studied. Freon 12, 113, and other environmental gases including SF6 are very tough to be decomposed, and they break effectively the ozone molecules at high altitude above the Earth, or they heat up the earth. The wavelength range of the infrared laser is suitable for the molecular absorption to increase their temperature to be ionized. The possibility and trial experiments are discussed.

  2. Laser-induced plasma spectroscopy: principles, methods and applications

    SciTech Connect

    Lazic, Violeta; Colao, Francesco; Fantoni, Roberta; Spizzichino, Valeria; Jovicevic, Sonja

    2006-12-01

    Principles of the Laser Induced Plasma Spectroscopy and its advances are reported. Methods for obtaining quantitative analyses are described, together with discussion of some applications and the specific problems.

  3. Using a Diode Laser for Laser-Induced Fluorescence

    NASA Astrophysics Data System (ADS)

    Tran, Yang; Whitten, J. E.

    2001-08-01

    The construction and use of a laser fluorimeter from a 635-nm red diode laser and an amplified photodiode detector are described. The low cost and monochromatic nature of diode lasers make them attractive as excitation sources for educational fluorescence experiments. Use of this type of fluorimeter is demonstrated by measuring fluorescence signals for various concentrations of Nile blue A dissolved in methanol; concentrations as low as 1 ppb are easily detected. The use of this instrument for monitoring the decomposition of a dye by an oxidizing agent is demonstrated by measuring the decay of fluorescence as a function of time for a 1 ppm Nile blue A solution after the addition of sodium hypochlorite.

  4. Laser-Induced Spall in Silicon Carbide

    DTIC Science & Technology

    2007-04-01

    the Laser Shock Peening (LSP) process [2, 3] to produce the impact conditions for spall. The LSP process was originally developed for the aerospace...inexpensively. Figure 1. Initial test configuration and loading process for the Laser Shock Peening (LSP) test. Figure 2. Actual and...Strain-Rate Phenomina in Metals, edited by M. Meyers and L. Murr, Plenum Publishing, Corp. New York, NY (1981) [3] A. H. Clauer, Laser shock peening

  5. Laser-induced thermal acoustic velocimetry

    NASA Astrophysics Data System (ADS)

    Schlamp, Stefan

    2000-11-01

    Laser-Induced Thermal Acoustics (LITA) is a non- intrusive, remote, four-wave mixing laser diagnostic technique for measurements of the speed of sound and of the thermal diffusivity in gases. If the gas composition is known, then its temperature and density can be inferred. Beam misalignments and bulk fluid velocities can influence the time history and intensity of LITA signals. A closed-form analytic expression for LITA signals incorporating these effects is derived. The magnitude of beam misalignment and the flow velocity can be inferred from the signal shape using a least-squares fit of this model to the experimental data. High-speed velocimetry using homodyne detection is demonstrated with NO2-seeded air in a supersonic blow-down nozzle. The measured speed of sound deviates less than 2% from the theoretical value assuming isentropic quasi-1D flow. Boundary layer effects degrade the velocity measurements to errors of 20%. Heterodyne detection is used for low-speed velocimetry up to Mach number M = 0.1. The uncertainty of the velocity measurements was ~0.2 m/s. The sound speed measurements were repeatable to 0.5%. The agreement between theory and experiments is very good. A one-hidden-layer feed-forward neural network is trained using back-propagation learning and a steepest descent learning rule to extract the speed of sound and flow velocity from a heterodyne LITA signal. The effect of the network size on the performance is demonstrated. The accuracy is determined with a second set of LITA signals that were not used during the training phase. The accuracy is found to be better than that of a conventional frequency decomposition technique while being computationally as efficient. This data analysis method is robust with respect to noise, numerically stable, and fast enough for real-time data analysis. The accuracy and uncertainty of non-resonant LITA measurements is investigated. The error in measurements of the speed of sound and of the thermal diffusivity

  6. Evidence of laser induced degradation and graphitization of aromatic pollutants

    NASA Astrophysics Data System (ADS)

    Mele, A.; Letardi, T.; di Lazarro, P.

    The laser-induced photodecomposition and graphitization of polynuclear aromatic hydrocarbons is investigated by irradiating solid pollutant samples with an Nd-YAG laser, leaving a carbon-rich, black powder. The irradiation of anthracene and benzopyrene forms the ions Cn(+)-, CnH(+)-, and CnH2(+)- in a wide plume produced by a pulsed-CO2 laser. The tendency of aromatic compounds to fragment is noted, and the notion that ion formation is governed by the mechanism that produces ablation in the laser cloud is suggested. Optical multichannel analyzer emission spectra indicate the production of the Cn species, suggesting applications to the treatment of aromatic product wastes.

  7. Expansion of radiative cooling of the laser induced plasma

    SciTech Connect

    Wen, Sy-Bor; Mao, Xianglei; Liu, Chunyi; Greif, Ralph; Russo,Richard

    2006-05-05

    To study the expansion and cooling process of the laser induced plasma generated by nanosecond pulsed laser ablation, experiments have been conducted which measure the position of the external shockwaves and the temperature of the vapor plumes. The positions of external shockwaves were determined by a femtosecond laser time-resolved imaging system. Vapor plume temperature was determined from spectroscopic measurements of the plasma emission lines. A model which considers the mass, momentum, and energy conservation of the region affected by the laser energy was developed. It shows good agreement to the experimental data.

  8. Interaction of laser-induced stress waves with metals

    NASA Technical Reports Server (NTRS)

    Clauer, A. H.; Fairand, B. P.

    1979-01-01

    An investigation of the effect of high intensity laser induced stress waves on the hardness and tensile strength of 2024 and 7075 aluminum and on the fatigue properties of 7075 aluminum were investigated. Laser shocking increases the hardness of the underaged 2024-T351 but has little or no effect on the peak aged 2024-T351 and 7075-T651 or the overaged 7075-T73. The fretting fatigue life of fastener joints of 7075-T6 was increased by orders of magnitude by laser shocking the region around the fastener hole; the fatigue crack propagation rates were decreased by laser shocking.

  9. Remote sensing of phytoplankton using laser-induced fluorescence

    SciTech Connect

    Babichenko, S.; Poryvkina, L.; Arikese, V. ); Kaitala, S. ); Kuosa, H. )

    1993-06-01

    The results of remote laser sensing of brackish-water phytoplankton on board a research vessel are presented. Field data of laser-induced fluorescence of phytoplankton obtained during the several cruises in the mouth of tile Gulf of Finland are compared with the results of standard chlorophyll a analysis of water samples and phytoplankton species determination by microscopy. The approach of fluorescence excitation by tunable laser radiation is applied to study the spatial distribution of a natural phytoplankton community. The remote analysis of the pigment composition of a phytoplankton community using the method of selective pigment excitation is described. The possibility of elaborating methods of quantitative laser remote biomonitoring is discussed.

  10. Femtosecond fiber-laser-based, laser-induced breakdown spectroscopy

    NASA Astrophysics Data System (ADS)

    Huang, Huan; Yang, Lih-Mei; Liu, Jian

    2012-06-01

    This paper reports the LIBS studies on elemental composition detection and identification by employing a femtosecond (fs) fiber laser. High quality LIBS spectra were obtained in air using near-infrared fs fiber laser coupled with a broadband high sensitivity spectrometer without gating control. Specific ion and neutral emission lines of different materials have been characterized by line scanning, including metals, glasses and even explosive materials. Different laser parameters including pulse energy, repetition rate, scanning speed and integration times have been investigated to optimize the sensitivity. Results show that faster scanning speed and higher pulse energies can greatly enhance the signal level and reduce the integration time. The LIBS spectra are highly reproducible at different repetition rates up to 1 MHz. Furthermore, detection of explosive materials was also achieved and both the constituent elemental emission and the CN and C2 molecules emission were collected. Compared with conventional LIBS, fs fiber laser based LIBS system have advantages of less sample heating and damage, better spatial resolution and signal to background ratio, compact, reliable and cost-effective. This shows a potential portable LIBS system for versatile and rapid analysis of chemical and special explosive materials.

  11. New Tool to Predict Glaucoma

    MedlinePlus

    ... News About Us Donate In This Section A New Tool to Predict Glaucoma email Send this article ... determine if a patient has glaucoma. Recently, a new tool has become available to eye care specialists ...

  12. Does Your Child Have Glaucoma?

    MedlinePlus

    ... Donate In This Section Does Your Child Have Glaucoma? email Send this article to a friend by ... a pediatric ophthalmologist. Signs and Symptoms of Childhood Glaucoma What to watch for in children under the ...

  13. Ultrafast molecular imaging by laser-induced electron diffraction

    SciTech Connect

    Peters, M.; Nguyen-Dang, T. T.; Cornaggia, C.; Saugout, S.; Charron, E.; Keller, A.; Atabek, O.

    2011-05-15

    We address the feasibility of imaging geometric and orbital structures of a polyatomic molecule on an attosecond time scale using the laser-induced electron diffraction (LIED) technique. We present numerical results for the highest molecular orbitals of the CO{sub 2} molecule excited by a near-infrared few-cycle laser pulse. The molecular geometry (bond lengths) is determined within 3% of accuracy from a diffraction pattern which also reflects the nodal properties of the initial molecular orbital. Robustness of the structure determination is discussed with respect to vibrational and rotational motions with a complete interpretation of the laser-induced mechanisms.

  14. Laser induced breakdown spectroscopy stratigraphic characterization of multilayered painted surfaces

    NASA Astrophysics Data System (ADS)

    Staicu, A.; Apostol, I.; Pascu, A.; Iordache, I.; Damian, V.; Pascu, M. L.

    2012-08-01

    Laser spectroscopy techniques are modern and competitive methods for elemental analysis. Laser induced breakdown spectroscopy (LIBS), due to its advantages as minimally invasive method that provides real time monitoring and selectivity, is a suitable tool to analyze sample composition. Based on the known emission spectra of heavy metals such as Pb, Zn, Au, Ca, a stratigraphic study regarding the identification of the painting layers content of different mock-up samples was performed. LIBS was used to monitor the laser induced stepwise selective removal of the painting layers and to analyze their composition. The obtained LIBS spectra were correlated with profilometric measurements.

  15. Filament-induced laser machining (FILM)

    NASA Astrophysics Data System (ADS)

    Kiselev, D.; Woeste, L.; Wolf, J.-P.

    2010-09-01

    Laser filamentation provides high intensity plasma strings of micrometric diameters and lengths of tens of centimeters. We demonstrate that these filaments can be used for remotely drilling and cutting metals and biological materials such as flesh and bones. Since no tight focusing is needed, complex 3D shapes can be machined without any adjustment of the laser while processing.

  16. Study of fast laser induced cutting of silicon materials

    NASA Astrophysics Data System (ADS)

    Weinhold, S.; Gruner, A.; Ebert, R.; Schille, J.; Exner, H.

    2014-03-01

    We report on a fast machining process for cutting silicon wafers using laser radiation without melting or ablating and without additional pretreatment. For the laser induced cutting of silicon materials a defocused Gaussian laser beam has been guided over the wafer surface. In the course of this, the laser radiation caused a thermal induced area of tension without affecting the material in any other way. With the beginning of the tension cracking process in the laser induced area of tension emerged a crack, which could be guided by the laser radiation along any direction over the wafer surface. The achieved cutting speed was greater than 1 m/s. We present results for different material modifications and wafer thicknesses. The qualitative assessment is based on SEM images of the cutting edges. With this method it is possible to cut mono- and polycrystalline silicon wafers in a very fast and clean way, without having any waste products. Because the generated cracking edge is also very planar and has only a small roughness, with laser induced tension cracking high quality processing results are easily accessible.

  17. Inflammation induced by photocoagulation laser is minimized by copper chelators

    PubMed Central

    Cui, Jing Z.; Wang, Xue-Feng; Hsu, Lena

    2014-01-01

    The effect of trientine hydrochloride (TRIEN), a copper-selective chelating agent, on retinal inflammation induced by photocoagulation laser treatment was studied. Nine Long-Evans rats were treated with TRIEN (0.5 mmol/kg per day, intraperitoneal injection) for 9 days. On day 8, each animal underwent unilateral photocoagulation laser treatment with an argon dye laser. On day 9, animals were killed and the eyes processed for immunohistochemistry and light microscopy. In the TRIEN-treated group, retinal thickness and number of macrophages (ED-1) were both significantly lower than in the saline-treated, control group exposed to laser photocoagulation. The results support the hypothesis that selective copper chelation prior to laser treatment may inhibit ocular inflammation. The results suggest that pretreatment with a selective copper-chelating compound can minimize retinal inflammation secondary to laser photocoagulation treatment, which may improve overall outcome of photocoagulation treatment for diabetic retinopathy. PMID:18566852

  18. Inflammation induced by photocoagulation laser is minimized by copper chelators.

    PubMed

    Cui, Jing Z; Wang, Xue-Feng; Hsu, Lena; Matsubara, Joanne A

    2009-07-01

    The effect of trientine hydrochloride (TRIEN), a copper-selective chelating agent, on retinal inflammation induced by photocoagulation laser treatment was studied. Nine Long-Evans rats were treated with TRIEN (0.5 mmol/kg per day, intraperitoneal injection) for 9 days. On day 8, each animal underwent unilateral photocoagulation laser treatment with an argon dye laser. On day 9, animals were killed and the eyes processed for immunohistochemistry and light microscopy. In the TRIEN-treated group, retinal thickness and number of macrophages (ED-1) were both significantly lower than in the saline-treated, control group exposed to laser photocoagulation. The results support the hypothesis that selective copper chelation prior to laser treatment may inhibit ocular inflammation. The results suggest that pretreatment with a selective copper-chelating compound can minimize retinal inflammation secondary to laser photocoagulation treatment, which may improve overall outcome of photocoagulation treatment for diabetic retinopathy.

  19. Laser-induced nanoparticle fabrication on paper

    NASA Astrophysics Data System (ADS)

    Nedyalkov, N.; Dikovska, A.; Nikov, R.; Atanasov, P.; Sliwinski, G.; Hirsch, D.; Rauschenbach, B.

    2017-09-01

    In this work, results on laser processing of thin metal films deposited on paper are presented. Au, Ag, Cu, and Ni films are deposited by classical pulsed laser deposition method on different paper types—standard printer, glossy, and silicone paper. The produced films are then processed by nanosecond pulses delivered by Nd:YAG laser system operating at the basic wavelength of 1064 nm. The laser processing parameters are varied and their influence on the film modification is presented. It is shown that at certain conditions, the laser treatment of the films leads to formation of a discrete nanostructure, composed of a monolayer of spherical nanoparticles. The structure and morphology of the fabricated samples are presented and discussed. Results on the use of these structures in Surface Enhanced Raman Spectroscopy are also presented. The demonstrated method is an alternative way for fabrication of metal nanostructures with application in low cost sensor device fabrication.

  20. Laser inducement of Agricus bisporus I

    NASA Astrophysics Data System (ADS)

    Mao, Ning; Chen, Rong; Wang, Zesheng

    1996-09-01

    Using different power, different dosage's He-Ne laser (632.8 nm) and semiconductor laser (805 nm) to irradiated mycelia of four Agricus bisporus strains. And using no irradiate strain as contrast. Picking out some mycelium from irradiation position and then transfer them into Potato Dextrose Agar culture medium, culturing 12 - 15 days. We use the polyacrylamide slab gel electrophoresis to examine the esterase (EST) isozymes of mycelium. We could find from the result that laser irradiating could not change the Rf of main bands (F&s zones) of mycelium EST. However, 20 mw He- Ne, 10 minutes irradiation could not only raise the activity of EST distinctly, but also increase the numbers of enzyme zone of M zone, the difference between the semiconductor irradiation of 140 mv, 10 minutes and 20 mv, 10 minutes are not remarkable. And the irradiating effect of He-Ne laser is better than that of semiconductor laser.

  1. Spatial laser-wing suppression in saturated laser-induced fluorescence without spatial selection.

    PubMed

    Marrocco, Michele

    2003-11-01

    Spatial wings of laser beams are of great concern in saturated laser-induced fluorescence. Their contribution to fluorescence is customarily avoided by resolution of laser peaks in the interaction volume. An alternative and versatile approach is formulated, based on the derivative of fluorescence with respect to laser intensity. It turns out that wing-free data are possible, although they are obtained from wing-dependent fluorescence. The advantages of this approach are exact centerline detection and simplicity of the experimental setup and procedure.

  2. Laser-induced temperature-rise measurement by infrared imaging

    NASA Astrophysics Data System (ADS)

    Gu, Jianhui; Tam, Siu Chung; Lam, Yee Loy; Zheng, Qiguang; Wei, Xueqin

    2000-06-01

    The characteristics of laser-induced temperature-rise are important information in laser material processing. In our experiment, several kinds of metals such as mild carbon steel, stainless steel, aluminum alloy and copper, and non-metals namely epoxy and polymethyl methacrylate were irradiated by using a high-power CW CO2 laser beam, while the temperature distribution and variation on their surfaces were measured by using a fast scanning infrared camera to image the laser irradiated area. The CO2 laser beam power was varied from several tens of Watts to several hundreds of Watts for the irradiating of different materials. 2-D and 3-D temperature distributions and the temperature variations against the time of laser irradiation on certain points within the laser-irradiated area were recorded and measured. It is found that the temperature distribution on the surfaces of the irradiated materials was tightly related to the laser beam mode, and the temperature fluctuations corresponded to the laser beam power fluctuations. The results of this research could be applied to laser material processing.

  3. Time-resolved aluminium laser-induced plasma temperature measurements

    NASA Astrophysics Data System (ADS)

    Surmick, D. M.; Parigger, C. G.

    2014-11-01

    We seek to characterize the temperature decay of laser-induced plasma near the surface of an aluminium target from laser-induced breakdown spectroscopy measurements of aluminium alloy sample. Laser-induced plasma are initiated by tightly focussing 1064 nm, nanosecond pulsed Nd:YAG laser radiation. Temperatures are inferred from aluminium monoxide spectra viewed at systematically varied time delays by comparing experimental spectra to theoretical calculations with a Nelder Mead algorithm. The temperatures are found to decay from 5173 ± 270 to 3862 ± 46 Kelvin from 10 to 100 μs time delays following optical breakdown. The temperature profile along the plasma height is also inferred from spatially resolved spectral measurements and the electron number density is inferred from Stark broadened Hβ spectra.

  4. Crystal structure of laser-induced subsurface modifications in Si

    SciTech Connect

    Verburg, P. C.; Smillie, L. A.; Römer, G. R. B. E.; Haberl, B.; Bradby, J. E.; Williams, J. S.; Huis in ’t Veld, A. J.

    2015-06-04

    Laser-induced subsurface modification of dielectric materials is a well-known technology. Applications include the production of optical components and selective etching. In addition to dielectric materials, the subsurface modification technology can be applied to silicon, by employing near to mid-infrared radiation. An application of subsurface modifications in silicon is laser-induced subsurface separation, which is a method to separate wafers into individual dies. Other applications for which proofs of concept exist are the formation of waveguides and resistivity tuning. However, limited knowledge is available about the crystal structure of subsurface modifications in silicon. In this paper, we investigate the geometry and crystal structure of laser-induced subsurface modifications in monocrystalline silicon wafers. Finally, in addition to the generation of lattice defects, we found that transformations to amorphous silicon and Si-iii/Si-xii occur as a result of the laser irradiation.

  5. Crystal structure of laser-induced subsurface modifications in Si

    DOE PAGES

    Verburg, P. C.; Smillie, L. A.; Römer, G. R. B. E.; ...

    2015-06-04

    Laser-induced subsurface modification of dielectric materials is a well-known technology. Applications include the production of optical components and selective etching. In addition to dielectric materials, the subsurface modification technology can be applied to silicon, by employing near to mid-infrared radiation. An application of subsurface modifications in silicon is laser-induced subsurface separation, which is a method to separate wafers into individual dies. Other applications for which proofs of concept exist are the formation of waveguides and resistivity tuning. However, limited knowledge is available about the crystal structure of subsurface modifications in silicon. In this paper, we investigate the geometry and crystalmore » structure of laser-induced subsurface modifications in monocrystalline silicon wafers. Finally, in addition to the generation of lattice defects, we found that transformations to amorphous silicon and Si-iii/Si-xii occur as a result of the laser irradiation.« less

  6. Research on laser induced acoustic source based underwater communication system

    NASA Astrophysics Data System (ADS)

    Lei, Lihua; Zhou, Ju; Zhang, Lei; Wan, Xiaoyun

    2016-10-01

    Acoustic transducers are traditionally used to generate underwater acoustical energy with the device physically immersed in water. Novel methods are required for communicating from an in-air platform or surface vessel to a submerged vessel. One possible noncontact downlink communication system involves the use of laser induced acoustic source. The most common mechanisms of opto-acoustic energy conversion are, by order of increasing laser energy density and efficiency, thermal expansion, surface evaporation and optical breakdown. The laser induced acoustic source inherently bears the obvious advantage of not requiring any physical transducer in the medium. At the same time, acoustic energy propagation is efficient in water, whereas optical energy propagate well in air, leading to a more efficiency opto-acoustic communication method. In this paper, an opto-acoustic underwater Communication system is described, aiming to study and analysis whether laser induced sound could achieve good performance for effective communication in practical application.

  7. [Glaucoma in the melanoderm patient].

    PubMed

    Denis, P

    2004-06-01

    Much less marginal in France than believed, glaucoma in the melanoderm patient comes early in life, with a more aggressive progression leading to blindness twice as often as in the Caucasian patient. Generally open-angle glaucoma, it may be related to anatomical ocular characteristics of the Black population. Its management is not very different from that of glaucoma in the Caucasian patient.

  8. Development And Optical Absorption Properties Of A Laser Induced Plasma During CO2-Laser Processing

    NASA Astrophysics Data System (ADS)

    Beyer, E.; Bakowsky, L.; Loosen, P.; Poprawe, R.; Herziger, G.

    1984-03-01

    Laser material processing is accompanied by a laser induced plasma in front of the target surface as soon as the laser radiation exceeds a certain critical intensity. For cw CO2-laser machining of metal targets the threshold for plasma onset is about 106 W/cm2. Critical condition for plasma generation at this intensity level is to reach evaporation temperature at the target's surface. At intensity levels exceeding 106 W/cm2 the laser light is interacting with the laser induced plasma and then the plasma in turn interacts with the target. The absorptivity is no longer constant, but increases with increasing intensity of the incident radiation, so that the total amount of power coupled to the target is increasing. This holds up to intensity levels of 2'10 Wicm2. Then the plasma begins to withdraw from the target surface, thus interrupting plasma-target interaction so that the laser power is no longer coupled into the target completely. The results of laser welding (welding depth) in the intensity level of 106 W/cm2 are governed by the product of incident intensity times focus radius, so that welding results are a measure to determine focus radius and laser intensity.

  9. Measurements of laser-induced plasma temperature field in deep penetration laser welding

    NASA Astrophysics Data System (ADS)

    Chen, Genyu; Zhang, Mingjun; Zhao, Zhi; Zhang, Yi; Li, Shichun

    2013-02-01

    Laser-induced plasma in deep penetration laser welding is located inside or outside the keyhole, namely, keyhole plasma or plasma plume, respectively. The emergence of laser-induced plasma in laser welding reveals important information of the welding technological process. Generally, electron temperature and electron density are two important characteristic parameters of plasma. In this paper, spectroscopic measurements of electron temperature and electron density of the keyhole plasma and plasma plume in deep penetration laser welding conditions were carried out. To receive spectra from several points separately and simultaneously, an Optical Multi-channel Analyser (OMA) was developed. On the assumption that the plasma was in local thermal equilibrium, the temperature was calculated with the spectral relative intensity method. The spectra collected were processed with Abel inversion method to obtain the temperature fields of keyhole plasma and plasma plume.

  10. The Philadelphia Glaucoma Detection and Treatment Project: Detection Rates and Initial Management.

    PubMed

    Waisbourd, Michael; Pruzan, Noelle L; Johnson, Deiana; Ugorets, Angela; Crews, John E; Saaddine, Jinan B; Henderer, Jeffery D; Hark, Lisa A; Katz, L Jay

    2016-08-01

    To evaluate the detection rates of glaucoma-related diagnoses and the initial treatments received in the Philadelphia Glaucoma Detection and Treatment Project, a community-based initiative aimed at improving the detection, treatment, and follow-up care of individuals at risk for glaucoma. Retrospective analysis. A total of 1649 individuals at risk for glaucoma who were examined and treated in 43 community centers located in underserved communities of Philadelphia. Individuals were enrolled if they were African American aged ≥50 years, were any other adult aged ≥60 years, or had a family history of glaucoma. After attending an informational glaucoma workshop, participants underwent a targeted glaucoma examination including an ocular, medical, and family history; visual acuity testing, intraocular pressure (IOP) measurement, and corneal pachymetry; slit-lamp and optic nerve examination; automated visual field testing; and fundus color photography. If indicated, treatments included selective laser trabeculoplasty (SLT), laser peripheral iridotomy (LPI), or IOP-lowering medications. Follow-up examinations were scheduled at the community sites after 4 to 6 weeks or 4 to 6 months, depending on the clinical scenario. Detection rates of glaucoma-related diagnoses and types of treatments administered. Of the 1649 individuals enrolled, 645 (39.1%) received a glaucoma-related diagnosis; 20.0% (n = 330) were identified as open-angle glaucoma (OAG) suspects, 9.2% (n = 151) were identified as having narrow angles (or as a primary angle closure/suspect), and 10.0% (n = 164) were diagnosed with glaucoma, including 9.0% (n = 148) with OAG and 1.0% (n = 16) with angle-closure glaucoma. Overall, 39.0% (n = 64 of 164) of those diagnosed with glaucoma were unaware of their diagnosis. A total of 196 patients (11.9%) received glaucoma-related treatment, including 84 (5.1%) who underwent LPI, 13 (0.8%) who underwent SLT, and 103 (6.2%) who were prescribed IOP

  11. Influence of absorption induced thermal initiation pathway on irradiance threshold for laser induced breakdown

    PubMed Central

    Varghese, Babu; Bonito, Valentina; Jurna, Martin; Palero, Jonathan; Verhagen, Margaret Hortonand Rieko

    2015-01-01

    We investigated the influence of thermal initiation pathway on the irradiance threshold for laser induced breakdown in transparent, absorbing and scattering phantoms. We observed a transition from laser-induced optical breakdown to laser-induced thermal breakdown as the absorption coefficient of the medium is increased. We found that the irradiance threshold after correction for the path length dependent absorption and scattering losses in the medium is lower due to the thermal pathway for the generation of seed electrons compared to the laser-induced optical breakdown. Furthermore, irradiance threshold gradually decreases with the increase in the absorption properties of the medium. Creating breakdown with lower irradiance threshold that is specific at the target chromophore can provide intrinsic target selectivity and improve safety and efficacy of skin treatment methods that use laser induced breakdown. PMID:25909007

  12. Innovative Drug Injection via Laser Induced Plasma

    NASA Astrophysics Data System (ADS)

    Han, Tae-hee; Yoh, Jack J.

    2010-10-01

    A laser based needle-free liquid drug injection device has been developed. A laser beam is focused inside the liquid contained in the rubber chamber of micro scale. The focused laser beam causes explosive bubble growth and the sudden volume increase in a sealed chamber drives a microjet of liquid drug through the micronozzle. The exit diameter of the nozzle is 125 um and the injected microjet reaches an average velocity of 264 m/s. This device adds the time-varying feature of microjet to the current state of liquid injection for drug delivery.

  13. Laser-induced periodic annular surface structures on fused silica surface

    SciTech Connect

    Liu, Yi; Brelet, Yohann; Forestier, Benjamin; Houard, Aurelien; Yu, Linwei; Deng, Yongkai; Jiang, Hongbing

    2013-06-24

    We report on the formation of laser-induced periodic annular surface structures on fused silica irradiated with multiple femtosecond laser pulses. This surface morphology emerges after the disappearance of the conventional laser induced periodic surface structures, under successive laser pulse irradiation. It is independent of the laser polarization and universally observed for different focusing geometries. We interpret its formation in terms of the interference between the reflected laser field on the surface of the damage crater and the incident laser pulse.

  14. Economic considerations of the diagnosis and management for glaucoma in the developed world.

    PubMed

    Tuulonen, Anja

    2011-03-01

    This review evaluates the last 18-month literature related to costs and glaucoma. The emphasis is to look at evidence as a big picture and evaluate the critical points and challenges in methodology, current knowledge and future research. On the basis of simulation models, treating glaucoma appears to be cost-effective compared with no treatment. The results of the simulation models are, however, not consistent regarding when to treat ocular hypertension and when comparing different therapeutic interventions. Most models simulated starting treatment with prostaglandins compared with other medications, whereas one study simulated also initial laser therapy which appeared to be cost saving compared with medical therapy. The models utilized input data both from randomized controlled trials (ideal outcomes) and observational studies (with incomplete and selective reporting). Models suffer from unreliability of data, for example data from randomized diagnostic trials, empirical data of utility values and glaucoma-induced visual disability are limited. As the number of economic evaluations increases, the interpretation and evaluation of their extensive reporting appears very challenging. The published studies highlight the range of uncertainties due to the shortages of our current knowledge and evidence. There is a need for reliable and 'realistic' data for economic evaluations, preferably data from pragmatic randomized trials of 'usual patients'. Similar to emphasizing the cost-effectiveness of care, there is a need to evaluate the expected payback and cost-effectiveness of research interventions. However, even high-quality evidence cannot help our patients if we do not adopt cost-effective interventions.

  15. Laser-induced endothelial cell activation supports fibrin formation

    PubMed Central

    Atkinson, Ben T.; Jasuja, Reema; Chen, Vivien M.; Nandivada, Prathima; Furie, Bruce

    2010-01-01

    Laser-induced vessel wall injury leads to rapid thrombus formation in an animal thrombosis model. The target of laser injury is the endothelium. We monitored calcium mobilization to assess activation of the laser-targeted cells. Infusion of Fluo-4 AM, a calcium-sensitive fluorochrome, into the mouse circulation resulted in dye uptake in the endothelium and circulating hematopoietic cells. Laser injury in mice treated with eptifibatide to inhibit platelet accumulation resulted in rapid calcium mobilization within the endothelium. Calcium mobilization correlated with the secretion of lysosomal-associated membrane protein 1, a marker of endothelium activation. In the absence of eptifibatide, endothelium activation preceded platelet accumu-lation. Laser activation of human umbilical vein endothelial cells loaded with Fluo-4 resulted in a rapid increase in calcium mobilization associated cell fluorescence similar to that induced by adenosine diphosphate (10μM) or thrombin (1 U/mL). Laser activation of human umbilical vein endothelial cells in the presence of corn trypsin inhibitor treated human plasma devoid of platelets and cell microparticles led to fibrin for-mation that was inhibited by an inhibitory monoclonal anti–tissue factor antibody. Thus laser injury leads to rapid endothelial cell activation. The laser activated endothelial cells can support formation of tenase and prothrombinase and may be a source of activated tissue factor as well. PMID:20675401

  16. Laser-induced alteration of contaminated papers

    NASA Astrophysics Data System (ADS)

    Rudolph, P.; Ligterink, F. J.; Pedersoli, J. L., Jr.; Scholten, H.; Schipper, D.; Havermans, J. B. G. A.; Aziz, H. A.; Quillet, V.; Kraan, M.; van Beek, B.; Corr, S.; Hua-Ströfer, H.-Y.; Stokmans, J.; Dalen, P. van; Kautek, W.

    Cleaning of paper objects represents one of the most complex cases of laser ablation, since low volumes of dispersed material phases are evaporated while a sensitive and fragile fibrous organic matrix has to be preserved. Conventional chemical and mechanical cleaning methods suffer from the common phenomenon that the foreign matter is diluted into the substrate rather than removed. The application of a laser beam allows highly localized and optically specific interaction. However, the occurrence of extreme temperatures and light intensities may cause irreversible alteration of the paper matrix. Further, incomplete removal and/or chemical conversion of contaminations may result in insufficient cleaning or affect the ageing behaviour. Laser treatments were performed by Q-switched Nd:YAG lasers at three wavelengths (355 nm, 532 nm, and 1064 nm). Papers contaminated with inks and adhesive-tape remnants served as model samples. Multispectral imaging and colorimetric results served to quantify and systematize the results.

  17. Laser wavelength effect on laser-induced photo-thermal sintering of silver nanoparticles

    NASA Astrophysics Data System (ADS)

    Paeng, Dongwoo; Yeo, Junyeob; Lee, Daeho; Moon, Seung-Jae; Grigoropoulos, Costas P.

    2015-09-01

    This work is concerned with the laser wavelength effect on the electrical properties and surface morphology of laser-sintered nanoparticle thin films. Silver nanoparticle thin films spin-coated on soda lime glass substrates were irradiated with lasers of three different wavelengths (near ultraviolet 405 nm, green 514.5 nm, near infrared 817 nm) at varied laser intensities and scanning speeds. Scanning electron microscopy images and ex situ resistivity measurements show that the photo-thermal sintering alters significantly the film surface morphology and electrical properties, depending on the processing parameters (laser wavelength, laser intensities and scanning speed). While the optical response of the material is determined largely by the processing laser wavelength, the laser beam intensity and scanning speed regulate the induced temperature field. Examination of the optical properties of as-deposited silver nanoparticle thin film in conjunction with scanning electron microscopy images taken from the laser-sintered lines helps elucidate how the processing laser wavelength modulates the optical response of silver nanoparticle thin film and therefore affects the thermal response.

  18. Laser-induced temperature changes in dentine.

    PubMed

    Keller, O R; Weber, F E; Grätz, K W; Baltensperger, M M; Eyrich, G K

    2003-12-01

    The purpose of this work is to study the temperature rise and potential thermal damage caused during ablation of human dentine using a super pulsed carbon dioxide laser of 9.6-microm wavelength, equipped with a water-cooling spray and scanner system. There have been no reports on thermal effects of super pulsed CO2 laser of 9.6 microm wavelength on human dentine recently. Two different types of samples were investigated to yield data most consistent with a typical clinical situation. Human dentine slices and crown segments were studied at a drilling depth of 1.0 +/- 0.1 mm and 2.5 +/- 0.5 mm, respectively. A control group treated with a conventional hand piece was compared to four laser groups with settings varying from 2 to 8 W. In the laser group demonstrating the highest elevation in temperature of the four studied, dentine slices lased at 2 W for 15 sec showed a mean temperature rise of less than 1.68 degrees C at an ablation rate of 0.86 +/- 0.08 mm. Conventional drilling with a comparable ablation rate of 0.76 +/- 0.59 mm resulted in a mean rise of 2.87 degrees C. The laser groups of crown segments revealed a constant decrease in temperature. SEM observations were lacking the typical morphological changes seen in earlier studies, specifically extensive melting, charring or cracking. A maximum rise of mean temperature to 1.68 degrees C in closest vicinity to the pulpal chamber and the morphological unaltered dentine surfaces demonstrate the safe and tissue preserving character of the superpulsed 9.6 microm CO2 laser. The laser caused an even lower temperature rise than conventional drilling. Moreover, the laser showed acceptable efficacy with ablation rates that did not significantly differ from the conventional dental drill.

  19. Laser-induced quantum pumping in graphene

    SciTech Connect

    San-Jose, Pablo; Prada, Elsa; Kohler, Sigmund; Schomerus, Henning

    2012-10-08

    We investigate non-adiabatic electron pumping in graphene generated by laser irradiation with linear polarization parallel or perpendicular to the transport direction. Transport is dominated by the spatially asymmetric excitation of electrons from evanescent into propagating modes. For a laser with parallel polarization, the pumping response exhibits a subharmonic resonant enhancement which directly probes the Fermi energy; no such enhancement occurs for perpendicular polarization. The resonance mechanism relies on the chirality of charge carriers in graphene.

  20. Magnetization in ruby induced by a short laser pulse

    SciTech Connect

    Usmanov, R.G.; Khaimovich, E.P.

    1995-09-01

    Specific features of formation of nonequilibrium magnetization in ruby crystal excited by a laser pulse are experimentally studied. It is shown theoretically that the circularly polarized light pulse induces orientation of the medium and its magnetization. Changes of the magnetization direction induced by an external magnetic field are analyzed. 11 refs., 3 figs.

  1. Time Course of Conjunctival Hyperemia Induced by a Rho-kinase Inhibitor Anti-glaucoma Eye Drop: Ripasudil 0.4.

    PubMed

    Terao, Etsuko; Nakakura, Shunsuke; Fujisawa, Yasuko; Fujio, Yuki; Matsuya, Kanae; Kobayashi, Yui; Tabuchi, Hitoshi; Yoneda, Tsuyoshi; Fukushima, Atsuki; Kiuchi, Yoshiaki

    2017-05-01

    We investigated the detailed time course of conjunctival hyperemia induced by ripasudil 0.4%, a novel Rho-kinase inhibitor anti-glaucoma eye drop, in healthy subjects. We recruited 51 healthy subjects and administered ripasudil 0.4% in their right eye. We evaluated conjunctival hyperemia using slit lamp photography and measured the intraocular pressure (IOP) using the Icare PRO Rebound Tonometer at baseline and after 5, 15, 30, 60, 90, and 120 min. The conjunctival hyperemia score was graded by three independent observers on a scale of 0 (none) to 3 (severe). Additionally, we analyzed the "percent coverage" of conjunctival hyperemia by using an automated hyperemia analysis software program; this program provides the pixel coverage of the conjunctival vessels in the region of interest. Dunnett and Steel multiple comparison tests were used, as appropriate, for the subsequent analyses. The conjunctival hyperemia score and percent coverage increased rapidly after the instillation of ripasudil 0.4%, peaking at 15 min (score: 1.83 ± 0.29 [mean ± SD]) and 5 min (11.6% ± 4.7%), respectively, and then gradually decreasing until 120 min (0.45 ± 0.22 and 4.7% ± 1.8%, respectively), when they reached a level that was not significantly different from the baseline values. The IOP decreased significantly compared to the baseline at 30, 60, and 90 min, based on the Dunnett test. Conjunctival hyperemia induced by ripasudil 0.4% peaks rapidly to moderate severity, but subsides relatively quickly.

  2. Retinal glutamate transporter changes in experimental glaucoma and after optic nerve transection in the rat.

    PubMed

    Martin, Keith R G; Levkovitch-Verbin, Hana; Valenta, Danielle; Baumrind, Lisa; Pease, Mary Ellen; Quigley, Harry A

    2002-07-01

    High levels of glutamate can be toxic to retinal ganglion cells. Effective buffering of extracellular glutamate by retinal glutamate transporters is therefore important. This study was conducted to investigate whether glutamate transporter changes occur with two models of optic nerve injury in the rat. Glaucoma was induced in one eye of 35 adult Wistar rats by translimbal diode laser treatment to the trabecular meshwork. Twenty-five more rats underwent unilateral optic nerve transection. Two glutamate transporters, GLAST (EAAT-1) and GLT-1 (EAAT-2), were studied by immunohistochemistry and quantitative Western blot analysis. Treated and control eyes were compared 3 days and 1, 4, and 6 weeks after injury. Optic nerve damage was assessed semiquantitatively in epoxy-embedded optic nerve cross sections. Trabecular laser treatment resulted in moderate intraocular pressure (IOP) elevation in all animals. After 1 to 6 weeks of experimental glaucoma, all treated eyes had significant optic nerve damage. Glutamate transporter changes were not detected by immunohistochemistry. Western blot analysis demonstrated significantly reduced GLT-1 in glaucomatous eyes compared with control eyes at 3 days (29.3% +/- 6.7%, P = 0.01), 1 week (55.5% +/- 13.6%, P = 0.02), 4 weeks (27.2% +/- 10.1%, P = 0.05), and 6 weeks (38.1% +/- 7.9%, P = 0.01; mean reduction +/- SEM, paired t-tests, n = 5 animals per group, four duplicate Western blot analyses per eye). The magnitude of the reduction in GLT-1 correlated significantly with mean IOP in the glaucomatous eye (r(2) = 0.31, P = 0.01, linear regression). GLAST was significantly reduced (33.8% +/- 8.1%, mean +/- SEM) after 4 weeks of elevated IOP (P = 0.01, paired t-test, n = 5 animals per group). In contrast to glaucoma, optic nerve transection resulted in an increase in GLT-1 compared with the control eye (P = 0.01, paired t-test, n = 15 animals). There was no significant change in GLAST after transection. GLT-1 and GLAST were significantly

  3. Laser-induced plasma emission: from atomic to molecular spectra

    NASA Astrophysics Data System (ADS)

    De Giacomo, Alessandro; Hermann, Jörg

    2017-05-01

    The aim of this paper is the description of the optical emission spectral features of the plasma produced by laser-matter interaction, from a fundamental point of view. The laser induced plasma emission spectra are discussed in connection with the basic mechanisms that take place in the plasma phase at different time delays from the laser pulse. The laser induced plasma being a dynamic system, the hierarchy of the elementary mechanisms changes continuously because the electron number density and the electron temperature decrease during the expansion. As a consequence of this, over the duration of the plasma’s persistence the prevailing emitting species changes from ions to atoms and from atoms to molecules. Both atomic and molecular emission spectroscopy are discussed, to convey a complete description of the temporal evolution of laser induced plasma. Current literature, as well as the traditional plasma theories, are presented and discussed in order to give to the reader a general idea of the potentialities and drawbacks of emission spectroscopy in the study of laser induced plasma and its various applications.

  4. The Role of the IL-20 Subfamily in Glaucoma

    PubMed Central

    Wirtz, Mary K.; Keller, Kate E.

    2016-01-01

    Glaucoma is a common disease that leads to loss of peripheral vision and, if left untreated, ultimately to blindness. While the exact cause(s) of glaucoma is still unknown, two leading risk factors are age and elevated intraocular pressure. Several studies suggest a possible link between glaucoma and inflammation in humans and animal models. In particular, our lab recently identified a T104M mutation in IL-20 receptor-B (IL-20RB) in primary open angle glaucoma patients from a large pedigree. Several of the interleukin- (IL-) 20 family of cytokines and receptors are expressed in ocular tissues including the trabecular meshwork, optic nerve head, and retinal ganglion cells. The DBA/2J mouse develops high intraocular pressures with age and has characteristic optic nerve defects that make it a useful glaucoma model. IL-24 expression is significantly upregulated in the retina of these mice, while IL-20RA expression in the optic nerve is downregulated following pressure-induced damage. The identification of a mutation in the IL-20RB gene in a glaucoma pedigree and changes in expression levels of IL-20 family members in the DBA/2J mouse suggest that disruption of normal IL-20 signaling in the eye may contribute to degenerative processes associated with glaucoma. PMID:26903709

  5. [Perspectives in glaucoma surgery].

    PubMed

    Dietlein, T S

    2002-02-01

    Trabeculectomy is still considered to be the gold standard in the surgical treatment of the open-angle glaucomas. The additional application of local antimetabolites has reduced the rate of early filtering bled fibrosis, but increased the rate of essential late-postoperative complications. Growth factor inhibition and photodynamic therapy may be an alternative local treatment to enhance the results in filtering surgery. Non-penetrating glaucoma surgery and ab-interno trabecular surgery have several conceptual advantages, e.g. the lack of overfiltration or the untouched conjunctiva in the ab-interno approach. Clinical studies of these and other new procedures including antiglaucomatous retinectomy and subchoroidal shunt systems are currently performed in order to evaluate their potential and limits in the clinical management of glaucoma.

  6. Update on congenital glaucoma

    PubMed Central

    Mandal, Anil K; Chakrabarti, Debasis

    2011-01-01

    Congenital glaucoma is a global problem and poses a diagnostic and therapeutic challenge to the ophthalmologist. A detailed evaluation under general anesthesia is advisable to establish the diagnosis and plan for management. Medical therapy has a limited role and surgery remains the primary therapeutic modality. While goniotomy or trabeculotomy ab externo is valuable in the management of congenital glaucoma, primary combined trabeculotomy–trabeculectomy offers the best hope of success in advanced cases. Trabeculectomy with antifibrotic agent and glaucoma drainage devices has a role in the management of refractory cases, and cyclodestructive procedures should be reserved for patients where these procedures have failed. Early diagnosis, prompt therapeutic intervention and proper refractive correction are keys to success. Management of residual vision and visual rehabilitation should be an integral part of the management of children with low vision and lifelong follow-up is a must. PMID:21150027

  7. Exciting Directions in Glaucoma

    PubMed Central

    Rasmussen, Carol A; Kaufman, Paul L

    2014-01-01

    Glaucoma is a complex, life-long disease that requires an individualized, multifaceted approach to treatment. Most patients will be started on topical ocular hypotensive eyedrop therapy and over time, multiple classes of drugs will be needed to control their intraocular pressure (IOP). The search for drugs with novel mechanisms of action, to treat those who do not achieve adequate IOP control with, or become refractory to, current therapeutics, is ongoing, as is the search for more efficient, targeted drug delivery methods. Gene transfer and stem cell applications for glaucoma therapeutics are moving forward. Advances in imaging technologies improve our understanding of glaucoma pathophysiology and enable more refined patient evaluation and monitoring, improving patient outcomes. PMID:25433744

  8. Neuroprotective therapy for argon-laser-induced retinal injury

    NASA Astrophysics Data System (ADS)

    Belkin, Michael; Rosner, Mordechai; Solberg, Yoram; Turetz, Yosef

    1999-06-01

    Laser photocoagulation treatment of the central retina is often complicated by an immediate side effect of visual impairment, caused by the unavoidable laser-induced destruction of the normal tissue lying adjacent to the lesion and not affected directly by the laser beam. Furthermore, accidental laser injuries are at present untreatable. A neuroprotective therapy for salvaging the normal tissue might enhance the benefit obtained from treatment and allow safe perifoveal photocoagulation. We have developed a rat model for studying the efficacy of putative neuroprotective compounds in ameliorating laser-induced retinal damage. Four compounds were evaluated: the corticosteroid methylprednisolone, the glutamate-receptor blocker MK-801, the anti-oxidant enzyme superoxide dismutase, and the calcim-overload antagonist flunarizine. The study was carried out in two steps: in the first, the histopathological development of retinal laser injuries was studied. Argon laser lesions were inflicted in the retinas of 18 pigmented rats. The animals were sacrificed after 3, 20 or 60 days and their retinal lesions were evaluated under the light microscope. The laser injury mainly involved the outer layers of the retina, where it destroyed significant numbers of photoreceptor cells. Over time, evidence of two major histopathological processes was observed: traction of adjacent nomral retinal cells into the central area of the lesion forming an internal retinal bulging, and a retinal pigmented epithelial proliferative reaction associated with subretinal neovascularization and invations of the retinal lesion site by phagocytes. The neuroprotective effects of each of the four compounds were verified in a second step of the study. For each drug tested, 12 rats were irradiated wtih argon laser inflictions: six of them received the tested agent while the other six were treated with the corresponding vehicle. Twenty days after laser expsoure, the rats were sacrificed and their lesions were

  9. Advanced Imaging for Glaucoma Study: Design, Baseline Characteristics, and Inter-Site Comparison

    PubMed Central

    Le, Phuc V.; Zhang, Xinbo; Francis, Brian A.; Varma, Rohit; Greenfield, David S.; Schuman, Joel S.; Loewen, Nils; Huang, David

    2014-01-01

    Purpose To report the baseline characteristics of the participants in the Advanced Imaging for Glaucoma Study. To compare the participating sites for variations among subjects and the performance of imaging instruments. Design Multi-center longitudinal observational cohort study Methods A total of 788 participants (1,329 eyes) were enrolled from three academic referral centers. There were 145 participants (289 eyes) in the normal group, 394 participants (663 eyes) in the glaucoma suspect/preperimetric glaucoma group, and 249 participants (377 eyes) in the perimetric glaucoma group. Participants underwent a full clinical exam, standard automated perimetry, and imaging with time-domain and Fourier-domain optical coherence tomography (OCT), scanning laser polarimetry, and confocal scanning laser ophthalmoscopy. Main Outcome Measures The baseline average, population standard deviation, and repeatability of imaging-derived anatomic variables were reported for each technology and center. Results Compared to the normal participants, glaucoma suspect/preperimetric glaucoma and perimetric glaucoma groups had significantly reduced anatomic measurements. Repeatability of nerve fiber layer thickness was best for Fourier-domain OCT (overall coefficient of variation < 2%), followed by time-domain OCT (coefficient of variation 2-2.9%), scanning laser polarimetry (coefficient of variation 2.6-4.5%), and confocal scanning laser ophthalmoscopy rim area (coefficient of variation 4.2-7.6%). A mixed-effects model showed that the differences between sites was less than 25 percent of the variation within groups and less than the differences between the normal and glaucoma suspect/preperimetric glaucoma group. Conclusions Site-to-site variation was smaller than both the variation within groups and the changes due to glaucoma. Therefore pooling of participants between sites is appropriate. PMID:25447111

  10. Little evidence for association of the glaucoma gene MYOC with open-angle glaucoma

    PubMed Central

    Sohn, Seongsoo; Hur, Wonhee; Choi, Young Ran; Chung, Yun Shin; Ki, Chang-Seok

    2010-01-01

    Background/aim To determine if overexpression of the glaucoma gene MYOC is involved in the development of open-angle glaucoma (OAG) and if its promoter variants are associated with glaucoma in the Korean population. Methods Human trabecular meshwork cells were cultured in the presence of ophthalmic steroids such as fluorometholone, fluorometholone acetate, dexamethasone, prednisolone acetate and rimexolone. The cells were cultured at a hydrostatic pressure of 32 mm Hg above atmospheric pressure and induction of MYOC was evaluated by northern blot analysis. Genomic DNA was extracted from blood samples obtained from 74 normal controls and 168 unrelated Korean patients with OAG, including primary OAG, normal tension glaucoma and steroid-induced glaucoma. A 461 base pair (bp) DNA fragment of the MYOC promoter region was amplified using PCR and its genotype was analysed by directly sequencing the product. Results The potencies of steroid eye drops in MYOC induction in vitro was the same regardless of their potential for elevating intraocular pressure in vivo. Hydrostatic pressure had no effect on MYOC induction. A dinucleotide repeat polymorphism and three single nucleotide polymorphisms were identified, but no obvious differences in the genotype distribution and allele frequency of the variants between the control group and any type of OAG were observed. Conclusion Our data suggest that MYOC overexpression is not a cause or an effect of intraocular pressure elevation and that MYOC itself is not associated with OAG. PMID:20447966

  11. Optofluidic lens actuated by laser-induced solutocapillary forces

    NASA Astrophysics Data System (ADS)

    Malyuk, A. Yu.; Ivanova, N. A.

    2017-06-01

    We demonstrate an adaptive liquid lens controlled by laser-induced solutocapillary forces. The liquid droplet serving as a lens is formed in a thin layer of binary liquid mixture by surface tension driven flows caused by the thermal action of laser irradiation. The shape of droplet, its aperture and the focal length are reversibly changed without hysteresis by varying the intensity of the laser beam. The focal length variation range of the droplet-lens lies in between infinity (a flat layer) to 15 mm (a curved interface). The droplet-lens is capable to adjust the in-plane lateral position in response to a displacement of the laser beam. The proposed laser controlled droplet-lens will enable to develop smart liquid optical devices, which can imitate the accommodation reflex and pupillary light reflex of the eye.

  12. Femtosecond laser-induced modification at aluminum/diamond interface

    NASA Astrophysics Data System (ADS)

    Okada, Tatsuya; Tomita, Takuro; Ueki, Tomoyuki; Masai, Yuki; Bando, Yota; Tanaka, Yasuhiro

    2017-02-01

    We investigated femtosecond-laser-induced modification at an Al/diamond interface. The interface was irradiated from the backside through the diamond substrate, which is transparent to the laser beam. Extremely high pulse energies, i.e., 200 and 100 µJ/pulse, were used to irradiate the interface. The cross-section of the laser-irradiated line was observed with conventional and high-voltage transmission electron microscopy. The modification of the laser-irradiated interface was characterized by the formation of an amorphous phase sandwiched between the deformed Al film and the diamond substrate. The major chemical component of the amorphous phase was identified as carbon, blown from the diamond substrate. The newly formed interface between the amorphous phase and the diamond substrate was concave. In addition, a fine ripple structure with an average spacing one-quarter the wavelength of the laser light was formed only in the sample irradiated by the higher-energy pulses.

  13. Detection of early caries by laser-induced breakdown spectroscopy

    NASA Astrophysics Data System (ADS)

    Sasazawa, Shuhei; Kakino, Satoko; Matsuura, Yuji

    2015-07-01

    To improve sensitivity of dental caries detection by laser-induced breakdown spectroscopy (LIBS) analysis, it is proposed to utilize emission peaks in the ultraviolet. We newly focused on zinc whose emission peaks exist in ultraviolet because zinc exists at high concentration in the outer layer of enamel. It was shown that by using ratios between heights of an emission peak of Zn and that of Ca, the detection sensitivity and stability are largely improved. It was also shown that early caries are differentiated from healthy part by properly setting a threshold in the detected ratios. The proposed caries detection system can be applied to dental laser systems such as ones based on Er:YAG-lasers. When ablating early caries part by laser light, the system notices the dentist that the ablation of caries part is finished. We also show the intensity of emission peaks of zinc decreased with ablation with Er:YAG laser light.

  14. OH Planar Laser-Induced Fluorescence from Microgravity Droplet Combustion

    NASA Technical Reports Server (NTRS)

    Winter, Michael; Wegge, Jason; Kang, Kyung-Tae

    1997-01-01

    Droplet combustion under microgravity conditions has been extensively studied, but laser diagnostics have just begun to be employed in microgravity droplet experiments. This is due in part to the level of difficulty associated with laser system size, power and economic availability. Hydroxyl radical (OH) is an important product of combustion, and laser-induced fluorescence (LIF) has proved to be an adequate and sensitive tool to measure OH. In this study, a frequency doubled Nd:YAG laser and a doubled dye laser, compact and reliable enough to perform OH PLIF experiments aboard a parabolic flight-path aircraft, has been developed and successfully demonstrated in a methanol droplet flame experiment. Application to microgravity conditions is planned aboard parabolic flight-path aircraft.

  15. First measurements of laser-accelerated proton induced luminescence

    SciTech Connect

    Floquet, V.; Ceccotti, T.; Dobosz Dufrenoy, S.; Bonnaud, G.; Monot, P.; Martin, Ph.; Gremillet, L.

    2012-09-15

    We present our first results about laser-accelerated proton induced luminescence in solids. In the first part, we describe the optimization of the proton source as a function of the target thickness as well as the laser pulse duration and energy. Due to the ultra high contrast ratio of our laser beam, we succeeded in using targets ranging from the micron scale down to nanometers thickness. The two optimal thicknesses we put in evidence are in good agreement with numerical simulations. Laser pulse duration shows a small influence on proton maximum energy, whereas the latter turns out to vary almost linearly as a function of laser energy. Thanks to this optimisation work, we have been able to acquire images of the proton energy deposition in a solid scintillator.

  16. Compositional Analysis of Drugs by Laser-Induced Breakdown Spectroscopy

    NASA Astrophysics Data System (ADS)

    Beldjilali, S. A.; Axente, E.; Belasri, A.; Baba-Hamed, T.; Hermann, J.

    2017-07-01

    The feasibility of the compositional analysis of drugs by calibration-free laser-induced breakdown spectroscopy (LIBS) was investigated using multivitamin tablets as a sample material. The plasma was produced by a frequencyquadrupled Nd:YAG laser delivering UV pulses with a duration of 5 ns and an energy of 12 mJ, operated at a repetition rate of 10 Hz. The relative fractions of the elements composing the multivitamin drug were determined by comparing the emission spectrum of the laser-produced plume with the spectral radiance computed for a plasma in a local thermodynamic equilibrium. Fair agreement of the measured fractions with those given by the manufacturer was observed for all elements mentioned in the leafl et of the drug. Additional elements such as Ca, Na, Sr, Al, Li, K, and Si were detected and quantifi ed. The present investigations demonstrate that laser-induced breakdown spectroscopy is a viable technique for the quality control of drugs.

  17. Laser-induced reactions in energetic materials

    NASA Astrophysics Data System (ADS)

    Ling, Ping

    1999-07-01

    Several energetic materials have been investigated under shock wave loading, heating, and photodissociation. This dissertation highlights some efforts to understand energetic material from an angle of basic physical processes and elementary chemical reactions. The first series of experiments was performed to study laser-generated shock waves in energetic materials. Shock waves are generated by pulsed laser vaporization of thin aluminum films. The rapidly expanding aluminum plasma launches a shock wave into the adjacent layer of energetic material, initiating chemical reactions. The shock velocity has been measured by a velocity interferometer. Shock pressures as high as 8 GPa have been generated in this manner. A simple model is proposed to predict laser-generated shock pressure. Several energetic materials have been studied under laser- generated shock wave. The second series of experiments was conducted to study thermal decomposition and photodissociation of energetic materials. Glycidyl azide polymer (GAP) and poly(glycidyl nitrate) (PGN) have been investigated by pulsed infrared laser pyrolysis and ultraviolet laser photolysis of thin films at 17-77 K. Reactions are monitored by transmission infrared spectroscopy. Photolysis of GAP at 266 nm shows that the initial reaction steps are elimination of molecular nitrogen with subsequent formation of imines. Thermal decomposition of GAP by infrared laser pyrolysis reveals products similar to the UV experiments after warming. Laser pyrolysis of PGN indicated that the main steps of decomposition are elimination of NO2 and CH2O from the nitrate ester functional group. It seems that the initial thermal decomposition mechanism of GAP and PGN are the same from heating rate of several degrees per second to 107 oC/s. The third series of experiments is about detailed study of photodissociation mechanism of methyl nitrate. Photodissociation of methyl nitrate isolated in an argon matrix at 17 K has been investigated by 266 nm

  18. Photodiagnostics of turbulent flows using laser-induced fluorescence

    NASA Technical Reports Server (NTRS)

    Bershader, D.; Gross, K. P.

    1983-01-01

    An optical probe technique that will allow remote measurements of temperature (and density), along with their time dependent fluctuations, to be made in a supersonic turbulent wind tunnel flow was developed. Laser-induced fluorescence from nitric oxide which was seeded into the flowing gas medium (nitrogen) at low concentrations was used. The fluorescence emission intensity following laser excitation of the nitric oxide (NO) ground state rotational levels is then related to thermodynamic quantities of the bulk fluid.

  19. Laser Induced Retinal Damage Thresholds for Annular Retinal Beam Profiles

    DTIC Science & Technology

    2004-01-01

    Thompson-Gerstman granular model of laser-induced thermal damage to the retina ."°20 The study documented in this paper is a continuation of our earlier...Retinal Beam Profiles DISTRIBUTION: Approved for public release, distribution unlimited This paper is part of the following report: TITLE: Laser Interaction...mrad of visual field; which correspond to outer beam diameters of roughly 70, 160, and 300 tin, respectively, on the primate retina . Annular beam

  20. Laser-induced gas breakdown - Spectroscopic and chemical studies.

    NASA Technical Reports Server (NTRS)

    De Montgolfier, PH.; Dumont, P.; Mille, Y.; Villermaux, J.

    1972-01-01

    Discussion of the results of several experimental investigations on laser-induced gas breakdown. The experiments included time-resolved spectroscopy, direct detection of H atoms with a TiO2 probe, and chemical reactions; each of them provided insight into the behavior of the medium at different times. Chemical reactions and explosions have been initiated by the laser beam when a plasma was created. No primary multiphotonic absorption and no macroscopic chemical reactions were observed below the breakdown threshold.

  1. Laser induced tuning of cholesteric liquid crystal without alignment layers

    NASA Astrophysics Data System (ADS)

    Cheng, M.-C.; Huang, T.-C.; Lee, C.-Y.; Hsiao, Vincent K. S.

    2014-12-01

    We demonstrate a laser induced tuning effect on non-chiral azobenzene-doped CLC (Azo-CLCs) without using orientated substrate. The reversible tuning range is 90 nm under alternative violet (405 nm) and green (532 nm) laser exposure corresponded to the response time of 3 and 15 s, respectively. The current demonstrations may find applications in photoactive micro- or nano-photonic devices where orientated substrate is difficult to be incorporated.

  2. Laser-induced gas breakdown - Spectroscopic and chemical studies.

    NASA Technical Reports Server (NTRS)

    De Montgolfier, PH.; Dumont, P.; Mille, Y.; Villermaux, J.

    1972-01-01

    Discussion of the results of several experimental investigations on laser-induced gas breakdown. The experiments included time-resolved spectroscopy, direct detection of H atoms with a TiO2 probe, and chemical reactions; each of them provided insight into the behavior of the medium at different times. Chemical reactions and explosions have been initiated by the laser beam when a plasma was created. No primary multiphotonic absorption and no macroscopic chemical reactions were observed below the breakdown threshold.

  3. The Role of the Immune System in Glaucoma: Bridging the Divide Between Immune Mechanisms in Experimental Glaucoma and the Human Disease.

    PubMed

    Kamat, Shivani S; Gregory, Meredith S; Pasquale, Louis R

    2016-01-01

    Glaucoma is one of the leading causes of visual impairment worldwide. Classically, clinicians have evaluated patients through a full ophthalmological examination including gonioscopy, measurement of intraocular pressure (IOP), and assessment of the optic nerve. New imaging modalities have further enhanced our ability to evaluate glaucoma; however, our treatments have not evolved as much. Whether one uses medical treatment with topical ocular antihypertensives, laser trabeculoplasty, or filtering surgery, the mainstay of treatment is to lower IOP. However, as our understanding of the disease evolves, mechanisms other than elevated IOP have been implicated in glaucoma pathogenesis. Recent animal model studies have shown a possible role of the immune system in the pathophysiology of glaucoma. This article explores the current understanding of immune reactions in glaucoma, which could lead to a new paradigm of treatment for human disease.

  4. Laser ablation of liquid surface in air induced by laser irradiation through liquid medium

    NASA Astrophysics Data System (ADS)

    Utsunomiya, Yuji; Kajiwara, Takashi; Nishiyama, Takashi; Nagayama, Kunihito; Kubota, Shiro; Nakahara, Motonao

    2010-10-01

    The pulse laser ablation of a liquid surface in air when induced by laser irradiation through a liquid medium has been experimentally investigated. A supersonic liquid jet is observed at the liquid-air interface. The liquid surface layer is driven by a plasma plume that is produced by laser ablation at the layer, resulting in a liquid jet. This phenomenon occurs only when an Nd:YAG laser pulse (wavelength: 1064 nm) is focused from the liquid onto air at a low fluence of 20 J/cm2. In this case, as Fresnel’s law shows, the incident and reflected electric fields near the liquid surface layer are superposed constructively. In contrast, when the incident laser is focused from air onto the liquid, a liquid jet is produced only at an extremely high fluence, several times larger than that in the former case. The similarities and differences in the liquid jets and atomization processes are studied for several liquid samples, including water, ethanol, and vacuum oil. The laser ablation of the liquid surface is found to depend on the incident laser energy and laser fluence. A pulse laser light source and high-resolution film are required to observe the detailed structure of a liquid jet.

  5. Shock profile induced by short laser pulses

    NASA Astrophysics Data System (ADS)

    Couturier, S.; de Rességuier, T.; Hallouin, M.; Romain, J. P.; Bauer, F.

    1996-06-01

    Standard 25-μm-thick polyvinilydene fluoride (PVDF) piezoelectric gauges and new 450-μm-thick P(VDF 70%, TrFE 30%) piezoelectric copolymer have been used to record shock profiles at the back face of metallic targets irradiated by laser pulses of 2.5 and 0.6 ns duration at a 1.06 μm wavelength. The records are fully explained with simplified space-time diagram analysis. The pressure profile applied at the front face of the target has been determined from these records combined with numerical simulations of wave propagation through the target. A numerical code describing the interaction of laser with matter (FILM) has also been used for computing the applied pressure. Both methods lead to very close results. The peak pressure dependence on incident laser intensity is determined up to 30 GPa at 1012 W/cm2.

  6. Ion beam and laser induced surface modifications

    NASA Astrophysics Data System (ADS)

    Appleton, B. R.

    1984-01-01

    The capabilities of energetic ion beam and laser processing of surfaces are reviewed. Ion implantation doping, ion beam mixing, and laser and electron beam processing techniques are capable of producing new and often unique surface properties. The inherent control of these techniques has led to significant advances in our ability to tailor the properties of solids for a wide range of technological applications. Equally important, these techniques have allowed tests of fundamental materials interactions under conditions not heretofore achievable and have resulted in increased understanding of a broad range of materials phenomena. These include new metastable phase formation, rapid nucleation and crystal growth kinetics, amorphous metals and metaglasses, supersaturated solid solutions and substitutional alloys, interface interactions, solute trapping, laser-assisted chemical modifications, and a host of other.

  7. Nonlinear femtosecond laser induced scanning tunneling microscopy.

    PubMed

    Dey, Shirshendu; Mirell, Daniel; Perez, Alejandro Rodriguez; Lee, Joonhee; Apkarian, V Ara

    2013-04-21

    We demonstrate ultrafast laser driven nonlinear scanning tunneling microscopy (STM), under ambient conditions. The design is an adaptation of the recently introduced cross-polarized double beat method, whereby z-polarized phase modulated fields are tightly focused at a tunneling junction consisting of a sharp tungsten tip and an optically transparent gold film as substrate. We demonstrate the prerequisites for ultrafast time-resolved STM through an operative mechanism of nonlinear laser field-driven tunneling. The spatial resolution of the nonlinear laser driven STM is determined by the local field intensity. Resolution of 0.3 nm-10 nm is demonstrated for the intensity dependent, exponential tunneling range. The demonstration is carried out on a junction consisting of tungsten tip and gold substrate. Nano-structured gold is used for imaging purposes, to highlight junction plasmon controlled tunneling in the conductivity limit.

  8. Polymer hydrophilicity and hydrophobicity induced by femtosecond laser direct irradiation

    NASA Astrophysics Data System (ADS)

    Wang, Z. K.; Zheng, H. Y.; Lim, C. P.; Lam, Y. C.

    2009-09-01

    Controlled modification of surface wettability of polymethyl methacrylate (PMMA) was achieved by irradiation of PMMA surface with femtosecond laser pulses at various laser fluences and focus distances. Fluences from 0.40 to 2.1 J/cm2 produced a hydrophobic surface and 2.1 to 52.7 J/cm2 (maximum investigated) produced a hydrophilic surface. Fluences less than 0.31 J/cm2 had no effect on the wettability of the raw PMMA. This change in wettability was caused dominantly by laser induced chemical structure modification and not by a change in surface roughness.

  9. Computer simulations of laser-induced melting of aluminum

    NASA Astrophysics Data System (ADS)

    Tang, Hong; Bai, Mingze; Dou, Yusheng; Ran, Qi; Lo, Glenn V.

    2013-04-01

    Laser-induced solid-to-liquid phase transitions in 100 nm aluminum film were simulated using a hybrid model that combines molecular dynamics (MD) with a continuum description of the laser excitation and a two-temperature method (TTM) to model the relaxation of conduction band electrons. When the laser fluence provides more energy than needed for a complete melting of the film, the phase transition is characterized by an ultrafast collapse of the crystal structure within 2-3 ps. Otherwise, the transition involves a homogeneous nucleation and growth of liquid zones inside the crystal and a heterogeneous propagation of transition fronts from the external surfaces or nucleated liquid zones.

  10. Laser-induced removal of organic contaminants from metal substrates

    NASA Astrophysics Data System (ADS)

    Song, Wen D.; Lu, Yongfeng; Chen, Q.; Low, Tohsiew

    1998-08-01

    Laser-induced removal of organic contaminants, such as grease and wax, on Cr substrate surfaces was studied. The laser cleaning efficiency was analyzed by an optical microscope and an Auger Electron Spectroscopy (AES). It was found that the contaminants in the irradiated area can be effectively removed by pulsed laser irradiation and cleaning efficiency can be reached to 80% above under a certain cleaning condition without damage. The damage threshold of Cr substrates was obtained by numerical simulation, which is in good consistency with the experimental threshold.

  11. Trace metal mapping by laser-induced breakdown spectroscopy

    SciTech Connect

    Kaiser, Jozef; Novotny, Dr. Karel; Hrdlicka, A; Malina, R; Hartl, M; Kizek, R; Adam, V

    2012-01-01

    Abstract: Laser-Induced Breakdown Spectroscopy (LIBS) is a sensitive optical technique capable of fast multi-elemental analysis of solid, gaseous and liquid samples. The potential applications of lasers for spectrochemical analysis were developed shortly after its invention; however the massive development of LIBS is connected with the availability of powerful pulsed laser sources. Since the late 80s of 20th century LIBS dominated the analytical atomic spectroscopy scene and its application are developed continuously. Here we review the utilization of LIBS for trace elements mapping in different matrices. The main emphasis is on trace metal mapping in biological samples.

  12. Laser-induced air ionization microscopy

    NASA Astrophysics Data System (ADS)

    Zhao, Y.; Zhang, N.; Yang, J.; Zhu, X.

    2006-06-01

    A nonlinear scanning imaging method is introduced that uses the highly localized air ionization initiated by photoelectrons from the sample surface under irradiation of femtosecond laser pulses as the microprobe. This type of microscopy with realizable subdiffraction spatial resolution has the unique advantages of being highly sensitive to both elemental and topographical properties of the samples of interest. Microscopic images of a femtosecond laser ablated micropattern, the cross section and the side view profile of an optical fiber, and a fresh mulberry leaf are obtained with this imaging technique, which demonstrate this technique's broad applicability in microscopic studies of different materials.

  13. Laser Induced Aluminum Surface Breakdown Model

    NASA Technical Reports Server (NTRS)

    Chen, Yen-Sen; Liu, Jiwen; Zhang, Sijun; Wang, Ten-See (Technical Monitor)

    2002-01-01

    Laser powered propulsion systems involve complex fluid dynamics, thermodynamics and radiative transfer processes. Based on an unstructured grid, pressure-based computational aerothermodynamics; platform, several sub-models describing such underlying physics as laser ray tracing and focusing, thermal non-equilibrium, plasma radiation and air spark ignition have been developed. This proposed work shall extend the numerical platform and existing sub-models to include the aluminum wall surface Inverse Bremsstrahlung (IB) effect from which surface ablation and free-electron generation can be initiated without relying on the air spark ignition sub-model. The following tasks will be performed to accomplish the research objectives.

  14. Laser-induced luminescence in hybrid nanofilms

    NASA Astrophysics Data System (ADS)

    Saifutyarov, R. R.; Khomyakov, A. V.; Akkuzina, A. A.; Avetisov, R. I.; Petrova, O. B.; Avetisov, I. Kh.; Kravchenko, S. V.

    2015-07-01

    Tris(8-hydroxyquinoline) boron (Bq3) was synthesized by a high-temperature exchange reaction. Bq3 powders containing various polymorphous modifications were synthesized, and their photoluminescent characteristics were analyzed. Films of Alq3/B2O3/Al hybrid materials (HMs) were deposited on glass substrates by vacuum thermal evaporation. It is shown that local heating by a diode laser (785 nm) with an intensity of 150 W/cm2 for one second causes irreversible transformation in the HM film structure. The chromaticity coordinates of the photoluminescence of laser-irradiated regions considerably differ from those of the initial HM film luminescence.

  15. Investigation of Laser-Induced Retinal Damage

    DTIC Science & Technology

    1993-04-20

    glutathione (Fig. 1), tocopherol (vitamin E), and taurine (Lam & Glickman, 1992). 500 .SH GSH + Laser 400 6 300 200 GS" Standards, Unexposed 100J• 1 O0 ~GSSG...melanin granules were exposed to laser for 2 min at irradiance of 400 mW/cm 2. A 2-Wl aliquot was then injected into Delta HPLC column. No oxidized...oxidation was determined from the distribution of label in the AA and DHA fractions following separation on HPLC . [from Glickman et al., 1993] The

  16. Pharmacotherapy and Adherence Issues in Treating Elderly Patients with Glaucoma.

    PubMed

    Broadway, David C; Cate, Heidi

    2015-07-01

    Glaucoma is a leading cause of visual morbidity throughout the world and is an age-related condition, the prevalence of which rises significantly with increasing age. Glaucoma, a condition affecting the optic nerve, has a variety of subtypes with multiple aetiological factors, the most important of which are intraocular pressure (IOP) and increasing age. Treatment by lowering of IOP is the only current method, for which there is evidence, by which the rate of progressive visual deterioration can be slowed or halted. Although there are surgical and laser treatments that are efficacious in lowering IOP, the most common manner in which patients with glaucoma control their IOP is with administration of daily topical ocular hypotensive drugs (eye drops). The variety of topical drugs utilised in the management of glaucoma all have the potential to have adverse effects and/or interactions with concomitant medications, many of which may be used for other age-related conditions. Adherence with appropriate medicines has a major effect on the outcome of medical conditions and this aspect applies to the management of glaucoma. There are certain specific issues that relate to the administration of topical agents, with respect to both adverse effects and adherence. Although many suspect poor adherence in elderly patients with glaucoma, relative to younger patients, adequate evidence for this is lacking. Furthermore, the manner by which adherence issues could be improved remains inadequately understood and poorly addressed. The aims of this article were to review, from a clinical perspective, the medical therapies currently used for glaucoma and discuss adherence issues with respect to the population of patients with glaucoma, who tend to be relatively elderly.

  17. Ultraviolet Laser-induced ignition of RDX single crystal

    PubMed Central

    Yan, Zhonghua; Zhang, Chuanchao; Liu, Wei; Li, Jinshan; Huang, Ming; Wang, Xuming; Zhou, Guorui; Tan, Bisheng; Yang, Zongwei; Li, Zhijie; Li, Li; Yan, Hongwei; Yuan, Xiaodong; Zu, Xiaotao

    2016-01-01

    The RDX single crystals are ignited by ultraviolet laser (355 nm, 6.4 ns) pulses. The laser-induced damage morphology consisted of two distinct regions: a core region of layered fracture and a peripheral region of stripped material surrounding the core. As laser fluence increases, the area of the whole crack region increases all the way, while both the area and depth of the core region increase firstly, and then stay stable over the laser fluence of 12 J/cm2. The experimental details indicate the dynamics during laser ignition process. Plasma fireball of high temperature and pressure occurs firstly, followed by the micro-explosions on the (210) surface, and finally shock waves propagate through the materials to further strip materials outside and yield in-depth cracks in larger surrounding region. The plasma fireball evolves from isotropic to anisotropic under higher laser fluence resulting in the damage expansion only in lateral direction while maintaining the fixed depth. The primary insights into the interaction dynamics between laser and energetic materials can help developing the superior laser ignition technique. PMID:26847854

  18. Ultraviolet Laser-induced ignition of RDX single crystal

    NASA Astrophysics Data System (ADS)

    Yan, Zhonghua; Zhang, Chuanchao; Liu, Wei; Li, Jinshan; Huang, Ming; Wang, Xuming; Zhou, Guorui; Tan, Bisheng; Yang, Zongwei; Li, Zhijie; Li, Li; Yan, Hongwei; Yuan, Xiaodong; Zu, Xiaotao

    2016-02-01

    The RDX single crystals are ignited by ultraviolet laser (355 nm, 6.4 ns) pulses. The laser-induced damage morphology consisted of two distinct regions: a core region of layered fracture and a peripheral region of stripped material surrounding the core. As laser fluence increases, the area of the whole crack region increases all the way, while both the area and depth of the core region increase firstly, and then stay stable over the laser fluence of 12 J/cm2. The experimental details indicate the dynamics during laser ignition process. Plasma fireball of high temperature and pressure occurs firstly, followed by the micro-explosions on the (210) surface, and finally shock waves propagate through the materials to further strip materials outside and yield in-depth cracks in larger surrounding region. The plasma fireball evolves from isotropic to anisotropic under higher laser fluence resulting in the damage expansion only in lateral direction while maintaining the fixed depth. The primary insights into the interaction dynamics between laser and energetic materials can help developing the superior laser ignition technique.

  19. Laser-induced periodic surface structures, modeling, experiments, and applications

    NASA Astrophysics Data System (ADS)

    Römer, G. R. B. E.; Skolski, J. Z. P.; Oboňa, J. Vincenc; Ocelík, V.; de Hosson, J. T. M.; Huis in't Veld, A. J.

    2014-03-01

    Laser-induced periodic surface structures (LIPSSs) consist of regular wavy surface structures, or ripples, with amplitudes and periodicity in the sub-micrometer range. A summary of experimentally observed LIPSSs is presented, as well as our model explaining their possible origin. Linearly polarized continuous wave (cw) or pulsed laser light, at normal incidence, can produce LIPSSs with a periodicity close to the laser wavelength, and direction orthogonal to the polarization on the surface of the material. Ripples with a periodicity (much) smaller than the laser wavelength develop when applying laser pulses with ultra-short durations in the femtosecond and picosecond regime. The direction of these ripples is either parallel or orthogonal to the polarization direction. Finally, when applying numerous pulses, structures with periodicity larger than the laser wavelength can form, which are referred to as "grooves". The physical origin of LIPSSs is still under debate. The strong correlation of the ripple periodicity to the laser wavelength, suggests that their formation can be explained by an electromagnetic approach. Recent results from a numerical electromagnetic model, predicting the spatially modulated absorbed laser energy, are discussed. This model can explain the origin of several characteristics of LIPSSs. Finally, applications of LIPSSs will be discussed.

  20. Application of Laser-Induced Bone Therapy by Carbon Dioxide Laser Irradiation in Implant Therapy

    PubMed Central

    Naka, Takahiro; Yokose, Satoshi

    2012-01-01

    This study evaluated the application of laser-induced bone therapy (LIBT) to reduce implant healing time in rat tibia. Twenty 10-week-old female Sprague-Dawlay rats were used. The rats received laser irradiation (laser group) or sham operation (control group) on either side of the tibia. Five days after invasion, titanium implants were inserted in proximal tibia. Five, 10, and 20 days after implant placement, tibiae were collected. After taking micro-CT and performing a torque test, the tibiae were decalcified and 8-μm-thick sections were prepared. Specimens were stained with hematoxylin and eosin. Results. Micro-CT images, removal torque values, and histomorphometric analysis data demonstrated a significantly accelerated bone formation in the laser group earlier in the healing process. Conclusion. The use of laser irradiation was effective in promoting bone formation and acquiring osseointegration of titanium implants inserted in rat tibia. LIBT may be suitable for use in implant therapy. PMID:22505900

  1. Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial.

    PubMed

    Heijl, Anders; Leske, M Cristina; Bengtsson, Bo; Hyman, Leslie; Bengtsson, Boel; Hussein, Mohamed

    2002-10-01

    To provide the results of the Early Manifest Glaucoma Trial, which compared the effect of immediately lowering the intraocular pressure (IOP), vs no treatment or later treatment, on the progression of newly detected open-angle glaucoma. Randomized clinical trial. Two hundred fifty-five patients aged 50 to 80 years (median, 68 years) with early glaucoma, visual field defects (median mean deviation, -4 dB), and a median IOP of 20 mm Hg, mainly identified through a population screening. Patients with an IOP greater than 30 mm Hg or advanced visual field loss were ineligible. Patients were randomized to either laser trabeculoplasty plus topical betaxolol hydrochloride (n = 129) or no initial treatment (n = 126). Study visits included Humphrey Full Threshold 30-2 visual field tests and tonometry every 3 months, and optic disc photography every 6 months. Decisions regarding treatment were made jointly with the patient when progression occurred and thereafter. Glaucoma progression was defined by specific visual field and optic disc outcomes. Criteria for perimetric progression were computer based and defined as the same 3 or more test point locations showing significant deterioration from baseline in glaucoma change probability maps from 3 consecutive tests. Optic disc progression was determined by masked graders using flicker chronoscopy plus side-by-side photogradings. After a median follow-up period of 6 years (range, 51-102 months), retention was excellent, with only 6 patients lost to follow-up for reasons other than death. On average, treatment reduced the IOP by 5.1 mm Hg or 25%, a reduction maintained throughout follow-up. Progression was less frequent in the treatment group (58/129; 45%) than in controls (78/126; 62%) (P =.007) and occurred significantly later in treated patients. Treatment effects were also evident when stratifying patients by median IOP, mean deviation, and age as well as exfoliation status. Although patients reported few systemic or ocular

  2. Laser-induced fluorescence of formaldehyde in combustion using third harmonic Nd:YAG laser excitation.

    PubMed

    Brackmann, Christian; Nygren, Jenny; Bai, Xiao; Li, Zhongshan; Bladh, Henrik; Axelsson, Boman; Denbratt, Ingemar; Koopmans, Lucien; Bengtsson, Per-Erik; Aldén, Marcus

    2003-12-01

    Formaldehyde (CH2O) is an important intermediate species in combustion processes and it can through laser-induced fluorescence measurements be used for instantaneous flame front detection. The present study has focussed on the use of the third harmonic of a Nd:YAG laser at 355 nm as excitation wavelength for formaldehyde, and different dimethyl ether (C2H6O) flames were used as sources of formaldehyde in the experiments. The investigations included studies of the overlap between the laser profile and the absorption lines of formaldehyde, saturation effects and the potential occurrence of laser-induced photochemistry. The technique was applied for detection of formaldehyde in an internal combustion engine operated both as a spark ignition engine and as a homogenous charge compression ignition engine.

  3. Laser induced damage in multilayer dielectric gratings due to ultrashort laser pulses. Revision 1

    SciTech Connect

    Shore, B.W.; Stuart, B.C.; Feit, M.D.; Rubenchik, A.M.; Perry, M.D.

    1995-07-11

    Chirped pulse amplification is increasingly used to produce intense ultrashort laser pulses. When high-efficiency gratings are the dispersive element, as in the LLNL Petawatt laser, their susceptibility to laser induced damage constitutes a limitation on the peak intensities that can be reached. To obtain robust gratings, it is necessary to understand the causes of short-pulse damage, and to recognize the range of design options for high efficiency gratings. Metal gratings owe their high efficiency to their high conductivity. To avoid the inevitable light absorption that accompanies conductivity, we have developed designs for high efficiency rejection gratings that use only transparent dielectric materials. These combine the reflectivity of a multi-layer dielectric stack with a diffraction grating. We report here our present understanding of short-pulse laser induced damage, as it applies to dielectric gratings.

  4. Laser induced damage in multilayer dielectric gratings due to ultrashort laser pulses

    SciTech Connect

    Shore, B.W.; Stuart, B.C.; Feit, M.D.; Rubenchik, A.M.; Perry, M.D.

    1995-05-26

    Chirped pulse amplification is increasingly used to produce intense ultrashort laser pulses. When high-efficiency gratings are the dispersive element, as in the LLNL Petawatt laser, their susceptibility to laser induced damage constitutes a limitation on the peak intensities that can be reached. To obtain robust gratings, it is necessary to understand the causes of short-pulse damage, and to recognize the range of design options for high efficiency gratings. Metal gratings owe their high efficiency to their high conductivity. To avoid the inevitable light absorption that accompanies conductivity, we have developed designs for high efficiency reflection gratings that use only transparent dielectric materials. These combine the reflectivity of a multilayer dielectric stack with a diffraction grating. We report here our present understanding of short-pulse laser induced damage, as it applies to dielectric gratings.

  5. Laser-induced fluorescence of space-exposed polyurethane

    NASA Technical Reports Server (NTRS)

    Hill, Ralph H., Jr.

    1993-01-01

    The object of this work was to utilize laser-induced fluorescence technique to characterize several samples of space-exposed polyurethane. These samples were flown on the Long Duration Exposure Facility (LDEF), which was in a shuttle-like orbit for nearly 6 years. Because of our present work to develop laser-induced-fluorescence inspection techniques for polymers, space-exposed samples and controls were lent to us for evaluation. These samples had been attached to the outer surface of LDEF; therefore, they were subjected to thermal cycling, solar ultraviolet radiation, vacuum, and atomic oxygen. It is well documented that atomic oxygen and ultraviolet exposure have detrimental effects on many polymers. This was a unique opportunity to make measurements on material that had been naturally degraded by an unusual environment. During our past work, data have come from artificially degraded samples and generally have demonstrated a correlation between laser-induced fluorescence and tensile strength or elasticity.

  6. Laser-induced differential normalized fluorescence method for cancer diagnosis

    DOEpatents

    Vo-Dinh, T.; Panjehpour, M.; Overholt, B.F.

    1996-12-03

    An apparatus and method for cancer diagnosis are disclosed. The diagnostic method includes the steps of irradiating a tissue sample with monochromatic excitation light, producing a laser-induced fluorescence spectrum from emission radiation generated by interaction of the excitation light with the tissue sample, and dividing the intensity at each wavelength of the laser-induced fluorescence spectrum by the integrated area under the laser-induced fluorescence spectrum to produce a normalized spectrum. A mathematical difference between the normalized spectrum and an average value of a reference set of normalized spectra which correspond to normal tissues is calculated, which provides for amplifying small changes in weak signals from malignant tissues for improved analysis. The calculated differential normalized spectrum is correlated to a specific condition of a tissue sample. 5 figs.

  7. Laser-induced differential normalized fluorescence method for cancer diagnosis

    DOEpatents

    Vo-Dinh, Tuan; Panjehpour, Masoud; Overholt, Bergein F.

    1996-01-01

    An apparatus and method for cancer diagnosis are disclosed. The diagnostic method includes the steps of irradiating a tissue sample with monochromatic excitation light, producing a laser-induced fluorescence spectrum from emission radiation generated by interaction of the excitation light with the tissue sample, and dividing the intensity at each wavelength of the laser-induced fluorescence spectrum by the integrated area under the laser-induced fluorescence spectrum to produce a normalized spectrum. A mathematical difference between the normalized spectrum and an average value of a reference set of normalized spectra which correspond to normal tissues is calculated, which provides for amplifying small changes in weak signals from malignant tissues for improved analysis. The calculated differential normalized spectrum is correlated to a specific condition of a tissue sample.

  8. Method for laser induced isotope enrichment

    DOEpatents

    Pronko, Peter P.; Vanrompay, Paul A.; Zhang, Zhiyu

    2004-09-07

    Methods for separating isotopes or chemical species of an element and causing enrichment of a desired isotope or chemical species of an element utilizing laser ablation plasmas to modify or fabricate a material containing such isotopes or chemical species are provided. This invention may be used for a wide variety of materials which contain elements having different isotopes or chemical species.

  9. Laser Shock-Induced Spalling in Tantalum

    NASA Astrophysics Data System (ADS)

    Remington, Tane; Wehrenberg, Christopher; Maddox, Brian; Swift, Damien; Remington, Bruce; Meyers, Marc; UCSD Collaboration; LLNL Collaboration

    2013-06-01

    The processes of dynamic failure by spalling were established in nano, poly, and mono crystalline tantalum in recovery experiments following laser compression and release. Samples were compressed over a range of energies varying from 50 to 120 J/mm2 and initial duration of 3 ns. The waves were allowed to reflect at the back surface (specimen thickness: 250 um) and the process of separation was characterized by different techniques: optical microscopy, SEM, and microcomputerized tomography. Additionally, the pull back signal was measured by VISAR and the pressure decay compared with HYADES simulations. There are clear differences in the microscopic fracture mechanisms, dictated by the grain sizes. In the nano and polycrystals, spalling occurred by ductile fracture favoring grain boundaries. In the monocrystals, these are absent, and the process was of ductile failure by void initiation, growth and coalescence. The spall strengths in laser experiments are compared with those in experiments at much larger durations (us regime). Work performed at the Jupiter Laser Facility (JLF), Lawrence Livermore National Laboratory (LLNL). This research is funded by the UC Research Laboratories Grant (09-LR-06-118456-MEYM) and the National Laser Users Facility (NLUF) Grant (PE-FG52-09NA-29043).

  10. Laser induced mortality of Anopheles stephensi mosquitoes

    PubMed Central

    Keller, Matthew D.; Leahy, David J.; Norton, Bryan J.; Johanson, Threeric; Mullen, Emma R.; Marvit, Maclen; Makagon, Arty

    2016-01-01

    Small, flying insects continue to pose great risks to both human health and agricultural production throughout the world, so there remains a compelling need to develop new vector and pest control approaches. Here, we examined the use of short (<25 ms) laser pulses to kill or disable anesthetized female Anopheles stephensi mosquitoes, which were chosen as a representative species. The mortality of mosquitoes exposed to laser pulses of various wavelength, power, pulse duration, and spot size combinations was assessed 24 hours after exposure. For otherwise comparable conditions, green and far-infrared wavelengths were found to be more effective than near- and mid-infrared wavelengths. Pulses with larger laser spot sizes required lower lethal energy densities, or fluence, but more pulse energy than for smaller spot sizes with greater fluence. Pulse duration had to be reduced by several orders of magnitude to significantly lower the lethal pulse energy or fluence required. These results identified the most promising candidates for the lethal laser component in a system being designed to identify, track, and shoot down flying insects in the wild. PMID:26887786

  11. Laser induced mortality of Anopheles stephensi mosquitoes

    NASA Astrophysics Data System (ADS)

    Keller, Matthew D.; Leahy, David J.; Norton, Bryan J.; Johanson, Threeric; Mullen, Emma R.; Marvit, Maclen; Makagon, Arty

    2016-02-01

    Small, flying insects continue to pose great risks to both human health and agricultural production throughout the world, so there remains a compelling need to develop new vector and pest control approaches. Here, we examined the use of short (<25 ms) laser pulses to kill or disable anesthetized female Anopheles stephensi mosquitoes, which were chosen as a representative species. The mortality of mosquitoes exposed to laser pulses of various wavelength, power, pulse duration, and spot size combinations was assessed 24 hours after exposure. For otherwise comparable conditions, green and far-infrared wavelengths were found to be more effective than near- and mid-infrared wavelengths. Pulses with larger laser spot sizes required lower lethal energy densities, or fluence, but more pulse energy than for smaller spot sizes with greater fluence. Pulse duration had to be reduced by several orders of magnitude to significantly lower the lethal pulse energy or fluence required. These results identified the most promising candidates for the lethal laser component in a system being designed to identify, track, and shoot down flying insects in the wild.

  12. Pulsed dye laser in treatment of steroid-induced atrophy.

    PubMed

    Mansouri, Parvin; Ranjbar, Maryam; Abolhasani, Ehsan; Chalangari, Reza; Martits-Chalangari, Katalin; Hejazi, Somayeh

    2015-12-01

    One of the important and distressing cutaneous side effects of steroid therapy is skin atrophy, which has no definite and effective treatment. To the best of our knowledge, laser therapy for steroid-induced atrophic scars has not been investigated to date. The aim of this study was to evaluate the efficacy and safety of pulsed dye laser in the treatment of steroid-induced atrophic scars. In this pilot study, 15 patients with at least one atrophic patch were treated with the 585-nm pulsed dye laser at 4-week interval sessions until achieving complete improvement or until patient were lost to follow-up. Clinical outcome was assessed via standard photographic method before each treatment session and after the final visit. An independent dermatologist evaluated the photographs. All of the patients (13 females and two males) with 25-59 years of age experienced some degree of improvement, except one patient who withdrew from the treatment after three sessions. The treatment was well tolerated. The results of our study indicated that pulsed dye laser therapy could be employed as a new method in the treatment of steroid-induced atrophic scars. Pulsed dye laser might affect the lesions through inducing collagen deposition and production of more superficial dermal elastin as well as less unidirectional collagen in clusters. © 2015 Wiley Periodicals, Inc.

  13. Anterior chamber aqueous flare, pseudoexfoliation syndrome, and glaucoma.

    PubMed

    Kahloun, Rim; Attia, Sonia; Ksiaa, Imen; Kacem, Ilhem; Bouanene, Ines; Zaouali, Sonia; Jelliti, Bechir; Khairallah, Moncef

    2016-10-01

    The purpose of this study is to evaluate anterior chamber aqueous flare (ACAF) in Tunisian patients with pseudoexfoliation (PEX) syndrome with or without associated glaucoma. This is a prospective, cross-sectional, comparative study including 53 patients (88 eyes) with PEX syndrome, 48 patients with PEX glaucoma (86 eyes), and 53 healthy sex-and age-matched control subjects (106 eyes). All patients underwent a complete ophthalmic examination and laser flare photometry. Mean ACAF was significantly higher in the PEX syndrome group in comparison with the control group (17.96 ± 10.05 vs 7.06 ± 2.95 ph/ms; p = 10(-4)), in patients with PEX glaucoma compared to PEX syndrome without associated glaucoma (27.99 ± 15.45 vs 17.96 ± 10.05 ph/ms; p = 10(-4)), in the PEX glaucoma group in comparison with control group (27.99 ± 15.45 vs 7.06 ± 2.95 ph/ms; p = 10(-4)), and in patients with unilateral PEX syndrome in comparison with contralateral-unaffected eyes (25.72 ± 14.88 vs 8.58 ± 3.45 ph/ms; p = 0.000). For patients with PEX syndrome, a high ACAF might be a predictor for the development of glaucoma. Further investigations are needed to clarify the role of laser flare photometry in predicting the risk of glaucoma in patients with PEX syndrome.

  14. A Mouse Model for Laser-induced Choroidal Neovascularization.

    PubMed

    Shah, Ronil S; Soetikno, Brian T; Lajko, Michelle; Fawzi, Amani A

    2015-12-27

    The mouse laser-induced choroidal neovascularization (CNV) model has been a crucial mainstay model for neovascular age-related macular degeneration (AMD) research. By administering targeted laser injury to the RPE and Bruch's membrane, the procedure induces angiogenesis, modeling the hallmark pathology observed in neovascular AMD. First developed in non-human primates, the laser-induced CNV model has come to be implemented into many other species, the most recent of which being the mouse. Mouse experiments are advantageously more cost-effective, experiments can be executed on a much faster timeline, and they allow the use of various transgenic models. The miniature size of the mouse eye, however, poses a particular challenge when performing the procedure. Manipulation of the eye to visualize the retina requires practice of fine dexterity skills as well as simultaneous hand-eye-foot coordination to operate the laser. However, once mastered, the model can be applied to study many aspects of neovascular AMD such as molecular mechanisms, the effect of genetic manipulations, and drug treatment effects. The laser-induced CNV model, though useful, is not a perfect model of the disease. The wild-type mouse eye is otherwise healthy, and the chorio-retinal environment does not mimic the pathologic changes in human AMD. Furthermore, injury-induced angiogenesis does not reflect the same pathways as angiogenesis occurring in an age-related and chronic disease state as in AMD. Despite its shortcomings, the laser-induced CNV model is one of the best methods currently available to study the debilitating pathology of neovascular AMD. Its implementation has led to a deeper understanding of the pathogenesis of AMD, as well as contributing to the development of many of the AMD therapies currently available.

  15. Experimental and theoretical investigation of the effect of laser parameters on laser ablation and laser-induced plasma formation

    NASA Astrophysics Data System (ADS)

    Stancalie, Andrei; Ciobanu, Savu-Sorin; Sporea, Dan

    2016-04-01

    We report results from a wide range of laser operating conditions, typical for laser induced breakdown spectroscopy (LIBS) and laser ablation (LA) experiments on copper metallic target, which form the basis of further systematically investigation of the effect of laser irradiance, pulse duration and wavelength, on the target, plume and plasma behavior, during and after laser-solid interaction. In the LA experiment, the laser beam was focused through a 25 cm focal length convergent lens on a plane copper target in air, at atmospheric pressure. The target was rotated in order to have fresh areas under laser irradiance. In the LIBS experiment, the Applied Photonics LIBS-6 instrument allowed modifying the laser irradiance at the sample surface by changing the pulse energy or the laser focusing distance. For the duration of the laser pulse, the power density at the surface of the target material exceeds 109 W/cm2 using only a compact laser device and simple focusing lenses. The plasma parameters were experimentally estimated from spectroscopic data generated by the plasma itself, namely by the line intensities and their ratio which reflect the relative population of neutral or ionic excited species in the plasma. The fitting of the Saha-Boltzmann plot to a straight line provides an apparent ionization temperature, whose value depends on the lines used in the plots. For the typical conditions of LA and LIBS, the temperature can be so high that Cu+ ions are formed. The first-order ionization of Cu (i.e., the ratio of Cu+/Cu0 ) is calculated.

  16. Pharmacotherapy of Glaucoma

    PubMed Central

    Schmidl, Doreen; Garhöfer, Gerhard; Popa-Cherecheanu, Alina

    2015-01-01

    Abstract Glaucoma is a group of diseases involving the optic nerve and associated structures, which is characterized by progressive visual field loss and typical changes of the optic nerve head (ONH). The only known treatment of the disease is reduction of intraocular pressure (IOP), which has been shown to reduce glaucoma progression in a variety of large-scale clinical trials. Nowadays, a relatively wide array of topical antiglaucoma drugs is available, including prostaglandin analogues, carbonic anhydrase inhibitors, beta-receptor antagonists, adrenergic agonists, and parasympathomimetics. In clinical routine, this allows for individualized treatment taking risk factors, efficacy, and safety into account. A major challenge is related to adherence to therapy. Sustained release devices may help minimize this problem but are not yet available for clinical routine use. Another hope arises from non-IOP-related treatment concepts. In recent years, much knowledge has been gained regarding the molecular mechanisms that underlie the disease process in glaucoma. This also strengthens the hope that glaucoma therapy beyond IOP lowering will become available. Implementing this concept with clinical trials remains, however, a challenge. PMID:25587905

  17. OCT Imaging in Glaucoma

    NASA Astrophysics Data System (ADS)

    Nevins, Jessica E.; Wollstein, Gadi; Schuman, Joel S.

    The precise micron scale quantification of ocular structures provided by OCT turn this technology to be a valuable tool in clinical evaluation of glaucoma patients. This chapter describes the clinical utility of OCT from choosing the scan pattern and scan location to the interpretation of the test outcome.

  18. Diplopia after glaucoma surgery.

    PubMed

    Christiansen, Stephen P

    2012-01-01

    The occurrence of strabismus and symptomatic diplopia following glaucoma surgery is becoming more common as the use of implanted setons increases. Understanding the factors contributing to the diplopia is critical to the development of treatment strategies to alleviate the patient's symptoms.

  19. [Corneal endothelium in glaucoma].

    PubMed

    Stefan, C; Nicolae, Miruna; Pop, Adina

    2012-01-01

    It is a clinical, observational, retrospective, randomised study, performed on 34 eyes with hipertensive primary open angle glaucoma (POAG) drug equilibrated and 18 eyes with normotensive POAG. We have evaluated the endothelial cells number variation in the hypertensive POAG and normotensive POAG.

  20. Get Tested for Glaucoma!

    MedlinePlus

    ... m afraid. What is your message to our readers? Get screened! Glaucoma is a silent blinder. Fortunately, most people are never going to get it. But everyone needs to be tested. Especially if they have a family history of it—a parent or grandparent, brother or ...

  1. Laser desorption studies using laser-induced fluorescence of large aromatic molecules

    NASA Astrophysics Data System (ADS)

    Smith, G. P.; Krancevic, B.; Huestis, D. L.; Oser, H.

    2009-01-01

    Pulsed laser desorption of non-volatile organic dye molecules paraterphenyl and tetra-t-butyl-p-quinquephenyl (QUI) was studied using gas phase ultraviolet laser induced fluorescence, following heating of a steel substrate by a pulsed 1.06- µm Nd:YAG laser. The fluorescence signal intensity is linear in concentration up to at least 30 monolayers and shows infrared power threshold behavior, as expected for evaporation, at ˜0.2 J/cm2. Similar signal levels were also observed in air, with 532-nm heating, and using other metallic or dark black surfaces.

  2. Evaluation of laser-induced thin-layer removal by using shadowgraphy and laser-induced breakdown spectroscopy

    NASA Astrophysics Data System (ADS)

    Rabasović, M. S.; Šević, D.; Lukač, N.; Jezeršek, M.; Možina, J.; Gregorčič, P.

    2016-03-01

    Shadow photography and laser-induced breakdown spectroscopy (LIBS) are studied as methods for monitoring the selective removal of thin (i.e., under 100 μm) layers by laser ablation. We used a laser pulse of 5 ns and 16 mJ at 1064 nm to ablate an 18-μm-thin copper layer from the fiberglass substrate. On the basis of shadowgraphs of the laser-induced shock waves, we measured the optodynamic energy-conversion efficiency, defined as the ratio between the mechanical energy of the shock wave and the excitation-pulse energy. Our results show that this efficiency is significantly higher for the laser pulse-copper interaction than for the interaction between the excitation pulse and the substrate. LIBS was simultaneously employed in our experimental setup. The optical emission from the plasma plume was collected by using a spectrograph and recorded with a streak camera. We show that advancing of laser ablation through the copper layer and reaching of the substrate can be estimated by tracking the spectral region between 370 and 500 nm. Therefore, the presented results confirm that LIBS method enables an on-line monitoring needed for selective removal of thin layers by laser.

  3. The effect of laser pulse width on laser-induced damage at K9 and UBK7 components surface

    NASA Astrophysics Data System (ADS)

    Zhou, Xinda; Ba, Rongsheng; Zheng, Yinbo; Yuan, Jing; Li, Wenhong; Chen, Bo

    2015-07-01

    In this paper, we investigated the effects of laser pulse width on laser-induced damage. We measured the damage threshold of K9 glass and UBK7 glass optical components at different pulse width, then analysis pulse-width dependence of damage threshold. It is shown that damage threshold at different pulse width conforms to thermal restriction mechanism, Because of cm size laser beam, defect on the optical component surface leads to laser-induced threshold decreased.

  4. Impact-Ionization Cooling in Laser-Induced Plasma Filaments

    SciTech Connect

    Filin, A.; Romanov, D. A.; Compton, R.; Levis, R. J.

    2009-04-17

    The ionization rates and subsequent electron dynamics for laser-induced plasma channels are measured for the noble gas series He, Ne, Ar, Kr, and Xe at 1.0 atm. The cw fluorescence emission increases superlinearly in the series from He to Xe in agreement with Ammosov-Delone-Krainov tunnel ionization calculations. The electron temperature after laser-induced plasma formation, measured by four-wave mixing, evolves from >20 eV to <1 eV kinetic energies with time constants ranging from 1 ns for He to 100 ps for Xe in agreement with an impact-ionization cooling model.

  5. Analysis on volume grating induced by femtosecond laser pulses.

    PubMed

    Zhou, Keya; Guo, Zhongyi; Ding, Weiqiang; Liu, Shutian

    2010-06-21

    We report on a kind of self-assembled volume grating in silica glass induced by tightly focused femtosecond laser pulses. The formation of the volume grating is attributed to the multiple microexplosion in the transparent materials induced by the femtosecond pulses. The first order diffractive efficiency is in dependence on the energy of the pulses and the scanning velocity of the laser greatly, and reaches as high as 30%. The diffraction pattern of the fabricated grating is numerically simulated and analyzed by a two dimensional FDTD method and the Fresnel Diffraction Integral. The numerical results proved our prediction on the formation of the volume grating, which agrees well with our experiment results.

  6. Complications of selective laser trabeculoplasty: a review

    PubMed Central

    Song, Julia

    2016-01-01

    Selective laser trabeculoplasty is a laser treatment to treat glaucoma. It was initially indicated for open-angle glaucoma but has been proven to be efficacious for various types of glaucoma. This review article summarizes the few rare complications that can be seen with selective laser trabeculoplasty. It also makes recommendations on how to avoid these problems and how to treat patients when these rare complications arise. PMID:26834456

  7. Glaucoma: Symptoms, Diagnosis, Treatment and Latest Research

    MedlinePlus

    ... Feature: Glaucoma Glaucoma: Symptoms, Diagnosis, Treatment and Latest Research Past Issues / Fall 2009 Table of Contents Symptoms ... patients may need to keep taking drugs. Latest Research Researchers are studying the causes of glaucoma, looking ...

  8. Photophysics of Laser Dye-Doped Polymer Membranes for Laser-Induced Fluorescence Photogrammetry

    NASA Technical Reports Server (NTRS)

    Dorrington, Adrian A.; Jones, Thomas W.; Danehy, Paul M.

    2004-01-01

    Laser-induced fluorescence target generation in dye-doped polymer films has recently been introduced as a promising alternative to more traditional photogrammetric targeting techniques for surface profiling of highly transparent or reflective membrane structures. We investigate the photophysics of these dye-doped polymers to help determine their long-term durability and suitability for laser-induced fluorescence photogrammetric targeting. These investigations included experimental analysis of the fluorescence emission pattern, spectral content, temporal lifetime, linearity, and half-life. Results are presented that reveal an emission pattern wider than normal Lambertian diffuse surface scatter, a fluorescence time constant of 6.6 ns, a pump saturation level of approximately 20 micro J/mm(exp 2), and a useful lifetime of more than 300,000 measurements. Furthermore, two demonstrations of photogrammetric measurements by laser-induced fluorescence targeting are presented, showing agreement between photogrammetric and physically measured dimensions within the measurement scatter of 100 micron.

  9. Laser-induced selective copper plating of polypropylene surface

    NASA Astrophysics Data System (ADS)

    Ratautas, K.; Gedvilas, M.; Stankevičiene, I.; JagminienÄ--, A.; Norkus, E.; Li Pira, N.; Sinopoli, S.; Emanuele, U.; Račiukaitis, G.

    2016-03-01

    Laser writing for selective plating of electro-conductive lines for electronics has several significant advantages, compared to conventional printed circuit board technology. Firstly, this method is faster and cheaper at the prototyping stage. Secondly, material consumption is reduced, because it works selectively. However, the biggest merit of this method is potentiality to produce moulded interconnect device, enabling to create electronics on complex 3D surfaces, thus saving space, materials and cost of production. There are two basic techniques of laser writing for selective plating on plastics: the laser-induced selective activation (LISA) and laser direct structuring (LDS). In the LISA method, pure plastics without any dopant (filler) can be used. In the LDS method, special fillers are mixed in the polymer matrix. These fillers are activated during laser writing process, and, in the next processing step, the laser modified area can be selectively plated with metals. In this work, both methods of the laser writing for the selective plating of polymers were investigated and compared. For LDS approach, new material: polypropylene with carbon-based additives was tested using picosecond and nanosecond laser pulses. Different laser processing parameters (laser pulse energy, scanning speed, the number of scans, pulse durations, wavelength and overlapping of scanned lines) were applied in order to find out the optimal regime of activation. Areal selectivity tests showed a high plating resolution. The narrowest width of a copper-plated line was less than 23 μm. Finally, our material was applied to the prototype of the electronic circuit board on a 2D surface.

  10. Ruby laser induced emission from NO2

    NASA Technical Reports Server (NTRS)

    Hakala, D. F.; Reeves, R. R.

    1976-01-01

    Two different types of emission from excited NO2 were observed using pulsed ruby laser light at 6943 A. The first type of fluorescence was seen in the near IR and results from the single photon excitation of NO2 from the ground 2-A1 state. By observing the emission as a function of time an unexpected behavior was observed in the near IR and could be explained by a consecutive deactivation mechanism, wherein a secondary species is preferentially detected. A second type of emission recently observed in the blue spectral region is weaker and is due to a multiphoton process. The intensity of the blue emission is a function of the cube of the laser intensity at low pressures and approaches the square at high pressures. This variation is attributed to simultaneous deactivation of the excited NO2 intermediate by collision (square) and by anti-Stokes Raman scattering off of the excited NO2 (cube).

  11. Laser-induced skin temperature oscillations

    NASA Astrophysics Data System (ADS)

    Podtaev, S.; Dumler, A.; Muravyov, N.; Myasnikov, M.; Tsiberkin, K.

    2010-11-01

    Adaptive wavelet analysis algorithms are used to study skin temperature oscillations caused by periodic changes in the blood flow resulting from oscillations in the vasomotor smooth muscle tone. Reduction in the amplitude of temperature fluctuations with frequency arises because the skin, owing to its low thermal diffusivity, has the properties of a lowfrequency filter. In view of their small amplitude, oscillations in the spectral range, reflecting the influence of heartbeat and respiration, cannot be distinguished from the external thermal noise. To analyze changes in oscillations of skin temperature during the laser stimulation (10 mW/cm2, 630 nm) we extract three frequency bands, corresponding to myogenic, neurogenic and endothelial vascular tone regulation mechanisms. Red laser irradiation causes temperature fluctuations changes within spectral ranges corresponding endothelial functioning and neurogenic activity.

  12. Comedones Induced by Vascular Laser Therapy

    PubMed Central

    Demirci, Gulsen Tukenmez; Mansur, Ayse Tulin; Gulec, Ayse Tulin

    2016-01-01

    A 21-year-old female presented with acne-like blackheads on brownish areas located on the cheek. She had been treated with neodymium-doped yttrium aluminium garnet (Nd-YAG) laser (1071 nm), 160 j/cm2, three months ago for erythema and telangiectasia of her face. Afterwards, she developed atrophic, slightly depressed, hyperpigmented, 3-4 mm scars with superimposed tiny comedones within the treated areas. Topical treatment with tretinoin 0.05% cream on alternate days, and Sun Protection Factor (SPF) 50 sunscreen daily were commenced. After 2 months, comedones and hyperpigmentation mostly resolved but mild superficial atrophy persisted. According to our knowledge, this is the first case of atrophic scars studded with open comedones, developing shortly after laser therapy used for facial telangiectasia. PMID:27081249

  13. Laser-induced cavitation based micropump.

    PubMed

    Dijkink, Rory; Ohl, Claus-Dieter

    2008-10-01

    Lab-on-a-chip devices are in strong demand as versatile and robust pumping techniques. Here, we present a cavitation based technique, which is able to pump a volume of 4000 microm3 within 75 micros against an estimated pressure head of 3 bar. The single cavitation event is created by focusing a laser pulse in a conventional PDMS microfluidic chip close to the channel opening. High-speed photography at 1 million frames s(-1) resolves the flow in the supply channel, pump channel, and close to the cavity. The elasticity of the material affects the overall fluid flow. Continuous pumping at repetition rates of up to 5 Hz through 6 mm long square channels of 20 microm width is shown. A parameter study reveals the key-parameters for operation: the distance between the laser focus and the channel, the maximum bubble size, and the chamber geometry.

  14. Ruby laser induced emission from NO2

    NASA Technical Reports Server (NTRS)

    Hakala, D. F.; Reeves, R. R.

    1976-01-01

    Two different types of emission from excited NO2 were observed using pulsed ruby laser light at 6943 A. The first type of fluorescence was seen in the near IR and results from the single photon excitation of NO2 from the ground 2-A1 state. By observing the emission as a function of time an unexpected behavior was observed in the near IR and could be explained by a consecutive deactivation mechanism, wherein a secondary species is preferentially detected. A second type of emission recently observed in the blue spectral region is weaker and is due to a multiphoton process. The intensity of the blue emission is a function of the cube of the laser intensity at low pressures and approaches the square at high pressures. This variation is attributed to simultaneous deactivation of the excited NO2 intermediate by collision (square) and by anti-Stokes Raman scattering off of the excited NO2 (cube).

  15. Laser-induced thermal desorption of aniline from silica surfaces

    NASA Astrophysics Data System (ADS)

    Voumard, Pierre; Zenobi, Renato

    1995-10-01

    A complete study on the energy partitioning upon laser-induced thermal desorption of aniline from silica surfaces was undertaken. The measurements include characterization of the aniline-quartz adsorption system using temperature-programmed desorption, the extrapolation of quasiequilibrium desorption temperatures to the regime of laser heating rates on the order of 109-1010 K/s by computational means, measurement of the kinetic energy distributions of desorbing aniline using a pump-probe method, and the determination of internal energies with resonance-enhanced multiphoton ionization spectroscopy. The measurements are compared to calculations of the surface temperature rise and the resulting desorption rates, based on a finite-difference mathematical description of pulsed laser heating. While the surface temperature of laser-heated silica reaches about 600-700 K at the time of desorption, the translational temperature of laser-desorbed aniline was measured to be Tkin=420±60 K, Tvib was 360±60 K, and Trot was 350±100 K. These results are discussed using different models for laser-induced thermal desorption from surfaces.

  16. Laser-induced thermoelastic effects can evoke tactile sensations

    NASA Astrophysics Data System (ADS)

    Jun, Jae-Hoon; Park, Jong-Rak; Kim, Sung-Phil; Min Bae, Young; Park, Jang-Yeon; Kim, Hyung-Sik; Choi, Seungmoon; Jung, Sung Jun; Hwa Park, Seung; Yeom, Dong-Il; Jung, Gu-In; Kim, Ji-Sun; Chung, Soon-Cheol

    2015-06-01

    Humans process a plethora of sensory information that is provided by various entities in the surrounding environment. Among the five major senses, technology for touch, haptics, is relatively young and has relatively limited applications largely due to its need for physical contact. In this article, we suggest a new way for non-contact haptic stimulation that uses laser, which has potential advantages such as mid-air stimulation, high spatial precision, and long working distance. We demonstrate such tactile stimulation can be enabled by laser-induced thermoelastic effects by means of physical and perceptual studies, as well as simulations. In the physical study, the mechanical effect of laser on a human skin sample is detected using low-power radiation in accordance with safety guidelines. Limited increases (< ~2.5 °C) in temperature at the surface of the skin, examined by both thermal camera and the Monte Carlo simulation, indicate that laser does not evoke heat-induced nociceptive sensation. In the human EEG study, brain responses to both mechanical and laser stimulation are consistent, along with subjective reports of the non-nociceptive sensation of laser stimuli.

  17. Laser-induced thermoelastic effects can evoke tactile sensations

    PubMed Central

    Jun, Jae-Hoon; Park, Jong-Rak; Kim, Sung-Phil; Min Bae, Young; Park, Jang-Yeon; Kim, Hyung-Sik; Choi, Seungmoon; Jung, Sung Jun; Hwa Park, Seung; Yeom, Dong-Il; Jung, Gu-In; Kim, Ji-Sun; Chung, Soon-Cheol

    2015-01-01

    Humans process a plethora of sensory information that is provided by various entities in the surrounding environment. Among the five major senses, technology for touch, haptics, is relatively young and has relatively limited applications largely due to its need for physical contact. In this article, we suggest a new way for non-contact haptic stimulation that uses laser, which has potential advantages such as mid-air stimulation, high spatial precision, and long working distance. We demonstrate such tactile stimulation can be enabled by laser-induced thermoelastic effects by means of physical and perceptual studies, as well as simulations. In the physical study, the mechanical effect of laser on a human skin sample is detected using low-power radiation in accordance with safety guidelines. Limited increases (< ~2.5 °C) in temperature at the surface of the skin, examined by both thermal camera and the Monte Carlo simulation, indicate that laser does not evoke heat-induced nociceptive sensation. In the human EEG study, brain responses to both mechanical and laser stimulation are consistent, along with subjective reports of the non-nociceptive sensation of laser stimuli. PMID:26047142

  18. Laser-Induced Ignition Modeling and Comparison with Experiments

    NASA Astrophysics Data System (ADS)

    Dors, Ivan; Qin, W.; Chen, Y.-L.; Parigger, C.; Lewis, J. W. L.

    2000-11-01

    We have studied experimentally the ignition resulting from optical breakdowns in mixtures of oxygen and the fuel ammonia induced by a 10 nanosecond pulsewidth laser for a time of hundreds of milliseconds using laser spectroscopy. In these studies, we have for the first time characterized the laser-induced plasma, the formation of the combustion radicals, the detonation wave, the flame front and the combustion process itself. The objective of the modeling is to understand the fluid dynamic and chemical kinetic effects following the nominal 10 ns laser pulse until 1 millisecond after laser breakdown. The calculated images match the experimentally recorded data sets and show spatial details covering volumes of 1/10000 cc to 1000 cc. The code was provided by CFD Research Corporation of Huntsville, Alabama, and was appropriately augmented to compute the observed phenomena. The fully developed computational model now includes a kinetic mechanism that implements plasma equilibrium kinetics in ionized regions, and non-equilibrium, multistep, finite rate reactions in non-ionized regions. The predicted fluid phenomena agree with various flow patterns characteristic of laser spark ignition as measured in the CLA laboratories. Comparison of calculated and measured OH and NH concentration will be presented.

  19. Laser induced photoluminescence spectroscopy of cometary radicals

    NASA Technical Reports Server (NTRS)

    Jackson, W. M.; Cody, R. J.; Sabety-Dzvonik, M.

    1976-01-01

    Flash photolysis together with laser excitation of the product fragments was used in laboratory studies of cometary radicals. The LIPS method has been applied to the CN radical to determine: (1) Radiative lifetimes of individual rotational levels in the zeroth vibrational level of the B state; (2) energy partitioning during photodissociation of C2N2; and (3) vibrational and rotational excitation during formation of CN radicals in the photodissociation of dicyanoacetylene.

  20. Range extension in laser-induced breakdown spectroscopy using femtosecond-nanosecond dual-beam laser system

    NASA Astrophysics Data System (ADS)

    Chu, Wei; Zeng, Bin; Li, Ziting; Yao, Jinping; Xie, Hongqiang; Li, Guihua; Wang, Zhanshan; Cheng, Ya

    2017-06-01

    We extend the detection range of laser-induced breakdown spectroscopy by combining high-intensity femtosecond laser pulses with high-energy nanosecond CO2 laser pulses. The femtosecond laser pulses ionize the molecules and generate filament in air. The free electrons generated in the self-confined plasma channel by the femtosecond laser serve as the seed electrons which cause efficient avalanche ionization in the nanosecond CO2 laser field. We show that the detection distance has been extended by three times with the assistance of femtosecond laser filamentation.

  1. Laser Shock-Induced Spalling in Tantalum

    NASA Astrophysics Data System (ADS)

    Remington, Tane; Wehrenberg, Christopher; Maddox, Brian; Remington, Bruce; Meyers, Marc; LLNL UCSD Team

    2014-10-01

    The process of dynamic failure by spalling was established in nano, poly, and mono crystalline tantalum in recovery experiments following laser compression and release. Samples were compressed over a range of pressures between 5-13 GPa. The waves were allowed to reflect at the back surface (specimen thickness ranged from 50-250 μm) and the process of separation was characterized by SEM. Spall strength was measured by the shock breakout and pull back signal using VISAR. The spall strength increases with increasing strain rate and grain size. In the nano and polycrystals, spalling occurred by ductile fracture favoring grain boundaries. In the monocrystals, the process was of ductile failure by void initiation, growth and coalescence. Work performed at the Jupiter Laser Facility (JLF), Lawrence Livermore National Laboratory (LLNL). This research is funded by the UC Research Laboratories Grant (09-LR-06-118456-MEYM) and the National Laser Users Facility (NLUF) Grant (PE-FG52-09NA-29043).

  2. [Tearing in a patient with glaucoma].

    PubMed

    De Popa, D P; Andreescu, G; Albu, C

    1998-01-01

    Lacrimal secretion analysis in glaucoma patients shows several changes depending on the kind of local treatment. The study shows: a. timolol induces: decreasing of the lacrimal secretion (Schirmer's test), decreasing of the basic lacrimal secretion (between 10-25%), the change of the stability and composition of the tears (tear film break-up time is reduced); b. pilocarpine induces: lacrimal puncta occlusion, increased lacrimal secretion, orbicular spasms and palpebral myoclonias. All this changes justify the careful follow-up of the glaucoma patients, specially of the patients of full age, in which normally appear a decrease of lacrimal secretions and of the patients using beta blockers, neuroleptics and other drugs with a known effect of decreasing lacrimal secretion.

  3. Laser induced irreversible absorption changes in alkali halides at 10.6 µm

    NASA Astrophysics Data System (ADS)

    Wu, S.-T.; Bass, M.

    1981-12-01

    Laser induced irreversible changes in the absorption of alkali halides has been observed by using repetitively pulsed laser calorimetry. These changes occur at intensities below that required for laser induced breakdown and necessitate a change in the definition of laser damage threshold. A simple model is proposed to explain these observations based on the accumulation of microscopic failures as a result of each pulse.

  4. A retrospective survey of childhood glaucoma prevalence according to Childhood Glaucoma Research Network classification.

    PubMed

    Hoguet, Ambika; Grajewski, Alana; Hodapp, Elizabeth; Chang, Ta Chen Peter

    2016-02-01

    To evaluate the Childhood Glaucoma Research Network (CGRN) classification system and describe the prevalence of each subtype according to this classification. Retrospectively, the medical records of 205 consecutive childhood glaucoma and glaucoma suspect patients at an urban tertiary care center were reviewed. The initial diagnosis and new diagnosis according to CGRN classification were recorded. All patients fit one of the seven categories of the new classification. Seventy-one percent of diagnoses were changed upon reclassification. Twenty-three percent of patients had primary glaucoma (juvenile open-angle glaucoma and primary congenital glaucoma [PCG]); 36% had secondary glaucoma (glaucoma associated with nonacquired ocular anomalies; glaucoma associated with nonacquired systemic disease or syndrome; glaucoma associated with acquired condition; and glaucoma following cataract surgery); and 39% were glaucoma suspect. Of the patients diagnosed with glaucoma, PCG was the most common diagnosis, seen in 32% of patients. The CGRN classification provides a useful method of classifying childhood glaucoma.

  5. Hydrogen leak detection using laser-induced breakdown spectroscopy.

    PubMed

    Ball, A J; Hohreiter, V; Hahn, D W

    2005-03-01

    Laser-induced breakdown spectroscopy (LIBS) is investigated as a technique for real-time monitoring of hydrogen gas. Two methodologies were examined: The use of a 100 mJ laser pulse to create a laser-induced breakdown directly in a sample gas stream, and the use of a 55 mJ laser pulse to create a laser-induced plasma on a solid substrate surface, with the expanding plasma sampling the gas stream. Various metals were analyzed as candidate substrate surfaces, including aluminum, copper, molybdenum, stainless steel, titanium, and tungsten. Stainless steel was selected, and a detailed analysis of hydrogen detection in binary mixtures of nitrogen and hydrogen at atmospheric pressure was performed. Both the gaseous plasma and the plasma initiated on the stainless steel surface generated comparable hydrogen emission signals, using the 656.28 Halpha emission line, and exhibited excellent signal linearity. The limit of detection is about 20 ppm (mass) as determined for both methodologies, with the solid-initiated plasma yielding a slightly better value. Overall, LIBS is concluded to be a viable candidate for hydrogen sensing, offering a combination of high sensitivity with a technique that is well suited to implementation in field environments.

  6. Laser-induced forward transfer of low viscosity inks

    NASA Astrophysics Data System (ADS)

    Sopeña, P.; Fernández-Pradas, J. M.; Serra, P.

    2017-10-01

    Laser-induced forward transfer (LIFT) is a laser-based printing technique which has been revealed as an interesting alternative to inkjet printing for the deposition of inks in direct writing applications. The principle of operation of the technique relies on the focusing of a laser beam on a thin film of the ink and the release of a tiny fraction of material through the action of a laser pulse, being usually assumed that such pulse should be very short, of the order of ns and below. However, with the aim of reducing production costs it would be desirable to operate with longer pulses (hundreds of ns and above), so that less expensive lasers could be employed. In this work we prove that it is feasible to carry out the LIFT of liquids with relatively long laser pulses (a few hundreds of ns). To that aim we have investigated the influence of laser fluence on the printed droplets and identified an evolution of their morphology with that parameter somewhat different from the one characteristic of the LIFT of liquids with much shorter pulses. A further time-resolved imaging study has revealed the onset of up to three different transfer mechanisms which correlate well with the deposition outcomes.

  7. Brain lesion induced by 1319nm laser radiation

    NASA Astrophysics Data System (ADS)

    Yang, Zaifu; Chen, Hongxia; Wang, Jiarui; Chen, Peng; Ma, Ping; Qian, Huanwen

    2010-11-01

    The laser-tissue interaction has not been well defined at the 1319 nm wavelength for brain exposure. The goal of this research effort was to identify the behavioral and histological changes of brain lesion induced by 1319 nm laser. The experiment was performed on China Kunming mice. Unilateral brain lesions were created with a continuous-wave Nd:YAG laser (1319nm). The brain lesions were identified through behavioral observation and histological haematoxylin and eosin (H&E) staining method. The behavior change was observed for a radiant exposure range of 97~773 J/cm2. The histology of the recovery process was identified for radiant exposure of 580 J/cm2. Subjects were sacrificed 1 hour, 1 week, 2 weeks, 3 months, 7 months and 13 months after laser irradiation. Results showed that after laser exposure, behavioral deficits, including kyphosis, tail entasia, or whole body paralysis could be noted right after the animals recovered from anesthesia while gradually disappeared within several days and never recurred again. Histologically, the laser lesion showed a typical architecture dependent on the interval following laser treatment. The central zone of coagulation necrosis is not apparent right after exposure but becomes obvious within several days. The nerotic tissue though may persist for a long time, will finally be completely resorbed. No carbonization granules formed under our exposure condition.

  8. Laser-Induced Photic Injury Phenocopies Macular Dystrophy.

    PubMed

    Zhang, Lijuan; Zheng, Andrew; Nie, Hongping; Bhavsar, Kavita V; Xu, Yu; Sliney, David H; Trokel, Stephen L; Tsang, Stephen H

    2016-01-01

    To describe the phenotypes associated with laser-induced retinal damage in children. Five patients with maculopathy and reduced visual acuity associated with laser pointer use were evaluated. Best-corrected visual acuity, retinal structure, and function were monitored with color fundus, infrared (IR), and red-free images, fundus autofluorescence (AF), spectral domain-optical coherence tomography (SD-OCT), and full-field electroretinography (ERG). All five laser pointer injury patients had retinal lesions resembling a macular dystrophy (one bilateral and four unilateral). These lesions were irregular in shape but all had a characteristic dendritic appearance with linear streaks radiating from the lesion. Photoreceptor damage was present in all patients, but serial OCT monitoring showed that subsequent photoreceptor recovery occurred over time in the eyes of at least four patients. One patient also had bilateral pigment epithelial detachments (PED). Both hyper- and hypoautofluorecence were observed in the laser damage area. In general, OCT and IR images are quite useful to diagnose laser damage, but AF is not as sensitive. Laser pointer damage in children can occasionally be misdiagnosed as a macular dystrophy disease, but the distinctive lesions and OCT features are helpful for differentiating laser damage from other conditions.

  9. Laser-Induced Photic Injury Phenocopies Macular Dystrophy

    PubMed Central

    Zhang, Lijuan; Zheng, Andrew; Nie, Hongping; Bhavsar, Kavita V.; Xu, Yu; Sliney, David H.; Trokel, Stephen L.; Tsang, Stephen H

    2016-01-01

    Objective To describe the phenotypes associated with laser-induced retinal damage in children. Methods Five patients with maculopathy and reduced visual acuity associated with laser pointer use were evaluated. Best-corrected visual acuity, retinal structure, and function were monitored with color fundus, infrared (IR), and red-free images, fundus autofluorescence (AF), spectral domain-optical coherence tomography (SD-OCT), and full-field electroretinography (ERG). Results All five laser pointer injury patients had retinal lesions resembling a macular dystrophy (1 bilateral and 4 unilateral). These lesions were irregular in shape but all had a characteristic dendritic appearance with linear streaks radiating from the lesion. Photoreceptor damage was present in all patients, but serial OCT monitoring showed that subsequent photoreceptor recovery occurred over time in the eyes of at least 4 patients. 1 patient also had bilateral pigment epithelial detachments (PED). Both hyper- and hypoautofluorecence were observed in the laser damage area. Conclusions In general, OCT and IR images are quite useful to diagnose laser damage, but AF is not as sensitive. Laser pointer damage in children can occasionally be misdiagnosed as a macular dystrophy disease, but the distinctive lesions and OCT features are helpful for differentiating laser damage from other conditions. PMID:26927809

  10. Laser induced breakdown spectroscopy application in joint European torus

    NASA Astrophysics Data System (ADS)

    Semerok, A.; L'Hermite, D.; Weulersse, J.-M.; Lacour, J.-L.; Cheymol, G.; Kempenaars, M.; Bekris, N.; Grisolia, C.

    2016-09-01

    The results on the first successful application of Laser Induced Breakdown Spectroscopy (LIBS) for remote in situ diagnostics of plasma facing components (a deposited layer on a divertor tile) in Joint European Torus (JET) are presented. The studies were performed with an available JET EDGE LIDAR laser system. For in-depth analysis of deposited layers on JET divertor tiles, a number of laser shots were applied onto the same divertor place without laser beam displacement. The spectral lines of D, CII and impurity elements (CrI, BeII, …) were identified in a wide spectral range (400-670 nm). With the increase in a number of laser shots applied onto the same divertor place, we observed consecutive changes in spectral line intensities of deuterium, carbon, and impurities with the appearance of spectral lines of tungsten substrate (WI). In-depth analysis of deposited layers on JET divertor tiles was made on the basis of the spectral line behaviour in reference to the applied laser shots. The possibility of surface cartography with laser beam displacement on the tile surface was demonstrated as well. Based on the results obtained, we may conclude that LIBS method is applicable for in situ remote analysis of deposited layers of JET plasma facing components.

  11. Laser-induced silver nanojoining of gold nanoparticles.

    PubMed

    Son, Myounghee; Kim, Seol Ji; Kim, Jong-Yeob; Jang, Du-Jeon

    2013-08-01

    Gold nanoparticles have been silver-joined to fabricate nanowires by irradiating gold nanospheres of 25 nm in diameter and silver nanospheres of 8 nm in diameter held together on a carbon-coated copper grid with a 30 ps laser pulse of 532 nm for 20 min at a fluence of 3.0 mJ/cm2. Laser-induced nanojoining of silver nanoparticles as well as that of gold nanoparticles has also been carried out by varying the wavelength and fluence of irradiation laser pulses. Irradiation at an optimum condition of laser fluence is essential for the proper silver nanojoining of gold nanospheres to produce gold@silver core-shell composite nanowires. The excitation of the surface plasmon resonances of the base-metallic gold nanospheres rather than the filler-metallic silver nanospheres paves the way for the silver nanojoining of gold nanoparticles.

  12. Apparatus, system, and method for laser-induced breakdown spectroscopy

    SciTech Connect

    Effenberger, Jr., Andrew J; Scott, Jill R; McJunkin, Timothy R

    2014-11-18

    In laser-induced breakdown spectroscopy (LIBS), an apparatus includes a pulsed laser configured to generate a pulsed laser signal toward a sample, a constructive interference object and an optical element, each located in a path of light from the sample. The constructive interference object is configured to generate constructive interference patterns of the light. The optical element is configured to disperse the light. A LIBS system includes a first and a second optical element, and a data acquisition module. The data acquisition module is configured to determine an isotope measurement based, at least in part, on light received by an image sensor from the first and second optical elements. A method for performing LIBS includes generating a pulsed laser on a sample to generate light from a plasma, generating constructive interference patterns of the light, and dispersing the light into a plurality of wavelengths.

  13. Influence of laser parameters on nanoparticle-induced membrane permeabilization

    NASA Astrophysics Data System (ADS)

    Yao, Cuiping; Qu, Xiaochao; Zhang, Zhenxi; Hüttmann, Gereon; Rahmanzadeh, Ramtin

    2009-09-01

    Light-absorbing nanoparticles that are heated by short laser pulses can transiently increase membrane permeability. We evaluate the membrane permeability by flow cytometry assaying of propidium iodide and fluorescein isothiocyanate dextran (FITC-D) using different laser sources. The dependence of the transfection efficiency on laser parameters such as pulse duration, irradiant exposure, and irradiation mode is investigated. For nano- and also picosecond irradiation, we show a parameter range where a reliable membrane permeabilization is achieved for 10-kDa FITC-D. Fluorescent labeled antibodies are able to penetrate living cells that are permeabilized using these parameters. More than 50% of the cells are stained positive for a 150-kDa IgG antibody. These results suggest that the laser-induced permeabilization approach constitutes a promising tool for targeted delivery of larger exogenous molecules into living cells.

  14. High-intensity laser-induced electron acceleration in vacuum.

    PubMed

    Wang, J X; Ho, Y K; Feng, L; Kong, Q; Wang, P X; Yuan, Z S; Scheid, W

    1999-12-01

    In this paper, an approximate pulsed-laser-beam solution of Maxwell's equation in vacuum is derived. Then with the numerical simulation method, electron acceleration induced by high-intensity [Q(0)=eE(0)/(m(e)omega c)=3] lasers is discussed in connection with the recent experiment of Malka et al. It is found that the maximum energy gain and the relationship between the final energy and the scattering angle can be well reproduced, but the polarization effect of electron-laser interactions is not very prominent. These results show that the ponderomotive potential model is still applicable, which means that the stimulated Compton scattering is the main fundamental mechanism responsible for the electron acceleration at this laser intensity.

  15. Laser pointer induced macular damage: case report and mini review.

    PubMed

    Turaka, Kiran; Bryan, J Shepard; Gordon, Alan J; Reddy, Rahul; Kwong, Henry M; Sell, Clive H

    2012-06-01

    To report laser pointer induced damage to retina and choroid and briefly review literature. A case report of a 13-year old Caucasian boy developed blurry central vision and central scotoma in right eye (OD). He was exposed for one minute to class IIIA green laser pointer of 650 nm wavelength and 5 mW power. Clinical examination showed a grayish lesion in foveal region. Ancillary testing revealed disruption of the retinal pigment epithelial (RPE) layer in foveal region and indocyanine green angiography demonstrated evidence of choroidal hypofluorescence suggestive of choroidal infarction in OD. Visual acuity improved from 20/100 to 20/60 in one day and he was treated with tapering doses of oral prednisolone (40 mg) for 3 weeks. Laser pointer with a power of >5 mW caused damage to RPE in the macula. Children should not be given laser pointers as toys especially those with label of danger instructions.

  16. Laser-induced periodic surface structures: Fingerprints of light localization

    NASA Astrophysics Data System (ADS)

    Skolski, J. Z. P.; Römer, G. R. B. E.; Obona, J. V.; Ocelik, V.; Huis in't Veld, A. J.; de Hosson, J. Th. M.

    2012-02-01

    The finite-difference time-domain (FDTD) method is used to study the inhomogeneous absorption of linearly polarized laser radiation below a rough surface. The results are first analyzed in the frequency domain and compared to the efficacy factor theory of Sipe and coworkers. Both approaches show that the absorbed energy shows a periodic nature, not only in the direction orthogonal to the laser polarization, but also in the direction parallel to it. It is shown that the periodicity is not always close to the laser wavelength for the perpendicular direction. In the parallel direction, the periodicity is about λ/Re(ñ), with ñ being the complex refractive index of the medium. The space-domain FDTD results show a periodicity in the inhomogeneous energy absorption similar to the periodicity of the low- and high-spatial-frequency laser-induced periodic surface structures depending on the material's excitation.

  17. Laser transfer of diamond nanopowder induced by metal film blistering

    NASA Astrophysics Data System (ADS)

    Kononenko, T. V.; Alloncle, P.; Konov, V. I.; Sentis, M.

    2009-03-01

    Blister-based laser induced forward transfer (BB-LIFT) is a promising technique to produce surface microstructures of various advanced materials including inorganic and organic micro/nanopowders, suspensions and biological micro-objects embedded in life sustaining medium. The transferred material is spread over a thin metal film irradiated from the far side by single laser pulses through a transparent support. Interaction of the laser pulse with the metal-support interface under optimized conditions causes formation of a quickly expanding blister. Fast movement of the free metal surface provides efficient material transfer, which has been investigated for the case of diamond nanopowder and diamond-containing suspension. The unique features of the given technique are universality, simplicity and efficient isolation of the transferred material from the ablation products and laser heating.

  18. Laser-Induced Heating in Optical Traps

    PubMed Central

    Peterman, Erwin J. G.; Gittes, Frederick; Schmidt, Christoph F.

    2003-01-01

    In an optical tweezers experiment intense laser light is tightly focused to intensities of MW/cm2 in order to apply forces to submicron particles or to measure mechanical properties of macromolecules. It is important to quantify potentially harmful or misleading heating effects due to the high light intensities in biophysical experiments. We present a model that incorporates the geometry of the experiment in a physically correct manner, including heat generation by light absorption in the neighborhood of the focus, balanced by outward heat flow, and heat sinking by the glass surfaces of the sample chamber. This is in contrast to the earlier simple models assuming heat generation in the trapped particle only. We find that in the most common experimental circumstances, using micron-sized polystyrene or silica beads, absorption of the laser light in the solvent around the trapped particle, not in the particle itself, is the most important contribution to heating. To validate our model we measured the spectrum of the Brownian motion of trapped beads in water and in glycerol as a function of the trapping laser intensity. Heating both increases the thermal motion of the bead and decreases the viscosity of the medium. We measured that the temperature in the focus increased by 34.2 ± 0.1 K/W with 1064-nm laser light for 2200-nm-diameter polystyrene beads in glycerol, 43.8 ± 2.2 K/W for 840-nm polystyrene beads in glycerol, 41.1 ± 0.7 K/W for 502-nm polystyrene beads in glycerol, and 7.7 ± 1.2 K/W for 500-nm silica beads and 8.1 ± 2.1 K/W for 444-nm silica beads in water. Furthermore, we observed that in glycerol the heating effect increased when the bead was trapped further away from the cover glass/glycerol interface as predicted by the model. We show that even though the heating effect in water is rather small it can have non-negligible effects on trap calibration in typical biophysical experimental circumstances and should be taken into consideration when laser

  19. Investigation on laser induced salivary stone fragmentation

    NASA Astrophysics Data System (ADS)

    Sroka, Ronald; Pongratz, Thomas; Eder, Matthias; Domes, Mona; Vogeser, Michael; Johnson, Thorsten; Siedeck, Vanessa; Schroetzlmair, Florian; Zengel, Pamela

    2014-03-01

    Objective: It was the objective of this in-vitro study to investigate photon-based techniques for identifying the composition and fragmentation of salivary stones using a Ho:YAG laser. Materials and Method: Salivary stones (n=47) extracted from patients with clinical symptoms of sialolithiasis were examined in-vitro. After extraction, the stones were kept in Ringers solution until size and volume measurements could be performed. Thereafter, dual-energy CT scans (DECT) were performed to classify the composition of the stones. Subsequently, fluorescence measurements were performed by taking images under blue light excitation as well as by fluorescence spectroscopy, measuring excitation-emission-matrixes (EEM). Further investigation to identify the exact composition of the stone was performed by Raman spectroscopy and FTIR spectroscopy of stone fragments and debris. Fragmentation was performed in an aquarium set-up equipped with a mesh (hole: 1.5mm) using a Ho:YAG-laser to deliver laser pulses of 0.5, 1.0 and 1.5J/pulse at a frequency of 3Hz through a 200μm-fibre to the stone surface. The collected data were analyzed and fragmentation rates were calculated. Finally, correlation between stone composition and fragmentation was performed. Results: Blue light fluorescence excitation resulted in either fluorescence in the green spectral region or in a combination of green and red fluorescence emission. EEM-measurement showed the corresponding spectra. Raman spectroscopy showed a mixture of carbonate apatite and keratin. DECT results in evidence of calcium containing components. FTIR-spectroscopy results showed that carbonate apatite is the main component. Fragmentation experiment showed a dependency on the energy per pulse applied if the evaluation implies the ratio of fragmented weight to pulse, while the ratio fragmented weight to energy remains about constant for the three laser parameter used. Conclusion: The composition of salivary stones could be determined using

  20. Attributes Associated with Adherence to Glaucoma Medical Therapy and its Effects on Glaucoma Outcomes: An Evidence-Based Review and Potential Strategies to Improve Adherence.

    PubMed

    Joseph, Arun; Pasquale, Louis R

    2017-01-01

    The treatment paradigm in glaucoma classically starts with exhausting all medical therapy prior to proceeding with laser or incisional surgery, although laser-first and surgery-first strategies have been explored in randomized clinical trials. Although glaucoma drops are proven to work well to lower intraocular pressure, slow the conversion from ocular hypertension, and slow the progression of disease in early open angle glaucoma, adherence to treatment is likely optimum in the randomized clinical trials that support these claims. In real-world scenarios, medical therapy often fails and practitioners are forced to proceed with more invasive treatment modalities to slow the progression of this blinding disease. This review aims to take an evidence-based approach to study the risk factors for poor adherence in glaucoma patients, to determine whether poor adherence is, in fact, associated with worse outcomes, and to seek potential strategies to improve adherence in these patients.

  1. Glaucoma and Corneal Transplant Procedures

    PubMed Central

    Al-Mahmood, Ammar M.; Al-Swailem, Samar A.; Edward, Deepak P.

    2012-01-01

    Glaucoma after corneal transplantation is a leading cause of ocular morbidity after penetrating keratoplasty. The incidence reported is highly variable and a number of etiologic factors have been identified. A number of treatment options are available; surgical intervention for IOP control is associated with a high incidence of graft failure. IOP elevation is less frequently seen following deep anterior lamellar keratoplasty. Descemet's striping-automated endothelial keratoplasty is also associated with postprocedure intraocular pressure elevation and secondary glaucoma and presents unique surgical challenges in patients with preexisting glaucoma surgeries. Glaucoma exists in up to three-quarters of patients who undergo keratoprosthesis surgery and the management if often challenging. The aim of this paper is to highlight the incidence, etiology, and management of glaucoma following different corneal transplant procedures. It also focuses on the challenges in the diagnosis of glaucoma and intraocular pressure monitoring in this group of patients. PMID:22315661

  2. Experimental Studies of Laser-Induced Breakdown in Transparent Dielectrics

    SciTech Connect

    Carr, Christopher Wren

    2003-09-23

    The mechanisms by which transparent dielectrics damage when exposed to high power laser radiation has been of scientific and technological interest since the invention of the laser. In this work, a set of three experiments are presented which provide insight into the damage initiation mechanisms and the processes involved in laser-induced damage. Using an OPO (optical parametric oscillator) laser, we have measured the damage thresholds of deuterated potassium dihydrogen phosphate (DKDP) from the near ultraviolet into the visible. Distinct steps, whose width is of order KbT, are observed in the damage threshold at photon energies associated with the number of photons (3→2 or 4→3) needed to promote a ground state electron across the energy gap. The wavelength dependence of the damage threshold suggests that a primary mechanism for damage initiation in DKDP is a multi-photon process in which the order is reduced through excited defect state absorption. In-situ fluorescence microscopy, in conjunction with theoretical calculations by Liu et al., has been used to establish that hydrogen displacement defects are potentially responsible for the reduction in the multi-photon cross-section. During the damage process, the material absorbs energy from the laser pulse and produces an ionized region that gives rise to broadband emission. By performing a time-resolved investigation of this emission, we demonstrate both that it is blackbody in nature, and we provide the first direct measurement of the localized temperature during and following laser damage initiation for various optical materials. For excitation using nanosecond laser pulses, the plasma, when confined in the bulk, is in thermal equilibrium with the lattice. These results allow for a detailed characterization of temperature, pressure, and electron densities occurring during laser-induced damage.

  3. Laser-induced phase separation of silicon carbide.

    PubMed

    Choi, Insung; Jeong, Hu Young; Shin, Hyeyoung; Kang, Gyeongwon; Byun, Myunghwan; Kim, Hyungjun; Chitu, Adrian M; Im, James S; Ruoff, Rodney S; Choi, Sung-Yool; Lee, Keon Jae

    2016-11-30

    Understanding the phase separation mechanism of solid-state binary compounds induced by laser-material interaction is a challenge because of the complexity of the compound materials and short processing times. Here we present xenon chloride excimer laser-induced melt-mediated phase separation and surface reconstruction of single-crystal silicon carbide and study this process by high-resolution transmission electron microscopy and a time-resolved reflectance method. A single-pulse laser irradiation triggers melting of the silicon carbide surface, resulting in a phase separation into a disordered carbon layer with partially graphitic domains (∼2.5 nm) and polycrystalline silicon (∼5 nm). Additional pulse irradiations cause sublimation of only the separated silicon element and subsequent transformation of the disordered carbon layer into multilayer graphene. The results demonstrate viability of synthesizing ultra-thin nanomaterials by the decomposition of a binary system.

  4. Analysis of organic vapors with laser induced breakdown spectroscopy

    SciTech Connect

    Nozari, Hadi; Tavassoli, Seyed Hassan; Rezaei, Fatemeh

    2015-09-15

    In this paper, laser induced breakdown spectroscopy (LIBS) is utilized in the study of acetone, ethanol, methanol, cyclohexane, and nonane vapors. Carbon, hydrogen, oxygen, and nitrogen atomic emission spectra have been recorded following laser-induced breakdown of the organic vapors that are mixed with air inside a quartz chamber at atmospheric pressure. The plasma is generated with focused, Q-switched Nd:YAG radiation at the wavelength of 1064 nm. The effects of ignition and vapor pressure are discussed in view of the appearance of the emission spectra. The recorded spectra are proportional to the vapor pressure in air. The hydrogen and oxygen contributions diminish gradually with consecutive laser-plasma events without gas flow. The results show that LIBS can be used to characterize organic vapor.

  5. Laser-induced phase separation of silicon carbide

    NASA Astrophysics Data System (ADS)

    Choi, Insung; Jeong, Hu Young; Shin, Hyeyoung; Kang, Gyeongwon; Byun, Myunghwan; Kim, Hyungjun; Chitu, Adrian M.; Im, James S.; Ruoff, Rodney S.; Choi, Sung-Yool; Lee, Keon Jae

    2016-11-01

    Understanding the phase separation mechanism of solid-state binary compounds induced by laser-material interaction is a challenge because of the complexity of the compound materials and short processing times. Here we present xenon chloride excimer laser-induced melt-mediated phase separation and surface reconstruction of single-crystal silicon carbide and study this process by high-resolution transmission electron microscopy and a time-resolved reflectance method. A single-pulse laser irradiation triggers melting of the silicon carbide surface, resulting in a phase separation into a disordered carbon layer with partially graphitic domains (~2.5 nm) and polycrystalline silicon (~5 nm). Additional pulse irradiations cause sublimation of only the separated silicon element and subsequent transformation of the disordered carbon layer into multilayer graphene. The results demonstrate viability of synthesizing ultra-thin nanomaterials by the decomposition of a binary system.

  6. Laser-induced incandescence calibration via gravimetric sampling

    NASA Technical Reports Server (NTRS)

    Choi, M. Y.; Vander Wal, R. L.; Zhou, Z.

    1996-01-01

    Absolute calibration of laser-induced incandescence (LII) is demonstrated via comparison of LII signal intensities with gravimetrically determined soot volume fractions. This calibration technique does not rely upon calculated or measured optical characteristics of soot. The variation of the LII signal with gravimetrically measured soot volume fractions ranging from 0.078 to 1.1 ppm established the linearly of the calibration. With the high spatial and temporal resolution capabilities of laser-induced incandescence (LII), the spatial and temporal fluctuations of the soot field within a gravimetric chimney were characterized. Radial uniformity of the soot volume fraction, f(sub v) was demonstrated with sufficient averaging of the single laser-shot LII images of the soot field thus confirming the validity of the calibration method for imaging applications. As illustration, instantaneous soot volume fractions within a Re = 5000 ethylene/air diffusion flame measured via planar LII were established quantitatively with this calibration.

  7. Supersonic laser-induced jetting of aluminum micro-droplets

    SciTech Connect

    Zenou, M.; Sa'ar, A.; Kotler, Z.

    2015-05-04

    The droplet velocity and the incubation time of pure aluminum micro-droplets, printed using the method of sub-nanosecond laser induced forward transfer, have been measured indicating the formation of supersonic laser-induced jetting. The incubation time and the droplet velocity were extracted by measuring a transient electrical signal associated with droplet landing on the surface of the acceptor substrate. This technique has been exploited for studying small volume droplets, in the range of 10–100 femto-litters for which supersonic velocities were measured. The results suggest elastic propagation of the droplets across the donor-to-acceptor gap, a nonlinear deposition dynamics on the surface of the acceptor and overall efficient energy transfer from the laser beam to the droplets.

  8. Supersonic laser-induced jetting of aluminum micro-droplets

    NASA Astrophysics Data System (ADS)

    Zenou, M.; Sa'ar, A.; Kotler, Z.

    2015-05-01

    The droplet velocity and the incubation time of pure aluminum micro-droplets, printed using the method of sub-nanosecond laser induced forward transfer, have been measured indicating the formation of supersonic laser-induced jetting. The incubation time and the droplet velocity were extracted by measuring a transient electrical signal associated with droplet landing on the surface of the acceptor substrate. This technique has been exploited for studying small volume droplets, in the range of 10-100 femto-litters for which supersonic velocities were measured. The results suggest elastic propagation of the droplets across the donor-to-acceptor gap, a nonlinear deposition dynamics on the surface of the acceptor and overall efficient energy transfer from the laser beam to the droplets.

  9. Femtosecond laser pulse induced desorption: A molecular dynamics simulation

    NASA Astrophysics Data System (ADS)

    Lončarić, Ivor; Alducin, Maite; Saalfrank, Peter; Juaristi, J. Iñaki

    2016-09-01

    In recent simulations of femtosecond laser induced desorption of molecular oxygen from the Ag(110) surface, it has been shown that depending on the properties (depth and electronic environment) of the well in which O2 is adsorbed, the desorption can be either induced dominantly by hot electrons or via excitations of phonons. In this work we explore whether the ratios between the desorption yields from different adsorption wells can be tuned by changing initial surface temperature and laser pulse properties. We show that the initial surface temperature is an important parameter, and that by using low initial surface temperatures the electronically mediated process can be favored. In contrast, laser properties seem to have only a modest influence on the results.

  10. Thermometry in pressurized sooting flames using laser-induced gratings

    NASA Astrophysics Data System (ADS)

    Brown, Michael S.; Roberts, William L.

    1997-11-01

    We have performed non-intrusive thermometry in rich ethylene/air flames using a frequency measurement based on laser-induced gratings. Light from a cw probe beam is coherently scattered from a thermal or electrostrictive grating induced by the pulsed pump beams. The Doppler modulation of the signal beam is determined by the local speed of sound from which a temperature can be extracted. Soot particles, acting as blackbody absorbers do contribute to the signal.

  11. Semiconductor laser asymmetry cutting glass with laser induced thermal-crack propagation

    NASA Astrophysics Data System (ADS)

    Zhao, Chunyang; Zhang, Hongzhi; Wang, Yang

    2014-12-01

    Laser induced thermal-crack propagation (LITP) makes the material to produce an uneven temperature field, maximum temperature can't soften or melt the material, induces the thermal stress, then the crack separates along the cutting path. One of the problems in laser asymmetry cutting glass with LITP is the cutting deviation along scanning trajectory. This study lays great emphasis on considering the dynamic extension of crack to explain the reason of the cutting deviation in laser asymmetry cutting glass, includes asymmetric linear cutting and a quarter of a circular curve cutting. This paper indicates the experiments of semiconductor laser asymmetry cutting glass with LITP. Optical microscope photographs of the glass sheet are obtained to examine the cutting deviation. The extended finite element method (XFEM) is used to simulate the dynamic propagation of crack; the crack path does not have to be specified a priori. The cutting deviation mechanism and the crack propagation process are studied by the stress fields using finite element software ABAQUS. This work provides a theoretical basis to investigate the cutting deviation in laser asymmetry cutting glass. In semiconductor laser asymmetry cutting glass, the tensile stress is the basis of crack propagation, then the compressive stress not only makes the crack to extend stably, but also controls the direction of crack propagation.

  12. Origin of laser-induced near-subwavelength ripples: interference between surface plasmons and incident laser.

    PubMed

    Huang, Min; Zhao, Fuli; Cheng, Ya; Xu, Ningsheng; Xu, Zhizhan

    2009-12-22

    We show that short-pulse laser-induced classical ripples on dielectrics, semiconductors, and conductors exhibit a prominent "non-classical" characteristic-in normal incidence the periods are definitely smaller than laser wavelengths, which indicates that the simplified scattering model should be revised. Taking into account the surface plasmons (SPs), we consider that the ripples result from the initial direct SP-laser interference and the subsequent grating-assisted SP-laser coupling. With the model, the period-decreasing phenomenon originates in the admixture of the field-distribution effect and the grating-coupling effect. Further, we propose an approach for obtaining the dielectric constant, electron density, and electron collision time of the high-excited surface. With the derived parameters, the numerical simulations are in good agreement with the experimental results. On the other hand, our results confirm that the surface irradiated by short-pulse laser with damage-threshold fluence should behave metallic, no matter for metal, semiconductor, or dielectric, and the short-pulse laser-induced subwavelength structures should be ascribed to a phenomenon of nano-optics.

  13. The fluence threshold of femtosecond laser blackening of metals: The effect of laser-induced ripples

    NASA Astrophysics Data System (ADS)

    Ou, Zhigui; Huang, Min; Zhao, Fuli

    2016-05-01

    With the primary controlling factor of the laser fluence, we have investigated femtosecond laser blackening of stainless steel, brass, and aluminum in visible light range. In general, low reflectance about 5% can be achieved in appropriate ranges of laser fluences for all the treated metal surfaces. Significantly, towards stainless steel and brass a fluence threshold of blackening emerges unusually: a dramatic reflectance decline occurs in a specific, narrow fluence range. In contrast, towards aluminum the reflectance declines steadily over a wide fluence range instead of the threshold-like behavior from steel and brass. The morphological characteristics and corresponding reflectance spectra of the treated surfaces indicates that the blackening threshold of stainless steel and brass corresponds to the fluence threshold of laser-induced subwavelength ripples. Such periodic ripples growing rapidly near ablation threshold absorb visible light efficiently through grating coupling and cavity trapping promoted by surface plasmon polaritons. Whereas, for aluminum, with fluence increasing the looming ripples are greatly suppressed by re-deposited nanoparticle aggregates that present intrinsic colors other than black, and until the formation of large scale "ravines" provided with strong light-trapping, sufficient blackening is achieved. In short, there are different fluence dependencies for femtosecond laser blackening of metals, and the specific blackening fluence threshold for certain metals in the visible range originates in the definite fluence threshold of femtosecond laser-induced ripples.

  14. [Current concepts in malignant glaucoma].

    PubMed

    Călugăru, M; Marin, C

    1990-01-01

    The paper reports on the main pathogenic types of anatomical blocking of the aqueous humor circulation in malignant glaucoma: pupillary, secondary iridolenticular, ciliovitreolenticular, iridociliovitreous blocks and in suprachoroidal effusion. The paper also presents some of the entities correlated with malignant glaucoma: glaucoma with blocked angle following the administration of miotics, traumatisms, the operations of scleral obstruction for retina detachment, panretinal photocoagulation and thrombosis of the retina central vein.

  15. Treatment outcomes of micropulse transscleral cyclophotocoagulation in advanced glaucoma.

    PubMed

    Kuchar, Sarah; Moster, Marlene R; Reamer, Courtney B; Waisbourd, Michael

    2016-02-01

    Glaucoma is the leading cause of irreversible blindness worldwide. The goal of this study was to describe our experience with the novel micropulse transscleral cyclophotocoagulation (MP-TSCPC; IRIDEX IQ810 Laser Systems, CA) in patients with advanced glaucoma. Patients with advanced glaucoma who underwent MP-TSCPC were included in our study. Laser settings were 2000 mW of 810 nm infrared diode laser set on micropulse delivery mode. The laser was delivered over 360° for 100-240 s. The duty cycle was 31.3 %, which translated to 0.5 ms of "on time" and 1.1 ms of "off time." Surgical success was defined as an intraocular pressure (IOP) of 6-21 mmHg or a reduction of IOP by 20 % at the last follow-up visit. Failure was defined as an inability to meet the criteria for success or a need for incisional glaucoma surgery. Nineteen patients underwent MP-TSCPC with mean follow-up of 60.3 days. Mean IOP dropped from 37.9 mmHg preoperatively to 22.7 mmHg at last follow-up, representing a 40.1 % decrease. The success rate for initial treatment was 73.7 % (n = 14). Three patients underwent a second treatment, increasing the overall success rate to 89.5 % (n = 17). Four patients gained one line of vision, and four patients lost one line of vision. The novel MP-TSCPC laser had a high rate of surgical success after a short follow-up period in patients with advanced glaucoma. Further long-term evaluation and comparison to the traditional transscleral cyclophotocoagulation are warranted.

  16. Using Laser-Induced Incandescence To Measure Soot in Exhaust

    NASA Technical Reports Server (NTRS)

    Bachalo, William D.; Sankar, Subramanian V.

    2005-01-01

    An instrumentation system exploits laser-induced incandescence (LII) to measure the concentration of soot particles in an exhaust stream from an engine, furnace, or industrial process that burns hydrocarbon fuel. In comparison with LII soot-concentration-measuring systems, this system is more complex and more capable.

  17. Laser-Induced Breakdown Spectroscopy of Trace Metals

    NASA Technical Reports Server (NTRS)

    Simons, Stephen (Technical Monitor); VanderWal, Randall L.; Ticich, Thomas M.; West, Joseph R., Jr.

    2004-01-01

    An alternative approach for laser-induced breakdown spectroscopy (LIBS) determination of trace metal determination in liquids is demonstrated. The limits of detection (LOD) for the technique ranged from 10 ppb to 10 ppm for 15 metals metals (Mg, Al, Si, Ca, Ti, Cr, Fe, Co, Ni, Cu, Zn, As, Cd, Hg, Pb) tested.

  18. Laser-induced fluorescence of oral mucosa cancer

    NASA Astrophysics Data System (ADS)

    Jaliashvili, Z. V.; Medoidze, T. D.; Melikishvili, Z. G.; Gogilashvili, K. T.

    2017-10-01

    The laser-induced fluorescence (LIF) spectra have been measured for cancer-infused and control mice mucosa tissues. It was established that there is quite a difference between their LIF spectral shapes. These spectral shapes are used to express the diagnostic of different states of tissues: from normal to cancer.

  19. Shock pressures induced in condensed matter by laser ablation.

    PubMed

    Swift, Damian C; Tierney, Thomas E; Kopp, Roger A; Gammel, J Tinka

    2004-03-01

    The Trident laser was used to induce shock waves in samples of solid elements, with atomic numbers ranging from Be to Au, using pulses of 527 nm light around 1 ns long with irradiances of the order of 0.1 to 10 PW/m(2). States induced by the resulting ablation process were investigated using laser Doppler velocimetry to measure the velocity history of the opposite surface. By varying the energy in the laser pulse, relations were inferred between the irradiance and the induced pressure. For samples in vacuo, an irradiance constant in time does not produce a constant pressure. Radiation hydrodynamics simulations were used to investigate the relationship between the precise pulse shape and the pressure history. In this regime of time and irradiance, it was possible to reproduce the experimental data to within their uncertainty by including conductivity-dependent deposition of laser energy, heat conduction, gray radiation diffusion, and three temperature hydrodynamics in the treatment of the plasma, with ionizations calculated using the Thomas-Fermi equation. States induced in the solid sample were fairly insensitive to the details of modeling in the plasma, so Hugoniot points may be estimated from experiments of this type given a reasonable model of the plasma. More useful applications include the generation of dynamic loading to investigate compressive strength and phase transitions, and for sample recovery.

  20. Neuroprotective Treatment of Laser-Induced Retinal Injuries

    DTIC Science & Technology

    2001-10-01

    to evaluate the neuroprotective effect of dextromethorphan , memantine and brimonidine in our rat model of laser- induced retinal-lesions Methods: Argon... dextromethorphan , memantine or brimonidine. The control groups (18 rats for each compound) received the solvent at the same volume and schedule as...size and the magnitude of photoreceptor nuclei loss within the lesions. Conclusions: Systemic treatments with dextromethorphan , memantine or brimonidine

  1. Laser-induced collisional autoionization in europium and strontium atoms.

    PubMed

    Buffa, R

    1995-01-15

    An experiment that involves laser-induced collisional autoionization in europium and strontium atoms is proposed and the spectral line shape of the cross section is calculated on the basis of data available in the literature. The feasibility of the experiment both in oven cells and in a crossed-atomic-beam geometry is discussed.

  2. Plasma erosion rate diagnostics using laser-induced fluorescence

    NASA Technical Reports Server (NTRS)

    Gaeta, C. J.; Turley, R. S.; Matossian, J. N.; Beattie, J. R.; Williamson, W. S.

    1992-01-01

    An optical technique for measuring the sputtering rate of a molybdenum surface immersed in a xenon plasma has been developed and demonstrated. This approach, which may be useful in real-time wear diagnostics for ion thrusters, relies on laser-induced fluorescence to determine the density of sputtered molybdenum atoms.

  3. Laser-induced copper deposition with weak reducing agents

    NASA Astrophysics Data System (ADS)

    Kochemirovsky, V. A.; Fateev, S. A.; Logunov, L. S.; Tumkin, I. I.; Safonov, S. V.; Khairullina, E. M.

    2013-11-01

    The study showed that organic alcohols with 1,2,3,5,6 hydroxyl groups can be used as reducing agents for laser-induced copper deposition from solutions (LCLD).Multiatomic alcohols, sorbitol, xylitol, and glycerol, are shown to be effective reducing agents for performing LCLD at glass-ceramic surfaces. High-conductivity copper tracks with good topology were synthesized.

  4. Laser-induced ultrafast spin current pulses: a thermodynamic approach.

    PubMed

    Fognini, A; Michlmayr, T U; Vaterlaus, A; Acremann, Y

    2017-06-01

    The ultrafast demagnetization process allows for the generation of femtosecond spin current pulses. Here, we present a thermodynamic model of the spin current generation process, based on the chemical potential gradients as the driving force for the spin current. We demonstrate that the laser-induced spin current can be estimated by an easy to understand diffusion model.

  5. Laser-Induced Breakdown Spectroscopy: Capabilities and Applications

    DTIC Science & Technology

    2010-07-01

    Pyrotech. 2010. 43. Samuels, A. C.; DeLucia, F. C., Jr.; McNesby, K. L.; Miziolek, A. W. Laser-Induced Breakdown Spectroscopy of Bacterial Spores , Molds ...surfaces and complex print job definition through scripting. It is currently being used to determine limits of detection for explosive residues using LIBS

  6. Laser-Induced Thermal Damage of Skin

    DTIC Science & Technology

    1977-12-01

    Negro Skin . 17 7 Transmission Spectrum of Human Epidermis , . 18 8 Radial and Axial Grid Poinkts and Increments 29 9 CO2 Laser Setup and Resulcant Burns...of -•y of Chicago. Two-thirds of the predicted del ir- reversible damage were within one ) f the histological measurements of dama e 13 ro- duced by... NEGRO 1 0 - i - .-- - - --10VI SIBLE il L li . 0.2 0.4 0.6 0.8 1.0 2.0 4.C 6.0 8.0 10.0 20.0 40.0 WAVELENGTH, Um Figure 6. Spectral reflectance of white

  7. Laser fluence dependence on emission dynamics of ultrafast laser induced copper plasma

    SciTech Connect

    Anoop, K. K.; Harilal, S. S.; Philip, Reji; Bruzzese, R.; Amoruso, S.

    2016-11-14

    The characteristic emission features of a laser-produced plasma strongly depend strongly on the laser fluence. We investigated the spatial and temporal dynamics of neutrals and ions in femtosecond laser (800 nm, ≈ 40 fs, Ti:Sapphire) induced copper plasma in vacuum using both optical emission spectroscopy (OES) and spectrally resolved two-dimensional (2D) imaging methods over a wide fluence range of 0.5 J/cm2-77.5 J/cm2. 2D fast gated monochromatic images showed distinct plume splitting between the neutral and ions especially at moderate to higher fluence ranges. OES studies at low to moderate laser fluence regime confirm intense neutral line emission over the ion emission whereas this trend changes at higher laser fluence with dominance of the latter. This evidences a clear change in the physical processes involved in femtosecond laser matter interaction at high input laser intensity. The obtained ion dynamics resulting from the OES, and spectrally resolved 2D imaging are compared with charged particle measurement employing Faraday cup and Langmuir probe and results showed good correlation.

  8. Properties of laser radiation scattering by a laser-induced spark plasma revisited after 40 years

    SciTech Connect

    Malyutin, A A

    2008-05-31

    Experimental studies of a laser-induced spark produced in air by 1.05-{mu}m, 100-ns pulses with spatial TEM{sub 00}, TEM{sub 01} and TEM{sub 02} modes are described. It is found that when the spark is observed at an angle of 90{sup 0} to the laser beam axis, the scattered radiation has the maximal intensity outside the beam waist. The intensity ratio of the scattered laser radiation for two orthogonal polarisations is {approx}100, and the spatial structures of their depolarisation considerably differ. These properties are explained by using a model of the Fresnel reflection from the spherical front of the plasma-undisturbed gas interface. (laser radiation scattering)

  9. Influence of laser energy on the electron temperature of a laser-induced Mg plasma

    NASA Astrophysics Data System (ADS)

    Asamoah, Emmanuel; Hongbing, Yao

    2017-01-01

    The magnesium plasma induced by a 1064-nm Q-switched Nd:YAG laser in atmospheric air was investigated. The evolution of the plasma was studied by acquiring spectral images at different laser energies and delay times. We observed that the intensities of the spectral lines decrease with larger delay times. The electron temperature was determined using the Boltzmann plot method. At a delay time of 100 ns and laser energy of 350 mJ, the electron temperature attained their highest value at 10164 K and then decreases slowly up to 8833.6 K at 500 ns. We found that the electron temperature of the magnesium plasma increases rapidly with increasing laser energy.

  10. Real-Time Control of Ultrafast Laser Micromachining by Laser-Induced Breakdown Spectroscopy

    NASA Astrophysics Data System (ADS)

    Tong, Tao; Li, Jinggao; Longtin, Jon P.

    2004-03-01

    Ultrafast laser micromachining provides many advantages for precision micromachining. One challenging problem, however, particularly for multilayer and heterogeneous materials, is how to prevent a given material from being ablated, as ultrafast laser micromachining is generally material insensitive. We present a real-time feedback control system for an ultrafast laser micromachining system based on laser-induced breakdown spectroscopy (LIBS). The characteristics of ultrafast LIBS are reviewed and discussed so as to demonstrate the feasibility of the technique. Comparison methods to identify the material emission patterns are developed, and several of the resulting algorithms were implemented into a real-time computer control system. LIBS-controlled micromachining is demonstrated for the fabrication of microheater structures on thermal sprayed materials. Compared with a strictly passive machining process without any such feedback control, the LIBS-based system provides several advantages including less damage to the substrate layer, reduced machining time, and more-uniform machining features.

  11. Cambridge community Optometry Glaucoma Scheme.

    PubMed

    Keenan, Jonathan; Shahid, Humma; Bourne, Rupert R; White, Andrew J; Martin, Keith R

    2015-04-01

    With a higher life expectancy, there is an increased demand for hospital glaucoma services in the United Kingdom. The Cambridge community Optometry Glaucoma Scheme (COGS) was initiated in 2010, where new referrals for suspected glaucoma are evaluated by community optometrists with a special interest in glaucoma, with virtual electronic review and validation by a consultant ophthalmologist with special interest in glaucoma. 1733 patients were evaluated by this scheme between 2010 and 2013. Clinical assessment is performed by the optometrist at a remote site. Goldmann applanation tonometry, pachymetry, monoscopic colour optic disc photographs and automated Humphrey visual field testing are performed. A clinical decision is made as to whether a patient has glaucoma or is a suspect, and referred on or discharged as a false positive referral. The clinical findings, optic disc photographs and visual field test results are transmitted electronically for virtual review by a consultant ophthalmologist. The number of false positive referrals from initial referral into the scheme. Of the patients, 46.6% were discharged at assessment and a further 5.7% were discharged following virtual review. Of the patients initially discharged, 2.8% were recalled following virtual review. Following assessment at the hospital, a further 10.5% were discharged after a single visit. The COGS community-based glaucoma screening programme is a safe and effective way of evaluating glaucoma referrals in the community and reducing false-positive referrals for glaucoma into the hospital system. © 2014 Royal Australian and New Zealand College of Ophthalmologists.

  12. Laser-induced plasmonic colours on metals.

    PubMed

    Guay, Jean-Michel; Calà Lesina, Antonino; Côté, Guillaume; Charron, Martin; Poitras, Daniel; Ramunno, Lora; Berini, Pierre; Weck, Arnaud

    2017-07-18

    Plasmonic resonances in metallic nanoparticles have been used since antiquity to colour glasses. The use of metal nanostructures for surface colourization has attracted considerable interest following recent developments in plasmonics. However, current top-down colourization methods are not ideally suited to large-scale industrial applications. Here we use a bottom-up approach where picosecond laser pulses can produce a full palette of non-iridescent colours on silver, gold, copper and aluminium. We demonstrate the process on silver coins weighing up to 5 kg and bearing large topographic variations (∼1.5 cm). We find that colours are related to a single parameter, the total accumulated fluence, making the process suitable for high-throughput industrial applications. Statistical image analyses of laser-irradiated surfaces reveal various nanoparticle size distributions. Large-scale finite-difference time-domain computations based on these nanoparticle distributions reproduce trends seen in reflectance measurements, and demonstrate the key role of plasmonic resonances in colour formation.

  13. Laser-induced plasmonic colours on metals

    PubMed Central

    Guay, Jean-Michel; Calà Lesina, Antonino; Côté, Guillaume; Charron, Martin; Poitras, Daniel; Ramunno, Lora; Berini, Pierre; Weck, Arnaud

    2017-01-01

    Plasmonic resonances in metallic nanoparticles have been used since antiquity to colour glasses. The use of metal nanostructures for surface colourization has attracted considerable interest following recent developments in plasmonics. However, current top-down colourization methods are not ideally suited to large-scale industrial applications. Here we use a bottom-up approach where picosecond laser pulses can produce a full palette of non-iridescent colours on silver, gold, copper and aluminium. We demonstrate the process on silver coins weighing up to 5 kg and bearing large topographic variations (∼1.5 cm). We find that colours are related to a single parameter, the total accumulated fluence, making the process suitable for high-throughput industrial applications. Statistical image analyses of laser-irradiated surfaces reveal various nanoparticle size distributions. Large-scale finite-difference time-domain computations based on these nanoparticle distributions reproduce trends seen in reflectance measurements, and demonstrate the key role of plasmonic resonances in colour formation. PMID:28719576

  14. Laser-induced plasmonic colours on metals

    NASA Astrophysics Data System (ADS)

    Guay, Jean-Michel; Calà Lesina, Antonino; Côté, Guillaume; Charron, Martin; Poitras, Daniel; Ramunno, Lora; Berini, Pierre; Weck, Arnaud

    2017-07-01

    Plasmonic resonances in metallic nanoparticles have been used since antiquity to colour glasses. The use of metal nanostructures for surface colourization has attracted considerable interest following recent developments in plasmonics. However, current top-down colourization methods are not ideally suited to large-scale industrial applications. Here we use a bottom-up approach where picosecond laser pulses can produce a full palette of non-iridescent colours on silver, gold, copper and aluminium. We demonstrate the process on silver coins weighing up to 5 kg and bearing large topographic variations (~1.5 cm). We find that colours are related to a single parameter, the total accumulated fluence, making the process suitable for high-throughput industrial applications. Statistical image analyses of laser-irradiated surfaces reveal various nanoparticle size distributions. Large-scale finite-difference time-domain computations based on these nanoparticle distributions reproduce trends seen in reflectance measurements, and demonstrate the key role of plasmonic resonances in colour formation.

  15. Theoretical modeling on the laser induced effect of liquid crystal optical phased beam steering

    NASA Astrophysics Data System (ADS)

    He, Xiaoxian; Wang, Xiangru; Wu, Liang; Tan, Qinggui; Li, Man; Shang, Jiyang; Wu, Shuanghong; Huang, Ziqiang

    2017-01-01

    Non-mechanical laser beam steering has been reported previously in liquid crystal array devices. To be one of the most promising candidates to be practical non-mechanical laser deflector, its laser induced effect still has few theoretical model. In this paper, we propose a theoretical model to analyze this laser induced effect of LC-OPA to evaluate the deterioration on phased beam steering. The model has three parts: laser induced thermal distribution; temperature dependence of material parameters and beam steering deterioration. After these three steps, the far field of laser beam is obtained to demonstrate the steering performance with the respect to the incident laser beam power and beam waist.

  16. Tackling Glaucoma from within the Brain: An Unfortunate Interplay of BDNF and TrkB.

    PubMed

    Dekeyster, Eline; Geeraerts, Emiel; Buyens, Tom; Van den Haute, Chris; Baekelandt, Veerle; De Groef, Lies; Salinas-Navarro, Manuel; Moons, Lieve

    2015-01-01

    According to the neurotrophin deprivation hypothesis, diminished retrograde delivery of neurotrophic support during an early stage of glaucoma pathogenesis is one of the main triggers that induce retinal ganglion cell (RGC) degeneration. Therefore, interfering with neurotrophic signaling seems an attractive strategy to achieve neuroprotection. Indeed, exogenous neurotrophin administration to the eye has been shown to reduce loss of RGCs in animal models of glaucoma; however, the neuroprotective effect was mostly insufficient for sustained RGC survival. We hypothesized that treatment at the level of neurotrophin-releasing brain areas might be beneficial, as signaling pathways activated by target-derived neurotrophins are suggested to differ from pathways that are initiated at the soma membrane. In our study, first, the spatiotemporal course of RGC degeneration was characterized in mice subjected to optic nerve crush (ONC) or laser induced ocular hypertension (OHT). Subsequently, the well-known neurotrophin brain-derived neurotrophic factor (BDNF) was chosen as the lead molecule, and the levels of BDNF and its high-affinity receptor, tropomyosin receptor kinase B (TrkB), were examined in the mouse retina and superior colliculus (SC) upon ONC and OHT. Both models differentially influenced BDNF and TrkB levels. Next, we aimed for RGC protection through viral vector-mediated upregulation of collicular BDNF, thought to boost the retrograde neurotrophin delivery. Although the previously reported temporary neuroprotective effect of intravitreally delivered recombinant BDNF was confirmed, viral vector-induced BDNF overexpression in the SC did not result in protection of the RGCs in the glaucoma models used. These findings most likely relate to decreased neurotrophin responsiveness upon vector-mediated BDNF overexpression. Our results highlight important insights concerning the complexity of neurotrophic factor treatments that should surely be considered in future

  17. Microscale nanosecond laser-induced optical breakdown in water.

    PubMed

    Kudryashov, Sergey I; Zvorykin, Vladimir D

    2008-09-01

    Microscale optical breakdown induced in bulk pure water by high-power nanosecond KrF laser pulses was studied using optical transmission and contact broadband photoacoustic techniques. The breakdown has been identified as a sharp transmission drop coinciding with the appearance of unipolar compressive acoustic pulses, both indicating a thresholdlike rise of local intrinsic absorption in the micrometer-scale laser focal volume. The acoustic pulses, which are much broader than the exciting laser pulse and show a strongly reduced far-field diffraction effect, result from breakdown-induced millimeter-sized steam bubbles. The acoustic pulse amplitudes exhibit a sub-linear ( proportional, variantI(3/4)) pressure dependence on the laser intensity I characteristic of subcritical electron-ion plasma and demonstrating the avalanche enhancement of two-photon ionization above the breakdown threshold until the appearance of the critical plasma. In the critical plasma regime, where the transmission and the acoustic signals slowly vary as a function of laser intensity, the main acoustic pulse is preceded by nanosecond and sub- micros prepulses, where the first one represents a GPa-level plasma-driven shock wave and the second one adjacent to the main pulse appears due to weak submillimeter-long heating of water surrounding the hot plasma by its bremsstrahlung radiation, indicating significant dissociation of water molecules in the plasma.

  18. Laser-induced filaments in the mid-infrared

    NASA Astrophysics Data System (ADS)

    Zheltikov, A. M.

    2017-05-01

    Laser-induced filamentation in the mid-infrared gives rise to unique regimes of nonlinear wave dynamics and reveals in many ways unusual nonlinear-optical properties of materials in this frequency range. The λ 2 scaling of the self-focusing threshold P cr, with radiation wavelength λ, allows the laser powers transmitted by single mid-IR filaments to be drastically increased without the loss of beam continuity and spatial coherence. When extended to the mid-infrared, laser filamentation enables new methods of pulse compression. Often working around the universal physical limitations, it helps generate few-cycle and subcycle field waveforms within an extraordinarily broad range of peak powers, from just a few up to hundreds of P cr. As a part of a bigger picture, laser-induced filamentation in the mid-infrared offers important physical insights into the general properties of the nonlinear-optical response of matter as a function of the wavelength. Unlike their near-infrared counterparts, which can be accurately described within the framework of perturbative nonlinear optics, mid-infrared filaments often entangle perturbative and nonperturbative nonlinear-optical effects, showing clear signatures of strong-field optical physics. With the role of nonperturbative nonlinear-optical phenomena growing, as a general tendency, with the field intensity and the driver wavelength, extension of laser filamentation to even longer driver wavelengths, toward the long-wavelength infrared, promises a hic sunt dracones land.

  19. Laser induced breakdown spectroscopy with picosecond pulse train

    NASA Astrophysics Data System (ADS)

    Lednev, Vasily N.; Pershin, Sergey M.; Sdvizhenskii, Pavel A.; Grishin, Mikhail Ya; Davydov, Mikhail A.; Stavertiy, Anton Ya; Tretyakov, Roman S.

    2017-02-01

    Picosecond pulse train and nanosecond pulse were compared for laser ablation and laser induced breakdown spectroscopy (LIBS) measurements. A detailed study revealed that the picosecond pulse train ablation improved the quality of laser craters (symmetric crater walls and the absence of large redeposited droplets), which was explained by a smaller heat affected zone and suppression of melt splash. Greater plasma dimensions and brighter plasma emission were observed by gated imaging for picosecond pulse train compared to nanosecond pulse ablation. Increased intensity of atomic and ionic lines in gated and time integrated spectra provided better signal-to-noise ratio for picosecond pulse train sampling. Higher temperature and electron density were detected during first microsecond for the plasma induced by the picosecond pulse train. Improved shot-to-shot reproducibility for atomic/ionic line intensity in the case of picosecond pulse train LIBS was explained by more effective atomization of target material in plasma and better quality of laser craters. Improved precision and limits of detections were determined for picosecond pulse train LIBS due to better reproducibility of laser sampling and increased signal-to-noise ratio.

  20. Nanorod Surface Plasmon Enhancement of Laser-Induced Ultrafast Demagnetization

    PubMed Central

    Xu, Haitian; Hajisalem, Ghazal; Steeves, Geoffrey M.; Gordon, Reuven; Choi, Byoung C.

    2015-01-01

    Ultrafast laser-induced magnetization dynamics in ferromagnetic thin films were measured using a femtosecond Ti:sapphire laser in a pump-probe magneto-optic Kerr effect setup. The effect of plasmon resonance on the transient magnetization was investigated by drop-coating the ferromagnetic films with dimensionally-tuned gold nanorods supporting longitudinal surface plasmon resonance near the central wavelength of the pump laser. With ~4% nanorod areal coverage, we observe a >50% increase in demagnetization signal in nanorod-coated samples at pump fluences on the order of 0.1 mJ/cm2 due to surface plasmon-mediated localized electric-field enhancement, an effect which becomes more significant at higher laser fluences. We were able to qualitatively reproduce the experimental observations using finite-difference time-domain simulations and mean-field theory. This dramatic enhancement of ultrafast laser-induced demagnetization points to possible applications of nanorod-coated thin films in heat-assisted magnetic recording. PMID:26515296