环境温度和除中断对在激光除过程中的热负荷的影响
Jun Zhou1,2,3, Xiaoli Wang1, Ying Zhong1
1Department of Refractive Surgery, Shanghai Aier Eye Hospital, Shanghai.
Journal of refractive surgery (Thorofare, N.J. : 1995)
|September 9, 2025
概括
绝缘激光除中断降低了热负荷,并影响了除深度,影响了折射结果. 环境温度的变化也会影响激光眼科手术期间的热效应.
科学领域:
- 眼科医生 眼科 眼科
- 激光手术 激光手术是一种激光手术.
- 生物医学工程 生物医学工程
背景情况:
- 排外激光切除是折射手术中的一个关键手术.
- 了解热效应对于优化结果至关重要.
- 环境温度和程序中断可以影响激光与组织的相互作用.
研究的目的:
- 分析除激光除过程中除中断和环境温度对眼表面温度 (OST) 的影响.
- 评估这些因素对切除深度和临床折射结果的影响.
主要方法:
- 在PMMA板和猪角膜上使用EX500激光在18°C,20°C和22°C的模拟激光在现场化 (LASIK) 处理.
- 在 -9.00 D 近视治疗的第10秒开始时,引入了1-5秒的除中断.
- 用红外热谱监测眼表面温度 (OST);用微米计测量除深度.
主要成果:
- 在PMMA和猪角膜中观察到显著的光热效应.
- 随着环境温度的增加,OST增加,在PMMA中达到84.01°C.
- 除中断降低了峰值热负荷,但增加了除深度不稳定性和折射误差 (高球和SEQ) 在3-4秒的中断中.
结论:
- 环境温度显著影响在激光切除过程中的热负荷.
- 除中断减轻了热负荷,但可能导致较不稳定的除深度和改变的折射结果.
- 优化除参数,包括中断时间和环境温度,对于可预测的折射手术结果至关重要.
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