PUBLICATION EXCLUSIVE: Novel method helps eliminate docking laser interface bubbles

Advances in laser technology continue to propel the laser surgical field forward and bestow improved quality of vision and quicker wound healing, thus improving our patients’ satisfaction with these laser-related ophthalmic procedures. One disturbing experience for the surgeon is the occurrence of interface bubbles while docking lasers. This results in downtime for the surgeon in the surgical suite.

In this column, Dr. Siepser describes a simple surgical technique that can solve the problem of interface bubbles while docking the laser on the ocular surface, thus saving valuable surgical time and making it a more enjoyable surgical experience for both the surgeon and the patient.

Thomas “TJ” John, MD

OSN Surgical Maneuvers Editor

Countless hours of repetitively repositioning interface lasers as a result of air bubbles in the laser path can now be easily avoided with this new method.

The controlled breaking of the hydrophobic, dry interface at the hydrostatic junction will frequently cause air to be captured in the interface. The placement of a drop of fluid on the descending dry interface breaks the surface tension centrally and causes the air present to move centrifugally. This centrally placed droplet creates a predictable fluid wave.

• Click here to read the full publication exclusive Surgical Maneuvers, published in Ocular Surgery News U.S. Edition, October 25, 2016.