Multiphoton microscopy for monitoring intratissue femtosecond laser surgery effects

Bao-Gui Wang1, Iris Riemann, Harald Schubert

  • 1Lasermicroscopy Research Unit, Institute of Microscopic Anatomy (Anatomy II), Friedrich-Schiller University, Teichgraben 7, 07743 Jena, Germany.

Abstract

Insights

Multiphoton microscopy/tomography non-invasively monitors femtosecond laser corneal surgery in rabbits. This advanced imaging technique visualizes surgical outcomes and tracks wound healing, including activated keratocytes, in vivo.

Area of Science:

  • Ophthalmology
  • Biomedical Imaging
  • Laser Surgery

Background:

  • Multiphoton microscopy/tomography offers subcellular resolution for corneal imaging.
  • Femtosecond laser technology is advancing intratissue surgical procedures.

Purpose of the Study:

  • To utilize multiphoton microscopy/tomography for monitoring femtosecond laser intratissue surgery effects.
  • To evaluate the efficacy of this imaging technique in assessing surgical outcomes and wound repair.

Main Methods:

  • Intense 90 MHz femtosecond Ti:sapphire laser multiphoton microscopy/tomography was applied to rabbits.
  • Surgical procedures were conducted using the same laser system at higher intensities (TW/cm²).

Main Results:

  • Multiphoton microscopy/tomography effectively identified surgical targets and visualized in vivo intrastromal laser surgery outcomes.
  • Activated intrastromal keratocytes (myofibroblasts) were detected 24 hours post-surgery using this method.

Conclusions:

  • Multiphoton microscopy/tomography is an efficient, non-invasive tool for assessing microsurgical performance.
  • The technique enables in vivo follow-up observations of corneal wound repair post-surgery.

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