Comparison of transscleral neodymium:YAG cyclophotocoagulation with and without a contact lens in human autopsy eyes.

Simmons, R B; Blasini, M; Shields, M B; Erickson, P J · Am J Ophthalmol · 1990

basic_science · Level V

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Abstract

A contact lens designed to facilitate neodymium:YAG transscleral cyclophotocoagulation was evaluated on human autopsy eyes, and the lesions produced were compared to the lesions produced by similar laser treatments without a lens. Using the thermal mode at 20-msec duration, the variables studied were distance from the corneoscleral limbus (0.5, 1.5, 2.5 mm); energy (2, 4, 6, 8 J); and offset (distance between the focal points of the aiming and therapeutic beams; settings of 5, 7, 8, 9). By gross and light microscopic inspection, the ciliary body lesions produced were similar with or without the lens. A distance between 0.5 and 1.5 mm appears optimal for damaging the pars plicata. Energies of 4 to 8 J produced ciliary epithelial destruction.

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