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Comparison of krypton and argon laser photocoagulation. Results of stimulated clinical treatment of primate retina.

We compared the clinical and histological effects of argon blue-green laser (ABGL), argon green laser (AGL), and krypton red laser (KRL) photocoagulation on the primate retina. Burns were produced in juxtafoveal and papillomacular bundle and in nonmacular areas in a manner simulating treatment of a choroidal neovascular membrane (NVM). In the juxtafoveal and papillomacular bundle areas, ABGL photocoagulation caused extensive inner retinal damage while KRL photocoagulation spared inner retinal structures. The effects of AGL photocoagulation in the fovea were intermediate in extent between KRL and ABGL photocoagulation. Axonal transport studies also showed differential effects of these wavelengths on retinal ganglion cell function. Nonmacular effects were similar for all three modalities. These results suggest that the krypton red wavelength may be more suitable than the argon green or argon blue-green wavelengths in treating choroidal NVMs near the fovea.

Animals↗

Subretinal new vessels after krypton laser photocoagulation.

The eye of a patient with age-related macular degeneration was treated with krypton laser photocoagulation and later studied histopathologically. Five months after treatment the original membrane was completely obliterated, but a separate new membrane was found, which was fed by the retinal circulation and not by the choroid. The frequency of such recurrences is not known, but they may be related to krypton laser treatment.

Aged↗

Krypton laser photocoagulation for neovascular lesions of ocular histoplasmosis. Results of a randomized clinical trial. Macular Photocoagulation Study Group.

The Ocular Histoplasmosis Study-Krypton Laser is a multicenter controlled clinical trial designed to determine whether krypton red laser photocoagulation is of value in preventing visual acuity loss in eyes with ocular histoplasmosis that have either choroidal neovascularization 1 to 199 micron from the center of the foveal avascular zone (FAZ) or choroidal neovascularization 200 micron or further from the FAZ center with blood and pigment extending within 200 micron of the FAZ center. Patients were assigned to photocoagulation (n = 143) or to observation only (n = 145). Recruitment of patients with such lesions has been stopped because more untreated eyes than treated eyes had experienced severe visual acuity loss. At one year after randomization, 24.8% (31/125) of untreated eyes, in contrast with 6.6% (8/121) of treated eyes, had lost six or more lines of visual acuity; by three years after randomization, the corresponding values were 24.6% (15/61) and 4.6% (3/64). The superiority of treatment was evident at every point in time after six months. There were no subgroups in which there was convincing evidence that treatment was harmful. Follow-up of all patients continues to assess long-term results of treatment.

Choroid↗

Delayed choroidal vascular filling after krypton laser photocoagulation.

In four patients treated for macular subretinal neovascularization with krypton red laser photocoagulation, follow-up fluorescein angiograms performed two to ten days after treatment showed wedge-shaped areas of delayed choroidal vascular filling adjacent to and extending directly from the treated areas. There were no immediate or late changes in the fundus corresponding to the areas of delayed choroidal vascular filling. Goldmann visual fields done on two of the patients showed no functional deficit corresponding to the areas of delayed filling. Deep choroidal energy absorption of the krypton wavelength causing choroidal vessel thrombosis could explain this complication.

Aged↗

Conformational stability from variable temperature infrared spectra of krypton solutions, ab initio calculations, vibrational assignment, and r0 structural parameters of 1,3-difluoropropane.

The infrared spectra (3200-400 cm(-1)) of krypton solutions of 1,3-difluoropropane, FCH2CH2CH2F, at variable temperatures (-105 to -150 degrees C) have been recorded. Additionally, the infrared spectra (3200-50 cm(-1)) of the gas and solid have been recorded as well as the Raman spectrum of the liquid. From a comparison of the spectra of the fluid phases with that in the solid, all of the fundamental vibrations of the C2 conformer (gauche-gauche) where the first gauche indicates the form for one of the CH2F groups and the second gauche the other CH2F, and many of those for the C1 form (trans-gauche) have been identified. Tentative assignments have been made for a few of the fundamentals of the other two conformers, i.e. C2v (trans-trans) and Cs (gauche-gauche'). By utilizing six pairs of fundamentals for these two conformers in the krypton solutions, an enthalpy difference of 277 +/- 28 cm(-1) (3.31 +/- 0.33 kJ mol(-1)) has been obtained for the C2 versus C1 conformer with the C2 conformer the more stable form. For the C2v conformer, the enthalpy difference has been determined to be 716 +/- 72 cm(-1) (8.57 +/- 0.86 kJ mol(-1)) and for the Cs form 971 +/- 115 cm(-1) (11.6 +/- 1.4 kJ mol(-1)). It is estimated that there is 64 +/- 3% of the C2 form, 34 +/-3% of the C1 form, 1% of the C2v form and 0.6% of the Cs conformer present at ambient temperature. Equilibrium geometries and total energies of the four stable conformers have been determined from ab initio calculations with full electron correlation by the perturbation method to second order as well as by hybrid density functional theory calculations with the B3LYP method using a number of basis sets. The MP2 calculations predict the C1 conformer stability to be slightly higher than the experimentally determined value whereas for the C2v and Cs conformers the predicted energy difference is much larger than the experimental value. The B3LYP calculations predict a better energy difference for both the C1 and C2v as well as for the Cs conformers than the MP2 values. A complete vibrational assignment is proposed for the C2 conformer and many of the fundamentals have been identified for the C1 form based on the force constants, relative intensities and rotational-vibrational band contours obtained from the predicted equilibrium geometry parameters. By combining previously reported rotational constants for the C2 and C1 conformers with ab initio MP2/6-311 + G(d, p) predicted parameters, adjusted r0 parameters have been obtained for both conformers. Comparisons are made with the parameters obtained for some other molecules containing the FCH2 group. The spectroscopic and theoretical results are compared to the corresponding properties for some similar molecules.

Drug Stability↗

Transpupillary CW YAG laser coagulation. A comparison with argon green and krypton red lasers.

The authors have developed a CW YAG laser for transpupillary coagulation. The effects of CW YAG coagulation on the retina, retinal vessels, and fovea were compared with those produced by the krypton red and argon green lasers. To produce threshold coagulative lesions in monkeys and rabbits, we needed five to ten times more energy with the CW YAG than with the krypton red or argon green lasers. Nerve fiber damage was observed only when coagulating retinal vessels with the argon green laser. At the parameters used, none of the lasers damaged the sensory retina of the fovea. The CW YAG may be used as a new mode of laser coagulation in the treatment of retinal diseases.

Animals↗

Treatment of recurrent juxtafoveal subretinal neovascular membranes with krypton red laser photocoagulation.

Thirty-seven eyes initially treated with argon blue-green, argon green, or krypton red laser photocoagulation demonstrated a recurrent subretinal neovascular membrane (SRNVM) at the edge of the treatment scar extending into the foveal avascular zone and were retreated with krypton red laser photocoagulation. The subretinal neovascular membrane was due to the presumed ocular histoplasmosis syndrome (POHS) in 10 eyes, aging macular choroidal degeneration (AMCD) in 22 eyes, and miscellaneous causes in five eyes. Anatomic success, defined as complete obliteration of the recurrent SRNVM, was achieved in 26 eyes (70%). When compared to pretreatment visual acuities, 23 of 37 eyes (62.2%) had stable or improved postoperative visual acuities during the follow-up period. Twenty-six eyes were retreated one time; nine eyes required two retreatments; and two eyes required three retreatments. Final visual results showed visual acuity greater than or equal to 20/40 in 7 eyes (18.9%); visual acuity greater than or equal to 20/80 in 16 eyes (43.8%); visual acuity greater than or equal to 20/100 in 19 eyes (51.4%); visual acuity greater than or equal to 20/200 in 27 eyes (73%); and visual acuity greater than or equal to 20/400 in 34 eyes (91.9%).

Adult↗

Treatment of diffuse diabetic macular oedema: a comparison between argon and krypton lasers.

We report the results of a randomised treatment trial of macular grid photocoagulation in 91 eyes with diffuse diabetic macular oedema followed up for at least two years comparing Krypton red with Argon blue/green lasers. At two years, macular oedema had improved equally in both groups, and the visual acuity was unchanged or better in 85% of eyes treated with Argon and in 79.5% of eyes treated with Krypton laser. No statistically significant differences were observed between the two groups in terms of visual acuity or the degree of oedema. We conclude that the observed effect of grid laser treatment in diffuse diabetic macular oedema did not depend on the wavelength of the laser light used in this study.

Adult↗

Effects of xenon and krypton on regional cerebral blood flow in the rat.

The effects of high inspired concentrations of xenon and krypton on regional CBF (rCBF) were assessed in the rat using [14C]iodoantipyrine and quantitative autoradiography. Inhalation of 80% xenon for 1 or 2 min and inhalation of 40% xenon for 2 min were found to have significant effects on rCBF, including average increases of 75-96% in cerebral neocortical regions. Inhalation of 40% xenon for 1 min and of 80% krypton for 2 min had no significant effect on rCBF in most brain regions studied. If xenon inhalation produces effects on rCBF in humans similar to those observed in the rat, such effects could be an important source of error in xenon computed tomography rCBF studies.

Animals↗

[Krypton and argon laser coagulation in chorioretinitis centralis serosa].

Central serous chorioretinopathy was treated by laser photocoagulation of the site of fluorescein dye leakage. In 22 cases, in most of which the leakage was located in the nasal macular area or close to the foveola, krypton red was used, and in 85 cases argon blue-green. There was a significantly greater improvement after treatment with the krypton laser, and healing also tended to be faster than with the argon laser.

Adult↗

[Comparative krypton and argon laser trabeculoplasty].

Laser trabeculoplasty was performed to treat medically uncontrolled open-angle glaucoma (glaucoma chronicum simplex). Twenty-five eyes were treated with a red krypton laser, while in 110 eyes the usual blue-green argon laser was used, and in 14 eyes a pure green argon laser, under the same conditions. After treatment with the krypton laser the average drop in intraocular pressure at 24 hours was 4.8 mm Hg; at 4 weeks it was 2.3 mm Hg, and at 3 months there was no longer any appreciable effect. In the cases treated by argon laser the pressure drop was significantly greater and lasting, averaging 7.8-8.2 mm Hg from 24 hours after the treatment onward for at least 12 months. There was no difference between the blue-green and the green argon laser as regards pressure drop and improvement in outflow facility.

Argon↗

Hyperpolarized krypton-83 as a contrast agent for magnetic resonance imaging.

For the first time, magnetic resonance imaging (MRI) with hyperpolarized (hp) krypton-83 (83Kr) has become available. The relaxation of the nuclear spin of 83Kr atoms (I = 9/2) is driven by quadrupolar interactions during brief adsorption periods on surrounding material interfaces. Experiments in model systems reveal that the longitudinal relaxation of hp 83Kr gas strongly depends on the chemical composition of the materials. The relaxation-weighted contrast in hp 83Kr MRI allows for the distinction between hydrophobic and hydrophilic surfaces. The feasibility of hp 83Kr MRI of airways is tested in canine lung tissue by using krypton gas with natural abundance isotopic distribution. Additionally, the influence of magnetic field strength and the presence of a breathable concentration of molecular oxygen on longitudinal relaxation are investigated.

Animals↗

Discordant findings between krypton-81m gas and Tc-99m labeled ultrafine aerosol lung ventilation SPECT in two patients with idiopathic pulmonary fibrosis.

Technegas, a newly developed ultra-fine dry dispersion of Tc-99m labeled carbon with a particle size of approximately 5 nm to 20 nm, possesses the properties for lung ventilation imaging using SPECT. The authors observed a discrepancy between krypton-81m gas and technegas lung ventilation SPECT in two patients with idiopathic pulmonary fibrosis who demonstrated heterogeneously decreased distribution of technegas without regions of high count density (focal hot spots) of tracer in their lungs in spite of the almost homogenous distribution of krypton-81m gas. This finding could be explained by the duration of radioactive gas inhalation. Technegas lung ventilation SPECT images reflected lung ventilation with tidal breathing. Conversely, Kr-81m gas lung ventilation SPECT images reflected not only lung ventilation, but also lung volumes. These two radioactive agents for lung ventilation SPECT show different findings.

Administration, Inhalation↗

Measurement of right ventricular volumes from ECG-gated steady-state krypton-81m angiocardiography.

The physical characteristics of krypton-81m makes it particularly suited for the study of right ventricular function, but its ultrashort half-life (13.3 s) precludes in vitro measurements of blood pool specific activity needed for count based determination of ventricular volumes. A combined geometric count based method was developed to measure absolute right ventricular volumes during steady state krypton-81m angiocardiography: background corrected ventricular count rates were converted to volumes using a count to volume calibration factor calculated in an 'internal reference ROI' located in the right ventricular outflow tract. Stroke volumes calculated with this method were shown to be comparable to thermodilution determined stroke volumes and the ability of the method to monitor changes in right ventricular volumes was demonstrated during intervention studies.

Angiocardiography↗

Transient delay in choroidal filling after krypton red laser photocoagulation for choroidal neovascular membranes.

The authors report four patients who were treated with krypton red laser photocoagulation for neovascular membrane in the papillomacular bundle. In each patient, from 1 to 7 days following photocoagulation, there was a transient delay in filling of the choroid in a localized area beyond the treatment site. No patient suffered permanent visual loss as a result of this complication. Each patient regained normal choroidal filling (except for the treatment site) within two to four weeks. This angiographic observation may be explained by the increased uptake of the krypton red wavelength in the deep choroid.

Adult↗

Saturation curve in gases of high atomic number at pressures up to 8 atm. Part II: Freon 13-B1, and mixtures of Freon with xenon and krypton.

The saturation curve has been studied in Freon 13-B1 (CF3Br) and in mixtures of Freon with xenon and krypton up to a pressure of 8 atm. The enhanced initial recombination due to the electron affinity of Freon has been evaluated and an empirical formula constructed that describes the fraction of current which escapes initial recombination over a wide range of voltages, pressures, and electrode spacings. After correction for this initial recombination, the general saturation curve for Freon and for mixtures of this gas with krypton and xenon has been derived and, again, convenient empirical formulae established which allow the current collection efficiency to be calculated for any given parameters within the range investigated. These formulae are of practical value in the design of image-forming ionization chambers.

Chlorofluorocarbons, Methane↗

Photon W value for krypton in the M-shell transition region.

Absolute W values for krypton have been measured for incident X rays with energies in the range of 85 to 1000 eV, using monochromatic synchrotron radiation and a multiple-electrode ion chamber technique that yields the absolute intensity of the X-ray beam and the photoabsorption cross section. To improve the purity of the incident X rays, the electron storage ring was operated at an energy lower than the normal mode, and thin filters were used. The W values are derived from the measured photon intensity and photoabsorption cross section, using the mean charges of the residual ions obtained in previous work. A considerable oscillation of the W values with the photon energy was found in the region near the krypton 3d electron ionization edge. The results are discussed and compared with data in the literature for low-energy electrons and with the calculations from a model that includes multiple photoionization effects related to inner-shell ionization.

Krypton↗

Assessment of right atrial (RA) and right ventricular (RV) function by gated blood pool scan with krypton-81m: RA and RV pressure-volume loops with simultaneous pressure data.

We developed a new method of analyzing right atrial (RA) and right ventricular (RV) function by Krypton-81m gated blood pool scan (Kr-81m-GBPS). Pressure data were recorded simultaneously with a modified Swan-Ganz catheter. Krypton-81m (Kr-81m) is ideally suited to hemodynamic study of the right heart because of the following characteristics: physical half-life of 13 seconds; high photon yield and gamma ray energy of 190 KeV; low radiation exposure; and deployment during exhalation when the left heart is not active. A computerized method for list mode data acquisition was developed to collect data from the gamma camera, ECG wave, and RA and RV pressure simultaneously. RA and RV volume curves were obtained by calibrating the time-activity curves with end-diastolic volumes and cardiac output. Ejection fraction (EF) was used in the calculation of volume and cardiac output (CO) was measured by the thermodilution method. From RA and RV pressure and volume curves, RA and RV pressure-volume (P-V) loops were created simultaneously and displayed on the same plane. One spanning cardiac cycle of RV beats was separated into four phases: the ventricular emptying phase, the early ventricular filling phase, equilibrium, and the late ventricular filling phase. One spanning cardiac cycle of RA beats also was separated into four phases as follows: the atrial filling phase, the early atrial emptying phase, equilibrium, and the late atrial emptying phase. P-V loops of RA and RV were shifted after sublingual nitroglycerin administration. This new method is potentially useful in the study of right heart hemodynamics.

Atrial Function, Right↗