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Femtosecond Laser - Principles and Application in Ophthalmology

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Buch | Hardcover
96 Seiten
2010 | 1., st edition
UNI-MED (Verlag)
978-3-8374-1220-8 (ISBN)

Lese- und Medienproben

Femtosecond Laser - Principles and Application in Ophthalmology - Mark Tomalla
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In the last decade, there have been significant developments in the application of femtosecond laser technology in ophthalmic procedures. This book provides a comprehensive review of the technology, from the historical background and fundamental principles of lasers, through to the latest state-of-the-art clinical applications in ophthalmology. Therapeutic applications, use in refractive LASIK procedures and the latest advances in the treatment of presbyopia using a femtosecond laser are discussed in-depth. Looking ahead, the future innovations and the potential of femtosecond laser technology in ophthalmology are explored, to provide a complete guide to this technology sector.

1.Introduction and historical overview18
1.1.Some milestones in the development of femtosecond lasers and their applications18
1.2.References19
2.Physical principles of the generation and amplification of ultrashort laser pulses22
2.1.Laser process and laser resonator22
2.2.Bandwidth of laser radiation22
2.3.Laser resonator22
2.4.Mode synchronisation (mode-locking)23
2.5.Amplification of fs pulses24
2.6.References26
3.Femtosecond lasers in ophthalmology: laser-tissue interaction, multiphoton imaging, biomechanical modelling28
3.1.Introduction28
3.2.Laser-tissue interaction28
3.3.Multiphoton imaging30
3.4.Biomechanical modelling34
3.5.Conclusions and outlook36
3.6.References37
4.Clinical application40
4.1.Intrastromal femtosecond laser incisions40
4.1.1.Introduction40
4.1.2.Implantation of ICRS and effects on keratoconus40
4.1.3.Mechanical tunnel incisions and implantation of ICRS40
4.1.4.Femtosecond laser-controlled tunnel incisions before ICRS implantation41
4.1.5.Application41
4.1.6.Surgery42
4.1.7.Case report: Ex- and reimplantation of ICRS in keratoconus with fs laser support44
4.1.8.Long-term postoperative results45
4.1.9.Summary46
4.1.10.References46
4.2.Perforating keratoplasties with the femtosecond laser47
4.2.1.Introduction47
4.2.2.High degree of flexibility in the pKPL using the femtosecond laser47
4.2.3.Application48
4.2.4.Surgery50
4.2.5.Results50
4.2.6.Case reports51
4.2.7.Summary53
4.2.8.References53
4.3.Penetrating keratoplasty using the TECHNOLAS femtosecond laser: The Heidelberg Experience54
4.3.1.Introduction54
4.3.2.Studies on penetrating keratoplasty with the TECHNOLAS fs laser54
4.3.2.1.Clinical experiences54
4.3.2.2.Histopathology of corneal buttons56
4.3.2.3.Postoperative endothelial cell count57
4.3.3.Results of penetrating keratoplasty by different fs laser cut designs58
4.3.4.References59
4.4.Anterior lamellar keratoplasties with the femtosecond laser60
4.4.1.Introduction60
4.4.2.Application60
4.4.3.Surgery60
4.4.4.Results61
4.4.5.Case reports61
4.4.6.Summary63
4.4.7.References63
4.5.Endothelial grafts or posterior lamellar keratoplasties with the femtosecond laser63
4.5.1.Introduction63
4.5.2.Application63
4.5.3.Surgery65
4.5.4.Results65
4.5.5.Case reports65
4.5.6.Summary67
4.5.7.References67
4.6.Astigmatic keratotomies with the femtosecond laser67
4.6.1.Introduction67
4.6.2.Indications68
4.6.3.Diagnostic analysis68
4.6.4.Application68
4.6.5.Surgery69
4.6.6.Case reports69
4.6.7.References72
5.Refractive surgery with the femtosecond laser76
5.1.Flap dissection during LASIK (Femto-LASIK)76
5.1.1.Background 76
5.1.2.Hinge position76
5.1.3.Hinge length77
5.1.4.Flap thickness77
5.1.5.Geometry of the angle of incision (side cut)77
5.1.6.Flap diameter77
5.1.7.Visual control of flap dissection78
5.1.8.Application of flap preparation78
5.1.9.Surgery79
5.1.10.Summary80
5.1.11.Studies on flap cutting with the TECHNOLAS fs laser: The Heidelberg Experience80
5.1.12.References81
5.2.Intrastromal refractive correction with the femtosecond laser82
5.2.1.Refractive surgery – an introduction82
5.2.2.The INTRACOR procedure83
5.2.3.CE approval study for INTRACOR83
5.2.4.Patient selection for INTRACOR85
5.2.5.References86
6.Prospects for femtosecond laser in ophthalmology88
6.1.Introduction88
6.2.Femtosecond technology – where to now?88
6.3.Clinical prospects89
6.4.References91
Index94

Erscheint lt. Verlag 20.7.2010
Reihe/Serie UNI-MED Science
Sprache englisch
Maße 170 x 240 mm
Gewicht 315 g
Einbandart gebunden
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete
Schlagworte Augenheilkunde • Augenheilkunde / Ophtalmologie • Laser (med.) • Laser (Medizin)
ISBN-10 3-8374-1220-2 / 3837412202
ISBN-13 978-3-8374-1220-8 / 9783837412208
Zustand Neuware
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