Methods and systems for performing a posterior capsulotomy and for laser eye surgery with a penetrated cornea

    公开(公告)号:US11376158B2

    公开(公告)日:2022-07-05

    申请号:US16208429

    申请日:2018-12-03

    Abstract: Method and apparatus for performing a laser-assisted posterior capsulotomy and for performing laser eye surgery on an eye having a penetrated cornea are provided. A method for performing a posterior capsulotomy includes injecting fluid between the lens posterior capsule and the anterior hyaloids membrane to separate the lens posterior capsule and the anterior hyaloids membrane. With the lens posterior capsule separated from the anterior hyaloids membrane, a posterior capsulotomy is performed on the lens posterior capsule by using a laser to incise the lens posterior capsule.

    Patient interface device for laser eye surgery

    公开(公告)号:US11369518B2

    公开(公告)日:2022-06-28

    申请号:US17067333

    申请日:2020-10-09

    Abstract: A patient interface device includes: a first interface port configured to be interfaced with a laser surgery apparatus; a second interface port configured to be interfaced with a patient's eye, the second interface port including an applanating lens for application to a patient's eye during a laser surgery procedure; a chamber extending between the first interface port and the second interface port and defining a chamber therein, wherein air may be evacuated from the chamber by the laser surgery apparatus via the first interface port. The second interface port also includes a retaining ring on which the applanating lens is provided, the retaining ring having through channels extending through the retaining ring from the chamber above the applanating lens to a space below the applanating lens.

    LIQUID LOSS DETECTION DURING LASER EYE SURGERY

    公开(公告)号:US20220160541A1

    公开(公告)日:2022-05-26

    申请号:US17650658

    申请日:2022-02-10

    Abstract: A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye, the patient interface using liquid used as a transmission medium for the laser. During a laser procedure sensors monitor the level of liquid within the patient interface and send a signal to control electronics if the level drops below a threshold value. The sensor may be mounted on the inside of the patient interface, within a fluid chamber. Alternatively, a gas flow meter may be added to a suction circuit for the patient interface that detects abnormal suction levels indicating low fluid level.

    Corneal topography measurements and fiducial mark incisions in laser surgical procedures

    公开(公告)号:US11337857B2

    公开(公告)日:2022-05-24

    申请号:US16530912

    申请日:2019-08-02

    Abstract: A method of cataract surgery in an eye of a patient includes identifying a feature selected from the group consisting of an axis, a meridian, and a structure of an eye by corneal topography and forming fiducial mark incisions with a laser beam along the axis, meridian or structure in the cornea outside the optical zone of the eye. A laser cataract surgery system a laser source, a topography measurement system, an integrated optical subsystem, and a processor in operable communication with the laser source, corneal topography subsystem and the integrated optical system. The processor includes a tangible non-volatile computer readable medium comprising instructions to determine one of an axis, meridian and structure of an eye of the patient based on the measurements received from topography measurement system, and direct the treatment beam so as to incise radial fiducial mark incisions.

    Systems and methods for lenticular laser incision

    公开(公告)号:US11259964B2

    公开(公告)日:2022-03-01

    申请号:US16530945

    申请日:2019-08-02

    Inventor: Hong Fu

    Abstract: Embodiments of this invention generally relate to ophthalmic laser procedures and, more particularly, to systems and methods for lenticular laser incision. 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 form a top lenticular incision and a bottom lenticular incision of a lens in the subject's eye.

    AUTOMATED CALIBRATION OF LASER SYSTEM AND TOMOGRAPHY SYSTEM WITH FLUORESCENT IMAGING OF SCAN PATTERN

    公开(公告)号:US20210282968A1

    公开(公告)日:2021-09-16

    申请号:US17331589

    申请日:2021-05-26

    Abstract: A laser system calibration method and system are provided. In some methods, a calibration plate may be used to calibrate a video camera of the laser system. The video camera pixel locations may be mapped to the physical space. A xy-scan device of the laser system may be calibrated by defining control parameters for actuating components of the xy-scan device to scan a beam to a series of locations. Optionally, the beam may be scanned to a series of locations on a fluorescent plate. The video camera may be used to capture reflected light from the fluorescent plate. The xy-scan device may then be calibrated by mapping the xy-scan device control parameters to physical locations. A desired z-depth focus may be determined by defining control parameters for focusing a beam to different depths. The video camera or a confocal detector may be used to detect the scanned depths.

    IRIS REGISTRATION METHOD FOR OPHTHALMIC LASER SURGICAL PROCEDURES

    公开(公告)号:US20210244565A1

    公开(公告)日:2021-08-12

    申请号:US17057102

    申请日:2019-10-28

    Inventor: Javier Gonzalez

    Abstract: In a laser cataract procedure that also corrects for astigmatism, an iris registration method compares an iris image of a patient's eye taken when the eye is not docked to a patient interface device with an iris image of the same eye that is docked to the patient interface, to calculate a rotation angle between the two images. The astigmatism axis of the eye is measured when the eye is not docked, and the measured axis is rotated by the calculated rotation angle to obtain a rotated astigmatism axis relative to the iris image of the docked eye. The laser cataract procedure is performed based on the rotated astigmatism axis. The rotation angle is calculated by optimizing a transformation that transforms the undocked iris image to match the docked iris image, where the transformation includes a dilation factor that accounts for different pupil dilation of the two iris images.

    MULTI-AXIS MOTOR POSITION COMPENSATION IN OPHTHALMIC SURGICAL LASER SYSTEM USING DEEP LEARNING

    公开(公告)号:US20210202062A1

    公开(公告)日:2021-07-01

    申请号:US17102424

    申请日:2020-11-23

    Abstract: A motor position compensation method for an ophthalmic surgical laser system employs a deep artificial neural network to characterize motor following errors of the motors of the system. The artificial neural network is trained using a large number of commanded motor positions and corresponding measured actual motor positions (measured by encoders associated with the motors) as training data, to obtain a trained artificial neural network that can predict the actual motor position for any commanded motor position. Before executing a treatment scan, the original commanded motor positions calculated from the intended scan pattern are inputted to the trained artificial neural network to predict the actual motor positions, and the predicted actual motor positions are used to adjust the original commanded motor positions. The adjusted commanded motor positions are then used to perform the treatment scan, which produces an actual scan pattern that more closely match the intended scan pattern.

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