The paper discusses the influence of time profile of microsecond Yb,Er:Glass laser pulse on removal efficiency of cataract lens when performing its laser hydroacoustic processing. It was established that the increase in peak power of the "leading" spike of Yb,Er:Glass microsecond pulse leads to increase in volume of laser-produced steam-gas cavities in liquid, increase in pressure transient amplitude arising in the phase of "collapse-rebound" of the cavity and increase in removed volume of cataract lens as a result of its laser hydroacoustic processing (LHP). Increasing the peak power of the "leading" spike by 2.5÷3 times while keeping the total integral laser pulse energy resulted in a 5÷7-fold increase in the removed volume of human eye lens with III degree of cataract according to L. Buratto classification. The possible multipulse mechanism of cataract lens removal when performing LHP with microsecond Yb,Er:Glass laser pulses is discussed.
The results of in vitro pilot study of anterior lens capsule destruction by submicrosecond pulses of Yb,Er:Glass laser as well as results of 2% agar gel damage threshold investigation are presented. It was established that the local destruction of anterior lens capsule is possible without any ruptures at energy densities up to 25 J/cm2 when exposed to 30 laser pulses, delivered via 200 μm optical quartz fiber. It was found that 2% agar gel damage threshold determined as minimal value of laser energy density required for appearance of the visually identifiable damage of agar gel decreases with the increase in the number of laser pulses. The 2% agar gel damage threshold on the air for a single laser pulse impact was about 2.3-3.3 J/cm2, for 5 pulses impact – about 1.8-2.5 J/cm2 and for 10 pulses impact – about 1.6-2.4 J/cm2.
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