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  1. PASCAL FLUENCE

    There are many pertinent and interesting observations in your article. As one of the first few users of PASCAL in India, we have now a large data-base of patients in a short span of time. Critical to understanding PASCAL is the fluence. Contrary to what we always thought, retinal hemorrhages and acoustic damage are not seen at 10 ms pulses if the fluence is within limits. I wish that PASCAL was also programmed to fix the fluence level at the beginning of each procedure (titrated for each eye) so that inadvertently fluence does not shoot up when the spot size is changed. PASCAL has really taken out the sting from PRP.

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