Hopedale June 2016

Page 8 Local Town Pages www.hopedaletownnews.com June 2016
Lasers and the Eye
By Roger M. Kaldawy, M.D.,
Milford Franklin Eye Center
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Lasers can be very useful in
treating many eye problems.
From helping patients eliminate
the need for glasses to cosmetic
procedures of the eyelids, lasers
have been very valuable in performing
bladeless eye surgery
while producing precise and safe
outcomes.
The world of eye surgery was
revolutionized when in 1946, a
German Ophthalmologist used
the first laser to treat the retina.
Laser is light amplified by stimulated
emission of radiation. This
produces photons acting in synchrony,
with high power and
precision. Health Risks from the
Use of Laser Pointers
Lasers can be very helpful as
a bladeless surgical device, but a
note of caution: Laser pointers
in hand-held, pen-like devices
that project a beam of laser light
are rapidly replacing the traditional
wooden pointers used by
lecturers during presentations.
However, these pointers can be
misused, for example, by students
in classrooms or by children at
home, and this has generated
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safety concerns. There have been
reports of temporary blindness,
disorientation and headaches by
bus drivers, airline pilots, police
and teachers. Manufacturers are
now using similar low powered
laser devices in toys. Never look
at a laser pointer and never point
it at someone. Serious eye injury
(sometimes permanent) can result.
Laser Use in Diabetes
In some cases of diabetic eye
disease, small blebs can form on
the blood vessels of the retina.
These can later cause bleeding
and blurry vision. An Argon
Laser can be helpful in treating
these blebs. The same laser can
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treat the entire retina in a scatter
fashion when more proliferation
of abnormal blood vessels is
noted.
Laser Use in Glaucoma
The laser can be used in a focused
beam of light to treat the
drainage angle of the eye. This
surgery makes it easier for fluid
to flow out of the front part of
the eye, decreasing pressure in the
eye. Two types of laser eye surgery
exist to open up the drainage
angle of the eye: Argon laser
trabeculoplasty and selective laser
trabeculoplasty.
Laser Use in After
Cataract Surgery
The lens capsule is the thin
bag that holds the intraocular lens
implant in position after cataract
surgery. This capsule becomes
clouded in about 25% of cataract
surgery patients. This causes
blurry vision and is also known as
secondary cataract. A YAG laser
can create a small opening in the
center of the capsule, allowing
light to enter the eye through a
central clear area. The procedure
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is painless, requires no anesthesia,
and has very little risk.
Laser Use in Laser Vision
Correction
An excimer laser can be used
to correct a variety of refractive
errors of the eye, from nearsightedness
to farsightedness and
astigmatism. This type of laser is
extremely precise. It creates targeted
removal of tissue to reshape
the cornea, which reorients the
light in the correct place inside
the eye.
Laser Use in Cosmetic Eye
Lid Surgery
Eye lid surgery, also known
as blepharoplasty, is designed to
rejuvenate baggy or droopy eyelids
and to restore youthful eyes.
The laser provides excellent precision
for this procedure. Since
the laser seals small blood vessels,
there is very little bleeding during
surgery. As a result, bruising and
swelling are kept to a minimum
and recovery is fast.
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