RE-TREATABLE CORNEAL LENTICULAR INCISIONS WITH RE-TREATMENT OPTIONS USING A FEMTOSECOND OPHTHALMIC LASER SYSTEM

    公开(公告)号:WO2022070040A1

    公开(公告)日:2022-04-07

    申请号:PCT/IB2021/058859

    申请日:2021-09-28

    Abstract: A corneal lenticule extraction procedure provides convenient re-treatment options when treatment interruptions occur. The procedure is executed by an ophthalmic laser system according to a programmed treatment plan, which defines an entry cut, an optional ring cut, a bottom lenticule incision having an optical zone, and a flat top bed incision. If an interruption occurs during the entry cut, the treatment plan is re-aligned with the partially formed entry cut and continued, or with a new entry cut placed at a different angular position. If an interruption occurs during the ring cut, the treatment plan is revised to define a larger ring cut concentric with the partially formed ring cut. If an interruption occurs during the bottom or top incision, the depth of the partially formed bottom or top incision is measured, and the treatment plan is revised to form a deeper bottom incision or a shallower top incision, respectively.

    OPHTHALMIC LASER SURGICAL METHOD AND SYSTEM FOR FORMING CORNEAL LENTICULE WITH SIDE TAB FOR EASY EXTRACTION

    公开(公告)号:WO2020188418A1

    公开(公告)日:2020-09-24

    申请号:PCT/IB2020/052213

    申请日:2020-03-12

    Abstract: In an ophthalmic laser procedure, a lenticule is formed in the cornea and extracted from the cornea to accomplish vision correction. The ophthalmic laser system is used to form top and bottom lenticule incisions which intersect each other to form an isolated volume of corneal tissue in between. The volume of tissue includes a lenticular portion having a circular or oval shape and a side tab that protrudes from the peripheral of the lenticular portion. The side tab has a radial dimension between 0.5 and 5 mm and a width between 0.5 and 3 mm in. An entry cut is further formed from the anterior corneal surface to the top or bottom lenticule incisions to provide access to the lenticule. During extraction, the surgeon uses the surgical tool to grab the side tab to extract the lenticule.

    LENTICULAR LASER INCISION FOR LOW MYOPIA AND/OR HYPEROPIA PATIENTS
    4.
    发明申请
    LENTICULAR LASER INCISION FOR LOW MYOPIA AND/OR HYPEROPIA PATIENTS 审中-公开
    对于低度近视和/或超重病患者的大量激光切割

    公开(公告)号:WO2018005877A1

    公开(公告)日:2018-01-04

    申请号:PCT/US2017/040122

    申请日:2017-06-29

    Abstract: Embodiments generally relate to ophthalmic laser procedures and, more particularly, to systems and methods for lenticular laser incisions to form a top lenticular incision, a bottom lenticular incision of a lens in the subject's eye, an added shape between the top and bottom incisions where the added shape has no corrective power and a transition ring bisecting both the top and bottom lenticular incisions.

    Abstract translation: 实施方式一般涉及眼科激光手术,并且更具体地涉及用于形成顶部透镜状切口的透镜状激光切口的系统和方法,对象眼睛中的晶状体的底部透镜状切口,增加的形状 在顶部和底部切口之间,增加的形状没有矫正能力,并且过渡环平分顶部和底部透镜状切口。

    COMPACT ULTRA-SHORT PULSED LASER EYE SURGERY WORKSTATION
    5.
    发明申请
    COMPACT ULTRA-SHORT PULSED LASER EYE SURGERY WORKSTATION 审中-公开
    紧凑超短脉冲激光眼部手术工作台

    公开(公告)号:WO2016209312A1

    公开(公告)日:2016-12-29

    申请号:PCT/US2015/065989

    申请日:2015-12-16

    Abstract: A compact system for performing laser ophthalmic surgery is disclosed. An embodiment of the system includes a mode-locked fiber oscillator-based ultra-short pulsed laser capable of producing laser pulses in the range of 1 nJ to 5 μJ at a pulse repetition rate of between 5 MHz and 25 MHz, a resonant optical scanner oscillating at a frequency of 200 Hz and 21000 Hz, a scan-line rotator, a movable XY- san device, a z-scan device, and a controller configured to coordinate with the other components of the system to produce one or more desired incision patterns. The system also includes compact visualization optics for in-process monitoring using a beam-splitter inside the cone of a patient interface used to fixate the patient's eye during surgery. The system can be configured such that eye surgery is performed while the patient is either sitting upright, or lying on his or her back.

    Abstract translation: 公开了一种用于执行激光眼科手术的紧凑系统。 该系统的一个实施例包括一种基于模式锁定光纤振荡器的超短脉冲激光器,其能够以5MHz和25MHz之间的脉冲重复频率产生1nJ至5μJ范围内的激光脉冲,共振光学扫描器 以200Hz和21000Hz的频率振荡,扫描线旋转器,可移动XY-san装置,z扫描装置和被配置为与系统的其他部件协调以产生一个或多个所需切口的控制器 图案。 该系统还包括紧凑的可视化光学元件,用于在手术中使用用于固定患者眼睛的患者接口的锥体内的分束器进行进程内监测。 该系统可以被配置为使得在患者直立或躺在他或她的背部时进行眼科手术。

    HYBRID FIBER-BULK LASER ISOLATOR
    6.
    发明申请
    HYBRID FIBER-BULK LASER ISOLATOR 审中-公开
    混合纤维激光分离器

    公开(公告)号:WO2014149541A1

    公开(公告)日:2014-09-25

    申请号:PCT/US2014/019416

    申请日:2014-02-28

    Inventor: IMESHEV, Gennady

    Abstract: An apparatus and method for performing ophthalmic laser surgery is provided. The apparatus includes a laser engine configured to deliver a laser pulse to a patient's eye, including a three-port isolator and a collimator attached to the three-port isolator. The collimator includes a collimating lens positioned adjacent to the three-port isolator and a fiber configured to receive laser light energy and provide laser light energy to the collimating lens and three-port isolator in a desired orientation.

    Abstract translation: 提供了一种用于进行眼科激光手术的装置和方法。 该装置包括:激光引擎,被配置为向患者的眼睛传递激光脉冲,包括连接到三端口隔离器的三端口隔离器和准直器。 准直器包括邻近三端口隔离器定位的准直透镜和被配置为接收激光光能并且以期望的方向向准直透镜和三端口隔离器提供激光能量的光纤。

    SCANNING LENS SYSTEM AND METHODS OF REDUCING REACTION FORCES THEREIN
    7.
    发明申请
    SCANNING LENS SYSTEM AND METHODS OF REDUCING REACTION FORCES THEREIN 审中-公开
    扫描镜头系统及其反射率降低的方法

    公开(公告)号:WO2014066671A1

    公开(公告)日:2014-05-01

    申请号:PCT/US2013/066668

    申请日:2013-10-24

    Abstract: A scanning lens component (40) includes a primary (44) and transverse (46)axis stages and motors (70,148). The primary axis motor (70) includes a first coil (72) moving along the primary axis (52) in the first direction (56) along with the primary axis stage (44) and a first magnet (74) configured to move in a second, opposite direction, in response to movement of the first coil (72) a first distance that exceeds a threshold primary axis distance. The transverse axis stage (46) is adjacent and coupled to the primary axis stage (44) and moves along a transverse axis (116) in a third direction (117). The transverse axis motor (148) includes a second coil (154) for moving along the transverse axis (116) in the third direction (117) with the transverse axis stage (46), and a second magnet (156) configured to move in a fourth (119), opposite direction, in response to movement of the second coil (154) along the transverse axis (116) in the third direction (117) a second distance that exceeds a threshold transverse axis distance.

    Abstract translation: 扫描透镜部件(40)包括主轴(44)和横向(46)的轴级和马达(70,148)。 主轴马达(70)包括沿主轴线(52)沿第一方向(56)沿主轴平台(44)移动的第一线圈(72)和配置成沿着第一方向 响应于第一线圈(72)的移动超过阈值主轴距离的第一距离,第二反方向。 横轴平台(46)相邻并联接到主轴平台(44)并沿第三方向(117)沿着横向轴线(116)移动。 横轴电动机(148)包括用于沿横向轴线(116)沿第三方向(117)与横轴级(46)一起移动的第二线圈(154),以及构造成在第二方向 响应于第二线圈(154)在第三方向(117)上沿着横向轴线(116)的移动而超过阈值横向轴线距离的第二距离的第四(119)相反方向。

    OPHTHALMIC RANGE FINDING
    8.
    发明申请
    OPHTHALMIC RANGE FINDING 审中-公开
    眼睛发现范围

    公开(公告)号:WO2012178054A1

    公开(公告)日:2012-12-27

    申请号:PCT/US2012/043808

    申请日:2012-06-22

    Abstract: Embodiments of the invention provide methods and systems for analyzing the ophthalmic anatomy of a patient posterior to the cornea. The method may include scanning a focus of a femtosecond laser beam along a path within the patient's eye. A portion of the path may be disposed posterior to the patient's cornea. The method may also include acquiring a first reflectance image and a second reflectance image associated with the focus disposed respectively at a first location of the path and a second location of the path. The method may further include determining the presence or absence of an ophthalmic anatomical feature of the eye based on a comparison between the first reflectance image and the second reflectance image.

    Abstract translation: 本发明的实施例提供了用于分析角膜后面的患者的眼科解剖结构的方法和系统。 该方法可以包括沿着患者眼睛内的路径扫描飞秒激光束的焦点。 路径的一部分可以设置在患者角膜的后面。 该方法还可以包括获取分别设置在路径的第一位置和路径的第二位置处的与焦点相关联的第一反射率图像和第二反射率图像。 该方法还可以包括基于第一反射图像和第二反射图像之间的比较来确定眼睛的眼科解剖特征的存在或不存在。

    SYSTEMS AND METHODS FOR FINE-TUNING REFRACTIVE SURGERY
    9.
    发明申请
    SYSTEMS AND METHODS FOR FINE-TUNING REFRACTIVE SURGERY 审中-公开
    微调触摸手术的系统和方法

    公开(公告)号:WO2011066555A1

    公开(公告)日:2011-06-03

    申请号:PCT/US2010/058383

    申请日:2010-11-30

    Inventor: DAI, Guang-Ming

    Abstract: Systems and methods for fine-tuning refractive shapes for vision treatment are provided. Techniques encompass determining a variable index of refraction for a cornea of the eye, and determining the refractive treatment shape for the eye based on the variable index of refraction. Techniques also encompass determining a variable radius of curvature of an anterior surface of a cornea of the eye, and determining the refractive treatment shape for the eye based on the variable radius of curvature.

    Abstract translation: 提供了用于视觉处理的用于微调折射形状的系统和方法。 技术包括确定眼睛角膜的可变折射率,以及基于可变折射率确定眼睛的折射治疗形状。 技术还包括确定眼睛角膜前表面的可变曲率半径,并且基于可变曲率半径来确定眼睛的折射治疗形状。

    CUSTOMIZED LASER EPITHELIAL ABLATION SYSTEMS AND METHODS
    10.
    发明申请
    CUSTOMIZED LASER EPITHELIAL ABLATION SYSTEMS AND METHODS 审中-公开
    自定义激光上行系统和方法

    公开(公告)号:WO2008144564A2

    公开(公告)日:2008-11-27

    申请号:PCT/US2008/063978

    申请日:2008-05-16

    Abstract: Systems and methods to treat a region of a cornea of an eye having an epithelial layer disposed over a stromal layer. The system comprises a device to map a thickness of the epithelial layer over the region of the cornea to generate a map of epithelial thickness over the region, and a laser to generate a laser beam of an ablative radiation. A movable scan component is coupled to the laser to scan the laser beam over the region. A processor system is coupled to the laser and the movable scan component, and the processor system is configured to arrange pulses of laser beam to ablate the epithelial layer of the region in response to the map of epithelial thickness.

    Abstract translation: 用于治疗具有设置在基质层上的上皮层的眼睛角膜区域的系统和方法。 该系统包括用于映射角膜区域上的上皮层的厚度以在该区域上产生上皮厚度的图的装置,以及用于产生消融辐射的激光束的激光器。 可移动扫描部件耦合到激光器以扫描该区域上的激光束。 处理器系统耦合到激光器和可移动扫描部件,并且处理器系统被配置为响应于上皮厚度图布置激光束的脉冲以消融该区域的上皮层。

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