Chapter 5 in VIVO DIAGNOSTICS and METRICS in the ASSESSMENT of LASER-INDUCED RETINAL INJURY
In Vivo Diagnostics and Metrics in the Assessment of Laser-Induced Retinal Injury Chapter 5 IN VIVO DIAGNOSTICS AND METRICS IN THE ASSESSMENT OF LASER-INDUCED RETINAL INJURY † ‡ § HARRY ZWICK, PHD*; JAMES W. NESS, PHD ; MICHAEL BELKIN, MD ; AND BRUCE E. STUCK, MS INTRODUCTION VISUAL FUNCTION: SHIFTING FOCUS BEYOND THE MACULA ASSESSING IN VIVO RETINAL MORPHOLOGY Confocal Scanning Laser Ophthalmoscopy Optical Coherence Tomography FUNCTIONAL METRICS AND STRUCTURAL CORRELATES Assessing Visual Function Along the Visual Pathway Integrating Imaging With Visual Function LASER ACCIDENT CASES Case 1 Case 2 Case 3 Case 4 Case 5 REVIEW SUMMARY *Formerly, Team Leader, Retinal Assessment Team, US Army Medical Research Detachment, Brooks City-Base, San Antonio, Texas 78235-5108; cur- rently retired †Colonel, Medical Service Corps, US Army; Program Director, Engineering Psychology, Department of Behavioral Sciences and Leadership, US Military Academy, West Point, New York 10996 ‡Goldschleger Eye Research Institute, Sheba Medical Center, Tel Aviv University, Tel Hashomer 52621, Israel §Director, Ocular Trauma Research Division, US Army Institute of Surgical Research, 3400 Rawley East Chambers Avenue, San Antonio, Texas 78234- 6315; currently retired 129 Military Quantitative Physiology: Problems and Concepts in Military Operational Medicine INTRODUCTION The field of laser–tissue interactions encompasses in 1968 at the Frankford Arsenal in Philadelphia, almost all branches of science, including basic and ap- Pennsylvania. The purpose of the Army’s laser safety plied physics, engineering, meteorology, biology, and program was to support development of military medicine. Since the invention of lasers in the middle lasers by minimizing their potential risks to soldiers of the last century, lasers have become ubiquitous, in the field.
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