Page "Photomultiplier" Paragraph 56
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For smaller photon fluxes, the photomultiplier can be operated in photon counting or Geiger mode ( see also: single-photon avalanche diode ).
In Geiger mode the photomultiplier gain is set so high ( using high voltage ) that a single photo-electron resulting from a single photon incident on the primary surface generates a very large current at the output circuit.
The drawback, however, is that not every photon incident on the primary surface is counted either because of less-than-perfect efficiency of the photomultiplier, or because a second photon can arrive at the photomultiplier during the " dead time " associated with a first photon and never be noticed.
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