Carbon dioxide laser beam control for corneal surgery

Precise control of output power and beam divergence of a CO2 laser resulted in focused beam diameters down to 25 microns and essentially continuous control of energy deposition on target. Application of controlled laser beams on cow, hog, and human eye-bank reject corneal tissue give evidence of well-defined, narrow cuts. The controllable penetration depth and width of the CO2 laser incisions seem to make the laser an ideal "knife" for such corneal modifications as radial keratotomy and epikeratophakia. Our results indicate that the CO2 laser, when successfully integrated with the standard slit lamp, may be a safer and useful tool in laser surgery of the cornea.