Ophthalmic laser surgical system and method for corneal lenticular incisions with unambiguous entry cuts

    公开(公告)号:US11039959B2

    公开(公告)日:2021-06-22

    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.

    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.

    LASIK FLAP CUTTING PATTERNS INCLUDING INTRASTROMAL POCKET FOR BUBBLE MANAGEMENT

    公开(公告)号:US20220175581A1

    公开(公告)日:2022-06-09

    申请号:US17457419

    申请日:2021-12-02

    Abstract: A method implemented in an ophthalmic surgical laser system that employs a resonant scanner, scan line rotator, and XY- and Z-scanners, for forming a corneal flap in a patient's eye with improved bubble management during each step of the flap creation process. A pocket cut is formed first below bed level, followed by the bed connected to the pocket cut, then by a side cut extending from the bed to the anterior corneal surface. The pocket cut includes a pocket region located below the bed level and a ramp region connecting the pocket region to the bed. The bed is formed by a hinge cut and a first ring cut at lower laser energies, followed by a bed cut and then a second ring cut, which ensures that any location in the flap bed is cut twice to minimize tissue adhesion. The side cut is formed by multiple side-cut layers at different depths which are joined together. All cuts are formed by scanning a laser scan line generated by the resonant scanner.

    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.

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

    公开(公告)号:US20240335323A1

    公开(公告)日:2024-10-10

    申请号:US18737900

    申请日:2024-06-07

    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.

    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.

    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.

Patent Agency Ranking