Laser equipment classification
As demonstrated in the table below, lasers come in many different power outputs. An off the shelf laser presentation remote is, usually, a class 2 laser below 1 mW, which does, as such, not pose a big threat. Nevertheless, it is possible to acquire very powerful laser pointers online, which are in class 4. Most military and law enforcement target pointers for weapons are class 3R – a few being class 3B – and most laser target designators are class 4.
| Patient (P) |
Age |
Reason for referral |
Symptoms |
Eye |
Visual acuity (Snellen equivalent) |
Morphological changes |
Laser pointer output / wavelength |
Initial presentation (month/year) |
Follow-up interval (months) |
Visual acuity at follow-up |
| P1 |
12 |
Emergency presentation |
Scotoma, reduced vision |
OS |
20/5 |
Yellow lesion, pigment changes, intraretinal fluid |
45 mW 540 nm |
12/2014 |
20 |
20/20 |
| P2 |
15 |
Emergency presentation |
Scotoma |
OD / OS |
OD: 20/20 OS: 20/25 |
Yellow lesion, pigment changes, structural loss of the outer retina |
92 m/W 540 nm |
10/2014 |
33 |
OD: 20/20 OS: 20/20 |
| P3 |
15 |
Emergency presentation |
Scotoma |
OS |
20/20 |
Pigment changes, structral loss in the outer retina |
65 mW 540 nm |
07/2014 |
1 |
20/20 |
| P4 |
9 |
Suspected inherited retinal dystrophy (Stargardt's disease) |
Scotoma |
OD |
20/25 |
Structural loss in the outer retina |
95 mW 532 nm |
02/2016 |
11 |
20/16 |
| P5 |
13 |
Initial finding of retinal edema |
Scotoma, incidental finding |
OS |
20/20 |
Structural loss in the outer retina |
32 mW 540 nm |
06/2015 |
20 |
20/16 |
| P6 |
15 |
Suspected macular dystrophy |
Scotoma |
OD / OS |
OD: 20/25 OS: 20/25 |
Pigment changes, structural loss in the outer retina |
NP |
05/2016 |
- |
- |
| P7 |
13 |
Suspected macular dystrophy |
Scotoma |
OD |
OD: 20/25 |
Pigment changes, structural loss in the outer retina |
NP |
06/2016 |
- |
- |
The considerations and technology behind laser protection
Laser protection technology provides multiple solutions to achieve the necessary protection. There are three main elements that needs to be considered:
- Frequency (Nanometers (Nm))
- Optical Density (OD)
- Visible Light Transmittance (VLT)
Frequency:
Nanometers (Nm) define which type/color of laser (wavelength), which the lens will protect against. For instance, 532 Nm is the predominant of green lasers.
Optical Density and Distortion:
The Optical Density (OD) defines the level of protection against the given Nm. For example, if a laser pointer has a safety distance to the naked eye at 100 meters, you are safe at 10 meters, when wearing laser eyewear protection with an OD of 1. With an OD of 2, you are safe at 1 meter etc.
As demonstrated in the table below, when wearing an OD 5 LEP lens, a laser with a laser safety distance of 2 kilometers will now be safe to view at a distance of 2cm.
LEP lenses are inherently tinted/colored due to the reduced light transmission and wavelength-blocking characteristics, which changes the way any given color is perceived. In turn, this challenges color discrimination and visual detection. Additionally, a high OD often results in an increased color distortion of the image. That is why it is vital to assess the threats and hazards, which is needed to be protected against in order to identify the lowest OD possible to mitigate the visual impacts.
To visualize this distortion and the effect of two different lasers on two levels of OD, the images below illustrate, how LEP affects vision in terms of coloration, transmission, and dazzle suppression.
In the image above, you can see a visual scene as perceived while wearing no LEP (left column), an OD 1 LEP (middle column), and an OD 3 LEP filter (right column), when exposed to no laser (top row), a lasser irradiance of ≈ 5mW laser pointer (middle row), and a laser irradiance of ≈ 500mW (bottom row)
Visible Light Transmission (VLT):
Depending on the tint of the eyewear, light, to a higher or lesser degree, is allowed to be transmitted through the lens. This is often expressed in percentage of luminous transmittance of visible light through the lens. This is measured using a photometer and graded accordingly.
Essentially, a low VLT% lens will transmit less light and will be dark to look through, whereas a high VLT% will transmit more light, and will be lighter to look through.
When discussing laser eye protection, used day and night and against visible and NIR lasers, it is important to add a few more aspects than the above VLT, which only covers the day adapted eye and the visible spectrum of light.
>> Day and night Vision
Photopic vision is the vision of the eye under well-lit conditions, normally usual daylight intensity. It allows color perception, which is mediated by cone cells. Cone cells have a higher visual acuity, as well as providing the eyes’ color sensitivity.
Scotopic Vision is the vision of the eye under low light conditions (night adjusted eye). Cone cells do not function as well as rod cells in low level lighting, so scotopic visions happen completely through rod cells. Photopic sensitivities are at a maximum in green light at about 555 Nm, which is the wavelength at which the cones in our retina are most receptive. However scotopic sensitivities peak about 50 Nm lower in the blue-green region of the spectrum at 507 nm, where the rods are most receptive.