J. Roider et al., MICROPHOTOCOAGULATION - SELECTIVE EFFECTS OF REPETITIVE SHORT LASER-PULSES, Proceedings of the National Academy of Sciences of the United Statesof America, 90(18), 1993, pp. 8643-8647
Repetitive exposure to short laser pulses is shown to cause selective
damage to absorbing structures (cells, organelles, or enzymes) with pu
lse energies below the threshold energy for single-pulse damage. Direc
tly adjacent structures are spared in vivo. Additivity of (presumably
nonphotochemical) subthreshold effects is demonstrated. Selective dama
ge to the retinal pigment epithelium with sparing of the neural retina
is shown (514 nm, 5 mus, 1-500 pulses at 500 Hz, 2- to 10-muJ pulse e
nergy). A melanin granule model has been developed and applied to the
experimental situation. Histological results as well as the basic mech
anism for these effects are discussed.