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Do We Really Need to Wear Proper Eye Protection When Using Holmium:YAG Laser During Endourologic Procedures? Results from an Ex Vivo Animal Model on Pig Eyes.

dc.contributor.authorVilla, L
dc.contributor.authorCloutier, J
dc.contributor.authorCompérat, E
dc.contributor.authorKronemberg, P
dc.contributor.authorCharlotte, F
dc.contributor.authorBerthe, L
dc.contributor.authorRouchausse, Y
dc.contributor.authorSalonia, A
dc.contributor.authorMontorsi, F
dc.contributor.authorTraxer, O
dc.date.accessioned2017-06-21T11:37:01Z
dc.date.available2017-06-21T11:37:01Z
dc.date.issued2016
dc.description.abstractPURPOSE: We sought to evaluate the effect of holmium:yttrium-aluminum-garnet (Ho:YAG) laser exposure on ex vivo pig eyes and to test the protective action of different glasses in preventing eye lesions in case of accident. MATERIALS AND METHODS: We pointed the tip of a Ho:YAG laser fiber from different distances (0, 3, 5, 8, 10, and 20 cm, respectively) toward the center of the pupil of the pig eye. The Ho:YAG laser was activated for 1 or 5 seconds at three different settings (0.5 J-20 Hz, 1 J-10 Hz, and 2 J-10 Hz, respectively). The experiment was repeated using laser safety glasses and eyeglasses. A total of 78 pig eyes were used. The effects of the Ho:YAG laser on pig eyes were assessed by histopathology. Comparable laser emission experiments were performed on thermal paper at different distances using different pulse energies. RESULTS: Ho:YAG laser-induced corneal lesions were observed in unprotected eyes, ranging from superficial burning lesions to full-thickness necrotic areas, and were directly related to pulse energy and time of exposure and inversely related to the distance from the eye. When the laser was placed 5 cm or more, no corneal damage was observed regardless of the laser setting and the time of exposure. Similar distance/energy level relationships were observed on thermal paper. No damage was observed to the lens or the retina in any of the Ho-YAG laser-treated eyes or in any of the eyes protected by laser safety and eyeglasses. CONCLUSIONS: Ho:YAG lasers can cause damage when set to high energy, but only to the cornea, from close distances (0-5 cm) and in the absence of eye protection. Eyeglasses are equally effective in preventing laser damage as laser safety glasses.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Endourol. 2016 Mar;30(3):332-7pt_PT
dc.identifier.doi10.1089/end.2015.0232pt_PT
dc.identifier.issn1557-900X
dc.identifier.urihttp://hdl.handle.net/10400.10/1875
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMary Ann Liebertpt_PT
dc.subjectEye injuriespt_PT
dc.subjectEyeglassespt_PT
dc.subjectEndoscopypt_PT
dc.subjectUrologypt_PT
dc.titleDo We Really Need to Wear Proper Eye Protection When Using Holmium:YAG Laser During Endourologic Procedures? Results from an Ex Vivo Animal Model on Pig Eyes.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.endPage337pt_PT
oaire.citation.startPage332pt_PT
oaire.citation.titleJournal of Endourologypt_PT
oaire.citation.volume30pt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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