{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:08:52Z","timestamp":1740146932944,"version":"3.37.3"},"reference-count":14,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007288","name":"Mahasarakham University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007288","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>To evaluate the laser power stability of the SubCyclo probe for micropulse transscleral cyclophotocoagulation after repeated use.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Materials and methods<\/jats:title>\n<jats:p>This experimental study involved 6 new probes. Each probe was connected to the SubCyclo mode (2,000 mW power, 31.3% duty cycle, and 100 seconds duration) of the Vitra 810 laser delivery system (Quantel Medical, France). Laser power measurements were taken using a calibrated laser power meter (Nova, Ophir Optronics Solutions, Israel) every 10 seconds from 10 to 90 seconds during each of the 40 cycles. Intra-rater reliability was assessed using intraclass correlation (ICC). A linear mixed model for repeated measures and pairwise comparisons with Bonferroni adjustment were used for the analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The mean (SD) power outputs of all probes for the first cycle and all cycles were 421.9 (19.7) mW and 436.7 (16.1) mW, respectively. During the first cycle, the mean (SD) laser power gradually decreased from 444.3 (13.4) mW at 10 seconds to 407.3 (17.0) mW at 90 seconds (Fig 3). For all cycles, the power was 446.0 (13.6) mW at 10 seconds and gradually declined to 426.8 (21.0) mW at 90 seconds. Pairwise comparisons revealed significant differences in mean laser power outputs after 16 cycles of repeated use compared to the first cycle. The ICC estimate (95% CI) for intra-rater reliability was 0.96 (0.89, 0.99).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The SubCyclo probe maintains stable laser power outputs throughout repeated use for up to 16 cycles, with a significant increase observed after 16 cycles.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0295517","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T18:27:05Z","timestamp":1702060025000},"page":"e0295517","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of laser power stability of repeatedly used SubCyclo probe in micropulse transscleral cyclophotocoagulation for glaucoma: A step towards sustainable ophthalmic surgery"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3998-4564","authenticated-orcid":true,"given":"Pukkapol","family":"Suvannachart","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-8744","authenticated-orcid":true,"given":"Ploysai","family":"Rujkorakarn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanita","family":"Watha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parinya","family":"Srihatrai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"key":"pone.0295517.ref001","doi-asserted-by":"crossref","first-page":"2353","DOI":"10.2147\/OPTH.S226554","article-title":"Outcome Of MicroPulse\u00ae Transscleral Photocoagulation In Different Types Of Glaucoma","volume":"13","author":"A Al Habash","year":"2019","journal-title":"Clin Ophthalmol"},{"issue":"3","key":"pone.0295517.ref002","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1097\/IJG.0000000000001436","article-title":"Outcomes of Micropulse Transscleral Cyclophotocoagulation in Eyes With Good Central Vision","volume":"29","author":"M Borgohain","year":"2020","journal-title":"J Glaucoma"},{"issue":"1","key":"pone.0295517.ref003","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/ceo.12360","article-title":"Micropulse versus continuous wave transscleral diode cyclophotocoagulation in refractory glaucoma: a randomized exploratory study","volume":"43","author":"MCD Aquino","year":"2015","journal-title":"Clin Experiment Ophthalmol"},{"issue":"12","key":"pone.0295517.ref004","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1377\/hlthaff.2020.01247","article-title":"Health Care Pollution And Public Health Damage In The United 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G-probes","volume":"13","author":"MM Carrillo","year":"2004","journal-title":"J Glaucoma"},{"issue":"8","key":"pone.0295517.ref008","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1097\/IJG.0000000000001277","article-title":"Evaluating the Laser Output of the Micropulse P3 Laser Delivery Device Following Repeated Use","volume":"28","author":"K Lun","year":"2019","journal-title":"J Glaucoma"},{"issue":"2","key":"pone.0295517.ref009","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research","volume":"15","author":"TK Koo","year":"2016","journal-title":"J Chiropr Med"},{"issue":"4","key":"pone.0295517.ref010","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1038\/eye.2013.9","article-title":"The carbon footprint of cataract surgery","volume":"27","author":"DS Morris","year":"2013","journal-title":"Eye 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