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Laser Module 2

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Risk Management Services

www.riskmanagement.ubc.ca

Laser Safety and Program Development

Laser Beam Injuries

Laser Beam Injuries


High power lasers can cause skin burns and severe eye injuries
resulting in permanent vision loss.

Laser Bioeffects: Skin


1)Thermal:
Most laser skin injuries are thermal in nature.
Exposure to high power beams at all
wavelengths can result in skin burns. These
burns usually do not lead to long-term
disability, but they can have painful short-term
consequences.
Far IR light, such as that from CO2 lasers, is
absorbed strongly by water in the skin and
results in a surface burn. Near IR light with
wavelengths close to 1 mm, such as that from
a Nd:YAG laser, penetrates more deeply into
tissue and can result in deeper, more painful
burns.

Skin Sensitivity:
- Epidermis (UV-B, UV-C)
- Dermis (IR-A)

Laser Bioeffects: Skin


(Thermal continued)
If a high power laser beam is focused on the
skin, it can vaporize tissue and drill a hole or
produce a cut if the beam or tissue is moving.
CW beams will cauterize the tissue preventing
bleeding. Focused short pulses form repetitive
pulse Q-switched lasers vaporize tissue without
heating the surrounding tissue enough to
cauterize. Exposures to focused Q-switched
beams can result in cuts several millimeters
deep that bleed freely.
Skin Sensitivity:
- Epidermis (UV-B, UV-C)
- Dermis (IR-A)

Skin Burn from CO2 Laser Exposure

Accidental exposure to partial reflection of 2000 W CO2 laser beam


from metal surface during cutting

Laser Bio-effects: Skin


2) Acoustic:
Localized vaporization of tissue can create a mechanical
shockwave to be propagated through the tissue. These
shockwaves can cause tearing of surrounding tissue.
3) Photochemical Effects:
Causes changes to the chemistry of cells, which can result in
changes to tissue.
Photochemical skin injuries include sunburn and the possibility
of promoting skin cancer by repeated low level exposures over
long periods of time. Chronic effects can include cataract
formation and skin aging. The best way to avoid these issues is
to enclose high power UV beams.

Laser Bioeffects: Eye

Visual Response

Laser Spectrum
Gamma Rays

10-13

10-12

10-11

X-Rays

10-10

10-9

Ultra- Visible
violet

10-8

10-7

Infrared

10-6

10-5

Microwaves

10-4

10-3

10-2

Radar
waves

10-1

TV
waves

Radio
waves

10

102

Wavelength (m)
LASERS

Retinal Hazard Region


Ultraviolet

200

300

Visible

400

500

600

Near Infrared

700

800

900

1000

1100

Far Infrared

1200

1300

1400

1500

10600

Wavelength (nm)
ArF
193

XeCl
308
KrF
248

Ar
488/515

HeNe Ruby
633 694
2w Alexandrite GaAs
Nd:YAG
755
905
532

Nd:YAG
1064

CO2
Communication
10600
Diode
1550

Lasers operate in the ultraviolet, visible, near infrared, and far infrared regions of the spectrum.

Eye Anatomy of Concern in Laser Injury

Microwaves and Gamma Rays

Wavelength of microwaves are too large to interact with the


eye
Wavelength of Gamma waves are too small to interact with
the eye (at the cellular level)

The Retinal Hazard Region

400-1400nm
Affects the retina

Optical Portion of Electromagnetic Spectrum


UV-C (Extreme)

1 - 280 nm

UV-B (Far)

280 - 315 nm

UV-A (Near)

315 - 380 nm

Visible Light

380 - 780 nm

Near IR (IR-A)

780 - 4000 nm

Middle IR (IR-B)

4um - 14 um

Far IR (IR-C)

14um 100 um

Ultraviolet region
UV-C (100280nm)
Cornea surface
UV-A (315400nm)
Affects the lens

UV-B (280-315nm)
Absorbed by the cornea

Absorption of UV on Different Parts of The Eye

% UV
nm Absorption
100
280
6
92
300
16
45
320
37
340
14
12
34
360

2
36
48
52

1
1
2

Ultraviolet Effects on the Eye


UV-A
Lens Absorption:
(315-380nm)
- Injuries permanent
- Cataractogenisis
- Elasticity loss
Retinal Absorption:
- Not normally affected
- Possible if photosensitized
UV-B/C
Corneal Absorption:
(280-315nm)
- Photokeratitis (6-12hr onset)
(1-280nm)
- Conjunctivitis
- Photochemical reaction
- Permanent scarring

Infra-red Region

Near IR
(< 1400nm)
Affects the retina

Far IR
Affects cornea and aqueous humor

Visible and Near Infrared Effects on the Eye


Retinal Hazard Region: 400-1400nm

Elevated irradiance at retina


Partially a function of pupil size
Exposure duration is critical
Thermal injury by protein denaturation
Acoustical damage

Middle and Far Infrared Effects on the Eye


Cataractogenisis: acute exposure

Cataractogenisis: chronic exposure


Corneal flash burns
Thermal injury to conjunctiva, iris etc.

25 m

THERMAL BURNS
ON PRIMATE RETINA
Photo courtesy of U S Air Force

This image shows the macula of the eye of a rhesus monkey. The light spots on this retina were produced
by 0.25 s exposures to a green laser beam with a power of 10 mW. Each of these exposures heated the
retinal tissue to the point that the protein cooked, producing a white burn.
This is the most common type of laser eye injury in humans. It is likely that thousands of people have
received these small retinal burns. They are permanent blind spots. If the burn is outside the macula, the
effect on vision is small. If the burn is inside the macula, the effect is much greater. One such burn in the
center of the macula will mean that you cannot thread a needle using that eye. A slightly larger spot or
multiple spots will make reading difficult.
This type of injury can be prevented by wearing laser safety eyewear.

Multiple Pulse Retinal Injury

This is an image of the retina of a human who experienced an eye injury from a repetitive pulse near
infrared laser. The beam was invisible. In such cases people do not usually realize they are being exposed
until their vision has been severely effected. The persons eye was moving during this exposure. This
resulted in a line of laser burns on the retina. This is a color enhanced image to better show the laser
damage.
The macula of the eye is located out of the photo to the lower left. This individual was lucky that the
damage did not extend into the macula.
The correct laser safety eyewear would have prevented this injury.

Eye Injury by Q-Switched Laser

Photo courtesy of U S Army Center for


Health Promotion and Preventive Medicine

This is a human eye injury resulting from four pulses into the macular region from an AN/GVS-5 Nd:YAG
laser rangefinder. The pulse duration was about 20 ns and the pulse energy was about 15 J. The safe
exposure limit for this pulse duration is 2 mJ per pulse. Thus, this exposure was 7500 times the safe level.
Short pulse lasers produce the greatest eye hazards. Each short pulse results in a tiny explosion in the
retina. The resulting shockwave causes severe damage to the retinal tissue.
This photo was taken three weeks after the exposure. It shows the permanent destruction of the macular
region. Visual acuity in the eye is approximately 20/400 and will not improve.

Corneal Burn from CO2 Laser Exposure of


Rabbit Eye

This is a surface burn on the cornea of a rabbits eye caused by exposure to a CO 2 laser beam of a few
watts. All the laser energy was absorbed by water on the surface of the cornea. This heated the cornea
causing the protein in the corneal tissue to cook.
Human eye injuries from far infrared lasers have been rare, but they have occurred.

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