Transscleral cyclophotocoagulation (TSCPC) is currently performed clinically as an effective treatment for end-stage glaucoma. We develop a theoretical model for the analysis of optical attenuation phenomena during TSCPC as a basis for selection of an optimal wavelength. A multilayered Monte Carlo model was developed to calculate the fluence and the rate of heat generation in each tissue layer for the wavelengths of Nd:YAG, diode, ruby, krypton yellow, and argon lasers. Of the five wavelengths under study, our theoretical results suggest that the diode laser wavelength offers the best penetration through the conjunctiva, sclera, and ciliary muscle and highest absorption within the ciliary pigment epithelium.
© 1998 Optical Society of America
Original Manuscript: May 19, 1997
Revised Manuscript: September 29, 1997
Published: February 1, 1998
Babak Nemati, Andrew Dunn, Ashley J. Welch, and H. Grady Rylander, "Optical model for light distribution during transscleral cyclophotocoagulation," Appl. Opt. 37, 764-771 (1998)