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One of the first applications of lasers was for surgery on the
retina of the eye. That, and the evident analogy to the old dreams
of powerful heat rays, led many to predict that lasers would
quickly be used for all kinds of cutting and welding, including
surgical applications. It was soon apparent that laser sur gery
could be performed in ways that caused little bleeding.
Nevertheless, other surgical applications have been slower to
arrive. One difficulty has been the enormous range of possibilities
provided by the many different kinds of lasers. Infrared, visible,
and ultraviolet light beams each interact very differently with
human tissues. Light pulses of enor mously great peak powers became
available from lasers, but their effects dif fered in surprising
ways from those obtained with continuous beams. That provided both
opportunities (i.e., treating or removing a very thin surface layer
without affecting the underlying tissue) and problems with
undesired side effects. Moreover, techniques were needed to deliver
a precisely con trolled amount of energy just where it was desired.
Lasers also had to be engineered and manufactured with the desired
power levels and a high reliability."
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