Heat transfer simulation in laser irradiated retinal tissues

Abstract

A realistic model of human retinal tissues to simulate thermal performance of optical laser photocoagulation therapy is presented. The key criteria to validate the treatment effectiveness is to ensure the photocoagulation temperature between 60 and 70°C is reached in the treatment region of interest. The model presented consists of truncated volumes of the retinal pigment epithelium (RPE) and adjacent retinal tissues. Two cases of choroid pigmentation are modelled to signify extreme cases of human eye difference: albino and dark colour choroid pigmentation. Conditions for consistent heating over the irradiated treatment spot is modelled for laser beams with different intensity profiles: ‘top-hat’, Gaussian and ‘donut’ modes. The simulation considers both uniform heating within retinal tissue layers and spatial intensity decay due to absorption along the direction of laser propagation. For a 500 m spot, pulse length 100 ms and incident power to the cornea of 200 mW, realistic spatial variation in heating results in peak temperatures increasing within the RPE and shifting towards the choroid in the case of choroidal pigmentation. Finite element analysis methodology, where heat transfer theory governs the temperature evolution throughout tissues peripheral to the irradiated RPE is used to determine the zone of therapeutic benefit. While a TEM01 donut mode beam produces lower peak temperatures in the RPE for a given incident laser power, it reduces the volume of retinal tissue reaching excessive temperatures and maximises the zone of therapeutic benefit. Described are simulation limitations, boundary conditions, grid size and mesh growth factor required for realistic simulation.

Heat exchange in the human eye: a review

“…They demonstrated that the blood flow in the choroid increases OST when the lids are closed, and facilitates maintaining a constant OST. Modelling has been successfully used to predict thermal phenomena in ocular tissues during various medical procedures like exposing retinal, corneal and ciliary body tissues to laser [105][106][107][108], epibulbar tumor cryosurgery [82], and implanting intraocular electronic devices. [109,110].…”