POSTERIOR CORNEAL SURFACE MAPPING AND DEEP LAMELLAR CORNEAL INCISION PARALLEL TO POSTERIOR CORNEAL SURFACE

    公开(公告)号:US20220062049A1

    公开(公告)日:2022-03-03

    申请号:US17446018

    申请日:2021-08-26

    Abstract: A method for forming deep corneal lamellar incision parallel to the posterior corneal surface when the eye is docked to the patient interface. A lower-energy detecting beam generated by the same pulsed laser that generates the higher-energy treatment laser beam is utilized to measure the posterior corneal surface profile. The detecting beam is scanned in the eye according to a first 3-dimensional scan pattern, while intensity of the back-reflected light is measured by a light intensity detector. The first scan pattern may be a spiral pattern in the X-Y plane coupled with a Z direction oscillation function. Peaks of the light intensity signal are detected, and corresponding spatial positions of the focus point are obtained; a known offset distance is added to the depth value to obtain the posterior corneal surface profile. Based thereon, the treatment laser beam is scanned in the eye to form the deep corneal lamellar incision.

    CORNEAL LENTICULAR INCISIONS WITH TRANSITION ZONES IN LASER-ASSISTED OPHTHALMIC PROCEDURES

    公开(公告)号:US20220054316A1

    公开(公告)日:2022-02-24

    申请号:US17445308

    申请日:2021-08-17

    Abstract: In laser-assisted corneal lenticule extraction procedures, the lenticule incision profile includes anterior and posterior lenticule incisions, with one or more of the following features: plano transition zone outside the optical zone, to improve mating of anterior and posterior incision surfaces after lenticule extraction; shallow arcuate incisions above the anterior incision and near the lenticule edge, to improve surface mating; separate ring cut intersecting the anterior and posterior incisions in the transition zone, to reduce tissue bridges and minimize tear at the lenticule edges and facilitate easy lenticule extraction; larger posterior incision, which includes a pocket zone outside the lenticule edge, for better surface mating and bubble management during cutting; and a separate ring shaped pocket cut intersecting the pocket zone of the posterior incision, for bubble management. An entry cut can intersect either the pocket zone of the posterior incision or an entry extension zone of the anterior incision.

    Eye tissue measurements
    23.
    发明授权

    公开(公告)号:US11123224B2

    公开(公告)日:2021-09-21

    申请号:US16457566

    申请日:2019-06-28

    Abstract: A compact system for performing laser ophthalmic surgery is disclosed. The systems and methods may be used to measure corneal thickness or other anatomy to prepare a treatment plan for any of numerous treatments, such as LASIK, PRK, intra stromal lenticular lens incisions, cornea replacement, or any other treatment. By using a reduced power femtosecond laser backscatter may be measured to calculate distances such as distances between an interior boundary and an exterior boundary of a cornea or other tissue.

    Systems and methods for high speed modulation of a resonant scanner in ophthalmic laser applications

    公开(公告)号:US10792188B2

    公开(公告)日:2020-10-06

    申请号:US15782791

    申请日:2017-10-12

    Abstract: An ophthalmic surgical laser system includes: a laser that produces a pulsed laser beam having a pulse energy and pulse repetition rate; a high frequency fast scanner; an XY-scan device; a Z-scan device; and a controller. The controller controls the high frequency scanner to produce a scan line having a scan width; controls the XY-scan device and the Z-scan device to carry out of first sweep of the scan line in a first sweep direction and to carry out a second sweep of the scan line in a second sweep direction that is not parallel to the first sweep direction thereby defining an overlap region. At least one of the pulse energy, repetition rate, XY-scan speed, and the scan width is varied so as to accelerate the cutting speed and reduce the exposure of ophthalmic tissue in the overlap region to multiple exposures of laser pulses configured to modify ophthalmic tissue.

    OPHTHALMIC LASER SURGICAL SYSTEM AND METHOD FOR CORNEAL LENTICULAR INCISIONS WITH UNAMBIGUOUS ENTRY CUTS

    公开(公告)号:US20200069470A1

    公开(公告)日:2020-03-05

    申请号:US16121482

    申请日:2018-09-04

    Abstract: An ophthalmic laser procedure for forming a lenticule in a cornea and extracting the lenticule from the cornea to accomplish vision correction. An ophthalmic laser system is used to form top and bottom lenticule incisions defining a lenticule in between, and further to form top and/or bottom entry cuts that respectively end unambiguously near the top or bottom lenticule surface. The bottom entry cut intersects both the top and bottom lenticule incisions but ends near the bottom lenticule incision. The entry cuts allow the surgeon to insert a surgical tool which reaches the intended top or bottom lenticule surface without ambiguity. The lenticule has an optical zone in the center that defines the optical power of the lenticule, and a transition zone in the periphery, where the end points of the entry cuts are located in the transition zone.

    Eye tissue measurements
    26.
    发明授权

    公开(公告)号:US10363174B2

    公开(公告)日:2019-07-30

    申请号:US15699963

    申请日:2017-09-08

    Abstract: A compact system for performing laser ophthalmic surgery is disclosed. The systems and methods may be used to measure corneal thickness or other anatomy to prepare a treatment plan for any of numerous treatments, such as LASIK, PRK, intra stromal lenticular lens incisions, cornea replacement, or any other treatment. By using a reduced power femtosecond laser backscatter may be measured to calculate distances such as distances between an interior boundary and an exterior boundary of a cornea or other tissue.

    Corneal lenticular incisions with transition zones in laser-assisted ophthalmic procedures

    公开(公告)号:US12005001B2

    公开(公告)日:2024-06-11

    申请号:US17445308

    申请日:2021-08-17

    CPC classification number: A61F9/00827 A61F2009/00872 A61F2009/00897

    Abstract: In laser-assisted corneal lenticule extraction procedures, the lenticule incision profile includes anterior and posterior lenticule incisions, with one or more of the following features: plano transition zone outside the optical zone, to improve mating of anterior and posterior incision surfaces after lenticule extraction; shallow arcuate incisions above the anterior incision and near the lenticule edge, to improve surface mating; separate ring cut intersecting the anterior and posterior incisions in the transition zone, to reduce tissue bridges and minimize tear at the lenticule edges and facilitate easy lenticule extraction; larger posterior incision, which includes a pocket zone outside the lenticule edge, for better surface mating and bubble management during cutting; and a separate ring shaped pocket cut intersecting the pocket zone of the posterior incision, for bubble management. An entry cut can intersect either the pocket zone of the posterior incision or an entry extension zone of the anterior incision.

    Digitally reconstructing laser cutting patterns in ophthalmic surgical laser system

    公开(公告)号:US11890231B2

    公开(公告)日:2024-02-06

    申请号:US17102431

    申请日:2020-11-23

    CPC classification number: A61F9/00814 A61F9/00763 G06F30/23 A61F2009/00844

    Abstract: An ophthalmic surgical laser system includes a laser beam delivery system having multiple moving components for scanning a laser focal spot in a target eye tissue, where the motors that actuate some of the moving components are equipped with respective digital encoders that measure actual motor positions. A controller controls the laser beam delivery system to perform a treatment scan, while recording the actual motor positions from the encoders. Using the actual motor positions and a calibration relationship between actual motor positions and delivered laser focal spot positions in a target tissue, a laser cutting pattern is digitally reconstructed, which represents the incisions actually achieved by the treatment scan. The reconstructed laser cutting pattern may be visually inspected and further analyzed, e.g. to compare it to the intended laser cutting pattern used to execute the treatment scan, to calculate the achieved refractive correction, or to simulate tissue resetting.

    Systems and methods for high speed modulation of a resonant scanner in ophthalmic laser applications

    公开(公告)号:US11540947B2

    公开(公告)日:2023-01-03

    申请号:US17062452

    申请日:2020-10-02

    Abstract: An ophthalmic surgical laser system includes: a laser that produces a pulsed laser beam having a pulse energy and pulse repetition rate; a high frequency fast scanner; an XY-scan device; a Z-scan device; and a controller. The controller controls the high frequency scanner to produce a scan line having a scan width; controls the XY-scan device and the Z-scan device to carry out of first sweep of the scan line in a first sweep direction and to carry out a second sweep of the scan line in a second sweep direction that is not parallel to the first sweep direction thereby defining an overlap region. At least one of the pulse energy, repetition rate, XY-scan speed, and the scan width is varied so as to accelerate the cutting speed and reduce the exposure of ophthalmic tissue in the overlap region to multiple exposures of laser pulses configured to modify ophthalmic tissue.

    SYSTEMS AND METHODS FOR SYNCHRONIZED THREE-DIMENSIONAL LASER INCISIONS

    公开(公告)号:US20210298958A1

    公开(公告)日:2021-09-30

    申请号:US17303960

    申请日:2021-06-11

    Abstract: Embodiments of this invention generally relate to ophthalmic laser procedures and, more particularly, to systems and methods for creating synchronized three-dimensional laser incisions. In an embodiment, an ophthalmic surgical laser system comprises a laser delivery system for delivering a pulsed laser beam to a target in a subject's eye, an XY-scan device to deflect the pulsed laser beam, a Z-scan device to modify a depth of a focus of the pulsed laser beam, and a controller configured to synchronize an oscillation of the XY-scan device and an oscillation of the Z-device to form an angled three-dimensional laser tissue dissection.

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