Lasers in ophthalmology

Lasers provide a convenient source of focused light energy that can be delivered to a target and, specifically, can do one of two things in the eye. Lasers can create a thermal lesion, that is, a burn, in the same way that light from the sun that is focused with a magnifying glass will burn paper. This thermal lesion can create a scar or hole in the target tissue. In photocoagulation techniques depend on the thermal effect, i.e., the absorption characteristics of the tissues to be coagulated indicate the wavelength to be chosen. The three important ocular light absorbers are melanin, hemoglobin and xanthophyll. For anterior segment work, melanin in the iris and trabecular meshwork is the most important absorber and hemoglobin in blood is the second most important. In retinal work, hemoglobin and xanthophyll absorption are the most important absorbers. The second type of laser effect is achieved with very short duration, high-powered lasers such as the Q-switched neodymium YAG. Non-thermal effects cause disruption of any target tissue either transparent or opaque.