title: Devices for the control of laser transmission across the sclera during transscleral photocoagulation.
abstract: Improving the reproducibility of transscleral photocoagulation necessitates controlling the transmission of the laser beam through the sclera. Two factors make such control problematic: the locally increased transparency of the sclera resulting from the contact procedure and the occurrence of time-related relaxation phenomena. Two instruments have been devised to help control these factors. The first is a mechanical compensation unit comprised of magnets and a spring that allows the force exerted on the sclera to be adjusted to between 0.1 and 0.4 N, the pressure being determined by the outer diameter of the contact tip. The second instrument monitors the portion of the aiming beam reflected by the sclera as a means of determining the exact level of power actually transmitted through it. This information theoretically could be fed back to the treatment laser, allowing the level of power being delivered to be adjusted accordingly.
authors.affiliation: Institute of Biomedical Engineering and Medical Informatics, Swiss Federal Institute of Technology, Zurich.
authors.forename: P
authors.initials: P
authors.lastname: Rol
authors.forename: W
authors.initials: W
authors.lastname: Barth
authors.forename: M
authors.initials: M
authors.lastname: Schwager
authors.forename: N
authors.initials: N
authors.lastname: Zuber
authors.forename: F
authors.initials: F
authors.lastname: Fankhauser
authors.forename: S
authors.initials: S
authors.lastname: Fankhauser
authors.forename: P
authors.initials: P
authors.lastname: Niederer
mesh_terms: D002924:Ciliary Body / Q000601:surgery; D004867:Equipment Design; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D017075:Laser Coagulation / Q000295:instrumentation*; D015203:Reproducibility of Results; D012590:Sclera