[Potential laser hazards to bystanders during photocoagulation]. 1993

N Okamoto, and S Harino, and Y Saito, and K Ogawa
Eye Clinic, Osaka Teishin Hospital, Japan.

The authors measured reflected laser beams delivered by slit-lamp photocoagulator and binocular indirect ophthalmoscope laser delivery systems, to evaluate potential hazards to the eyes of bystanders. 514 nm laser beams were used; reflected laser beams were measured by a light power meter (Advantest: TQ8210). Reflected lasers were found to be hazardous at 1 meter from whitish tile when a 0.75 Watt laser beam was delivered by the binocular ophthalmoscope laser system, as in an operating room. At 1 meter from a wall in a photo-coagulating room for out-patients, the reflected laser beam was found to be well below hazardous levels. Reflections at 40 cm from a non-laser-coated Goldmann 3-mirror contact lens were 2.66 mW/cm2, which exceeds the exposure limits, when 0.3 W laser was delivered by the slit-lamp photocoagulator. This decreased 85-90% when the laser was reflected from a laser-coated lens. From the point of view of safety, it is recommended that laser surgeons replace non-laser-coated lenses with laser-coated ones.

UI MeSH Term Description Entries
D005123 Eye The organ of sight constituting a pair of globular organs made up of a three-layered roughly spherical structure specialized for receiving and responding to light. Eyes
D012449 Safety Freedom from exposure to danger and protection from the occurrence or risk of injury or loss. It suggests optimal precautions in the workplace, on the street, in the home, etc., and includes personal safety as well as the safety of property. Safeties
D017075 Laser Coagulation The use of green light-producing LASERS to stop bleeding. The green light is selectively absorbed by HEMOGLOBIN, thus triggering BLOOD COAGULATION. Laser Thermocoagulation,Thermocoagulation, Laser,Coagulation, Laser,Coagulations, Laser,Laser Coagulations,Laser Thermocoagulations,Thermocoagulations, Laser

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