Methods for lenticular laser incision

    公开(公告)号:US12138201B2

    公开(公告)日:2024-11-12

    申请号:US17651242

    申请日:2022-02-15

    Abstract: Embodiments 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 a corneal stroma.

    Corneal lenticular incision using a femtosecond laser with smooth scanning trajectory connecting multiple sweeps

    公开(公告)号:US12121476B2

    公开(公告)日:2024-10-22

    申请号:US17658229

    申请日:2022-04-06

    Inventor: Wenzhi Gao Hong Fu

    Abstract: An ophthalmic laser system and related method for forming a lenticular incision in a corneal lenticule extraction procedure. The lenticular incision is formed by multiple sweeps of a laser scan line along meridians of longitude of the lenticular incision, where the end point of each sweep is connected to the start point of the next sweep by a smooth turning trajectory. The trajectory includes a first circular arc tangentially connected to the first sweep at its end point, a second circular arc tangentially connected to the next sweep at its start point, and a straight line segment tangentially connected to both circular arcs. The smooth trajectory is determined with the given limits of velocity, acceleration and jerk of the XY scanning motors, without using high frequency filters to smooth the trajectory, thereby avoiding unknown changes to the original trajectory and achieving high precision lenticule shapes.

    Multi-use beam sampler in laser beam delivery path of ophthalmic laser system

    公开(公告)号:US11963907B2

    公开(公告)日:2024-04-23

    申请号:US17448175

    申请日:2021-09-20

    Abstract: In a laser beam delivery system for an ophthalmic laser system, a single multi-use beam sampler is employed to form three sampled laser beams, including two for redundant laser energy monitoring and one for laser focal point depth measurement. The beam sampler is a transparent plate with preferably parallel front and back surfaces. The front surface reflects a fraction of the incoming beam to form the first sampled beam toward an energy monitoring detector. The back surface reflects another fraction of the beam to form a second sampled beam exiting backwardly from the front surface toward another energy monitoring detector. An objective lens focuses the transmitted beam onto a target, and collects back reflected or scattered light from the target to form a return beam. The back surface of the beam sampler reflects a fraction of the return beam to form the third sampled beam toward a third detector.

    CORNEAL LENTICULAR INCISION USING A FEMTOSECOND LASER WITH SMOOTH SCANNING TRAJECTORY CONNECTING MULTIPLE SWEEPS

    公开(公告)号:US20230320898A1

    公开(公告)日:2023-10-12

    申请号:US17658229

    申请日:2022-04-06

    Inventor: Wenzhi Gao Hong Fu

    Abstract: An ophthalmic laser system and related method for forming a lenticular incision in a corneal lenticule extraction procedure. The lenticular incision is formed by multiple sweeps of a laser scan line along meridians of longitude of the lenticular incision, where the end point of each sweep is connected to the start point of the next sweep by a smooth turning trajectory. The trajectory includes a first circular arc tangentially connected to the first sweep at its end point, a second circular arc tangentially connected to the next sweep at its start point, and a straight line segment tangentially connected to both circular arcs. The smooth trajectory is determined with the given limits of velocity, acceleration and jerk of the XY scanning motors, without using high frequency filters to smooth the trajectory, thereby avoiding unknown changes to the original trajectory and achieving high precision lenticule shapes.

    OPHTHALMIC LASER SURGICAL SYSTEM AND METHOD FOR WAVEFRONT-GUIDED CORNEAL LENTICULE EXTRACTION FOR VISION CORRECTION

    公开(公告)号:US20230277377A1

    公开(公告)日:2023-09-07

    申请号:US17653127

    申请日:2022-03-01

    Inventor: Hong Fu

    CPC classification number: A61F9/00827 A61F9/013 A61F2009/0088

    Abstract: A ophthalmic laser-assisted corneal lenticule extraction procedure that uses wavefront measurements to guide the formation of the corneal lenticule. The wavefront map measured from a free eye using a wavefront aberrometer is registered to the cornea of a docked eye based on comparisons of iris images and corneal markings. The docked-eye cornea-registered wavefront map is then corrected to be consistent with the Munnerlyn formula for the spherical power, and adjusted for any physician adjustments and/or myopia error due to a flat add in the lenticule, using Zernike polynomials. The corrected and adjusted wavefront map is then used to calculate the profiles of the bottom and top lenticule incisions in the applanated cornea, where higher-order components in the wavefront map are distributed to the bottom lenticule incision alone and lower-order components in the wavefront map are distributed to both the bottom and the top lenticule incision.

    WATER-IMMERSED HIGH PRECISION LASER FOCUS SPOT SIZE MEASUREMENT APPARATUS

    公开(公告)号:US20230175838A1

    公开(公告)日:2023-06-08

    申请号:US18157729

    申请日:2023-01-20

    CPC classification number: G01B11/2408

    Abstract: A measurement apparatus for measuring a laser focus spot size, which includes a two-dimensional image detector and an imaging system which forms a magnified image of a focus spot located an object plane onto the image detector. The imaging system includes at least an objective lens. A sealed liquid container is secured over a part of the objective lens such as the optical surface of the objective lens is immersed in the liquid (e.g. water) within the container. The liquid container has a window through which the laser beam enters. An image processing method is also disclosed which processes the image obtained by the image detector to obtain the focus spot size while implementing an algorithm that corrects for the effect of ambient vibration.

    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.

    HIGH SPEED CORNEAL LENTICULAR INCISION USING A FEMTOSECOND LASER

    公开(公告)号:US20210128358A1

    公开(公告)日:2021-05-06

    申请号:US17095722

    申请日:2020-11-11

    Abstract: An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using “fast-scan-slow-sweep” scanning scheme. A high frequency scanner forms a fast scan line, which is placed by the XY and Z scanners at a location tangential to a parallel of latitude of the surface of the lenticule. The XY and Z scanners then move the scan line in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, and a prism is used to change the orientation of the scan line of the high frequency scanner between successive sweeps. In each sweep, the sweeping speed along the meridian is variable, being the slowest at the edge of the lenticule and the fastest near the apex.

    PATIENT INTERFACE DEVICE FOR OPHTHALMIC SURGICAL LASER SYSTEM

    公开(公告)号:US20210022917A1

    公开(公告)日:2021-01-28

    申请号:US17067541

    申请日:2020-10-09

    Abstract: A single-piece patient interface device (PI) for coupling an patient's eye to an ophthalmic surgical laser system, which includes a rigid shell, a flexible suction ring joined to a lower edge of the shell, an applanation lens, and a flexible annular diaphragm which joins the applanation lens to the shell near the lower edge of the shell. The flexible diaphragm allows the applanation lens to move relative to the shell, including to shift in longitudinal and lateral directions of the shell and to tilt. In operation, the surgeon first secures the PI to the patient's eye by hand, and then couples the laser system to the PI by lowering the laser delivery head into the PI shell. During the lowering process, the laser delivery head presses the applanation lens down relative to the PI to applanate the cornea of the eye.

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