LASIK FLAP CUTTING PATTERNS INCLUDING BUBBLE BARRIER LAYER IN SIDE CUT FOR BUBBLE MANAGEMENT

    公开(公告)号:US20220378615A1

    公开(公告)日:2022-12-01

    申请号:US17664034

    申请日:2022-05-18

    Abstract: A method implemented in an ophthalmic surgical laser system for forming a corneal flap in a patient's eye with improved bubble management. The flap includes a horizontal bed and a vertical or near vertical side cut around the periphery of the bed except for an uncut hinge area. The side cut has a bubble barrier layer that can prevent bubbles formed by the laser-tissue interaction from escaping into an interface between the corneal and the patient interface lens. In some embodiments, the bubble barrier layer is a thin uncut layer, located in the epithelium of the cornea, that separates the side cut into two portions. In other embodiments, the side cut does not reach the anterior corneal surface, leaving an uncut bubble barrier layer located with the epithelium. In other embodiments, an additional side cut portion is formed through the uncut bubble barrier layer as the last step.

    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.

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