Franklin June 2016
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Page 20 Local Town Pages www.franklintownnews.com <strong>June</strong> <strong>2016</strong><br />
Living Healthy<br />
Lasers and the Eye<br />
By: Roger M. Kaldawy, M.D.,<br />
Milford <strong>Franklin</strong> Eye Center<br />
Lasers can be very useful in<br />
treating many eye problems. From<br />
helping patients eliminate the<br />
need for glasses to cosmetic procedures<br />
of the eyelids, lasers have<br />
been very valuable in performing<br />
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bladeless eye surgery while producing<br />
precise and safe outcomes.<br />
The world of eye surgery was<br />
revolutionized when in 1946, a<br />
German Ophthalmologist used<br />
the first laser to treat the retina.<br />
Laser is light amplified by stimulated<br />
emission of radiation.<br />
This produces photons acting in<br />
Look and<br />
Feel Younger<br />
with advanced techniques<br />
in the practice of aesthetics,<br />
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synchrony, with high power and<br />
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Health Risks from the Use<br />
of Laser Pointers<br />
Lasers can be very helpful as<br />
a bladeless surgical device, but a<br />
note of caution: Laser pointers<br />
in hand-held, pen-like devices that<br />
project a beam of laser light are<br />
rapidly replacing the traditional<br />
wooden pointers used by lecturers<br />
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during presentations. However,<br />
these pointers can be misused, for<br />
example, by students in classrooms<br />
or by children at home, and this<br />
has generated safety concerns.<br />
There have been reports of temporary<br />
blindness, disorientation<br />
and headaches by bus drivers,<br />
airline pilots, police and teachers.<br />
Manufacturers are now using similar<br />
low powered laser devices in<br />
toys. Never look at a laser pointer<br />
and never point it at someone.<br />
Serious eye injury (sometimes permanent)<br />
can result.<br />
Laser Use in Diabetes<br />
In some cases of diabetic eye<br />
disease, small blebs can form on<br />
the blood vessels of the retina.<br />
These can later cause bleeding<br />
and blurry vision. An Argon Laser<br />
can be helpful in treating these<br />
blebs. The same laser can treat<br />
the entire retina in a scatter fashion<br />
when more proliferation of<br />
abnormal blood vessels is noted.<br />
Modern<br />
Implants<br />
Laser Technology<br />
Cerec (same visit crown)<br />
3D Imaging<br />
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Laser Use in Glaucoma<br />
The laser can be used in a focused<br />
beam of light to treat the<br />
drainage angle of the eye. This<br />
surgery makes it easier for fluid to<br />
flow out of the front part of the<br />
eye, decreasing pressure in the<br />
eye. Two types of laser eye surgery<br />
exist to open up the drainage<br />
angle of the eye: Argon laser<br />
trabeculoplasty and selective laser<br />
trabeculoplasty.<br />
Laser Use in After<br />
Cataract Surgery<br />
The lens capsule is the thin<br />
bag that holds the intraocular lens<br />
implant in position after cataract<br />
surgery. This capsule becomes<br />
clouded in about 25% of cataract<br />
surgery patients. This causes<br />
blurry vision and is also known as<br />
secondary cataract. A YAG laser<br />
can create a small opening in the<br />
center of the capsule, allowing<br />
light to enter the eye through a<br />
central clear area. The procedure<br />
is painless, requires no anesthesia,<br />
and has very little risk.<br />
Laser Use in Laser Vision<br />
Correction<br />
An excimer laser can be used to<br />
correct a variety of refractive errors<br />
of the eye, from nearsightedness to<br />
farsightedness and astigmatism.<br />
This type of laser is extremely precise.<br />
It creates targeted removal of<br />
tissue to reshape the cornea, which<br />
reorients the light in the correct<br />
place inside the eye.<br />
Laser Use in Cosmetic<br />
Eye Lid Surgery<br />
Eye lid surgery, also known<br />
as blepharoplasty, is designed to<br />
rejuvenate baggy or droopy eyelids<br />
and to restore youthful eyes. The<br />
laser provides excellent precision<br />
for this procedure. Since the laser<br />
seals small blood vessels, there is<br />
very little bleeding during surgery.<br />
As a result, bruising and swelling<br />
are kept to a minimum and recovery<br />
is fast.<br />
Laser Use in<br />
Macular Degeneration<br />
In selected cases of wet macular<br />
degeneration, a photodynamic<br />
procedure can be helpful: A laser<br />
in combination of a light-sensitive<br />
medicine target the abnormal<br />
bleeding blood vessels to block<br />
them.<br />
Laser Use in Cataract<br />
Surgery<br />
The laser has revolutionized<br />
cataract surgery, allowing for a<br />
completely blade-free procedure.<br />
In addition to producing precise<br />
cuts needed for surgery, the laser<br />
used in bladeless cataract surgery<br />
breaks up and softens the cloudy<br />
LASER SURGERY<br />
continued on page 21