Open AccessReal-time measurement of ArF excimer laser corneal tissue ablation rates using cross-correlation of laser waveforms
Author(s) -
Brian T. Fisher,
David W. Hahn
Publication year - 2011
Publication title -
optics express
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.394
H-Index - 271
ISSN - 1094-4087
DOI - 10.1364/oe.19.004231
Subject(s) - ablation , laser , optics , waveform , excimer laser , laser ablation , cornea , refractive surgery , cross correlation , laser surgery , excimer , materials science , computer science , physics , medicine , mathematics , telecommunications , radar , mathematical analysis
The current popularity of excimer laser refractive surgery suggests a need for continued research and refinements to further improve clinical outcomes. A fundamental limitation of current clinical systems is the lack of real-time feedback specifically addressing the laser-tissue interactions as directly related to laser ablation rates. This paper reports data to assess the feasibility of a novel approach that holds promise as a real-time feedback scheme based on comparison of the incident and reflected laser pulse waveforms, as quantified using a cross-correlation algorithm. The approach is evaluated for ablation of bovine cornea over a range of clinically relevant laser fluences. A linear relationship was observed between several cross-correlation metrics and the directly measured corneal ablation rate, yielding an average RMS predictive error of 3.9% using a 25-shot average reflected waveform. Assessment of the cross-correlation approach for single-shot ablation data revealed a brief transient corresponding to the first few laser pulses, which is attributed to a slight hydration gradient near the surface of the de-epithelialized cornea. Clinical refractive data are necessary to assess the precision of this approach for actual refractive surgery.