The effect of varying wavelength on subconjunctival scleral laser suture lysis in rabbits.
We studied laser suture lysis of subconjunctival scleral sutures in a rabbit eye using selected wavelengths from a dye and diode laser to determine which wavelength caused the least conjunctival damage. We found an oval shaped area of coagulation necrosis surrounding the suture track in the conjunctival substantia propria measuring in depth 61.0 mu for 488 + 514 nm (blue-green), 105.7 mu for 514 nm (green), 148.3 mu for 630 nm (red), and 29.0 mu with 780 + 830 nm (infrared) wavelengths. No observable damage was noted with 585 nm (yellow) or 610 nm (orange) wavelengths. The energy intensity required for suture lysis was similar across each wavelength studied. No damage was observed in the sclera or conjunctival epithelium. These findings suggest that using the yellow or orange wavelength, when performing laser suture lysis clinically, potentially may limit conjunctival damage.
McMillan
T A
TA
Department of Ophthalmology, Medical University of South Carolina, Charleston.
Stewart
W C
WC
Nutaitis
M J
MJ
Powers
T P
TP
Apple
D J
DJ
D000818:Animals; D003228:Conjunctiva / Q000473:pathology / Q000528:radiation effects* / Q000601:surgery; D005901:Glaucoma / Q000601:surgery; D053685:Laser Therapy / Q000009:adverse effects*; D009336:Necrosis; D011817:Rabbits; D012590:Sclera / Q000473:pathology / Q000528:radiation effects* / Q000601:surgery; D013524:Surgical Flaps; D013537:Sutures; D014130:Trabeculectomy