The present use of laser in surgery may be improved by modifications learned from similar processes in industrial applications. One of the major problems in materials processing is minimizing heat diffusion from the site of laser exposure. The same problem exists in surgical tissue cutting with a CO2 laser. A proposal is made to use short duration pulses less than the thermal relaxation time of water (one microsecond) to minimize thermal diffusion, and also take advantage of the large heat removed by the phase change in water into steam. An examination of this proposal suggests that many short pulses are preferable to a single long duration exposure to make deep cuts, and that more delicate surgery may be possible with such types of energy delivery. Other typos of materials processing situations are related to surgical situations where the desired relative depth of absorption of each of the absorbers present can be selected by use of the proper wavelength and exposure duration.

1.
Bayly
,
J. G.
,
Kartha
,
V. B.
and
Stevens
,
W. H.
(
1963
).
The Absorption Spectra of Liquid Phase H2O, and D2O from 0.7 um to 10 um
.
PHYSICS
3
:
211
223
.
2.
Gabel
,
V.P.
,
Bimgnuber
,
R.
and
Hillenkamp
,
P.
(
1979
)
Visible and Near Infrared Absorption in Pigment: Epithelium and Choroid
.
EXCERPTA MEDICA INTERNATIONAL CONGRESS SERIES
450
.
3.
Ham
,
W. T.
, Jr.
,
Mueller
,
H. A.
,
Ruffolo
,
J. J.
,
Guerry
and
Guerry
,
R. K.
(
1982
).
Action Spectrum for Retinal Injury From the Near-Ultraviolet Radiation in the Aphakic Monkey
.
AMER. J. OPHTHAL
.
93
:
299
306
.
4.
Hayes
,
J. R.
and
Wolbarsht
,
M. L.
(
1968
).
A Thermal Model for Retinal Damage Induced by Pulsed Lasers
.
AEROSPACE
.
39
:
474
480
.
5.
Hayes
,
J. R.
and
Wolbarsht
,
M. L.
(
1971
).
models in Pathology—Mechanisms of Action of Laser Energy with Biological Tissues
. in
LASER APPLICATIONS IN MEDICINE AND BIOLOGY
.
1
:
255
274
.
6.
Lachenmayr
,
B.
,
Bimgruber
,
R.
and
Gabel
,
V. R.
The Wavelength Dependance of Light Absorption in the Fundus of the Eye, Particularly Regarding Argon, Krypton, Neodymium Laser Emission
.
INTERNATIONAL SYMPOSIUM ON PHOTOCOAGULATION OF THE EYE
.
Munich
,
September 1982
. In Press.
7.
Marshall
,
J.
(
1982
).
Personal Communication
.
8.
Wolbarsht
,
M. L.
and
Landers
,
M. B.
(
1980
).
The Rationale of Photocoagulation Therapy for Proliferative Diabetic Retinopathy: A review and A Model
.
OPHTHALMIC SURG
.
11
:
235
245
.
9.
Wolbarsht
,
M. L.
and
Landers
,
M. B.
Endophotocoagulation With Near Ultraviolet Radiation
.
INTERNATIONAL SYMOSIUM ON PHOTOCOAGULATION OF THE EYE
.
Munich
,
September 1982
. (in press).
10.
Wolbarsht
,
M. L.
,
Walsh
,
A. W.
and
George
,
G.
(
1981
).
Melanin, A Unique Biological Absorber
.
APPL. OPT
.
20
:
2184
2186
.
This content is only available via PDF.
You do not currently have access to this content.