Method and apparatus for creating ocular surgical and relaxing incisions

Patent metadata

Field	Value
Publication number	US-10405970-B2
Application number	US-201514948211-A
Country	US
Kind code	B2
Filing date	Nov 20, 2015
Priority date	Mar 13, 2007
Publication date	Sep 10, 2019
Grant date	Sep 10, 2019

Abstract

A system and method of treating target tissue in a patient's eye, which includes generating a light beam, deflecting the light beam using a scanner to form first and second treatment patterns, delivering the first treatment pattern to the target tissue to form an incision that provides access to an eye chamber of the patient's eye, and delivering the second treatment pattern to the target tissue to form a relaxation incision along or near limbus tissue or along corneal tissue anterior to the limbus tissue of the patient's eye to reduce astigmatism thereof.

First claim

What is claimed is:

1. A scanning system for treating a target tissue in a patient's eye, comprising:
a first light source for generating a treatment light beam;
a second light source for generating an imaging light beam;
a scanner configured to deflect the treatment light beam to form a treatment pattern under the control of a controller, the scanner further being configured to deflect the imaging light beam; and
a delivery system configured to deliver the treatment light beam to the target tissue to form the treatment pattern, the delivery system being further configured to deliver the imaging light beam to the target tissue such that the imaging beam is indicative of a focal position of the treatment light beam, wherein the target tissue is selected from the group consisting of the lens, lens capsule, cornea, limbus and sclera of the patient's eye.

2. The system of claim 1 , further comprising: a common optical path comprising one or more optical elements for delivering both the treatment light beam and the imaging light beam to at least one of the scanner and the delivery system.

3. The system of claim 2 , wherein the one or more optical elements comprises a beam combiner for combining the treatment light beam and the imaging light beam.

4. The system of claim 1 , further comprising: measuring back reflections or scatter of the imaging light beam from structures at or near the target tissue of the patient's eye, and wherein the controller identifies a location of the treatment light beam based on the measured scattering properties.

5. The system of claim 1 , wherein the treatment light beam and the imaging light beam are delivered simultaneously.

6. The system of claim 1 , wherein the second light source is an OCT light source and the imaging light beam is an OCT light beam.

7. The system of claim 6 , wherein the OCT light source is configured to emit wavelengths between 800 and 1400 nm.

8. The system of claim 1 , further comprising: a profilometer for measuring a surface profile of a surface of the cornea of the patient's eye.

9. The system of claim 1 , further comprising: a third light source for generating an aiming light beam, wherein the scanner is configured to deflect the aiming light beam to form an aiming pattern that is delivered to the target tissue and visually indicates a position of the treatment pattern on the patient's eye.

10. The system of claim 1 , further comprising: a camera for capturing an image of the target tissue; a display device for displaying the captured image; and a graphic user interface for modifying a composition and location of the treatment pattern on the patient's eye.

11. A scanning system for treating a target tissue in a patient's eye, comprising:
a first light source for generating a treatment light beam;
an Optical Coherence Tomography (OCT) system comprising an OCT light source configured to generate an OCT light beam;
a scanner configured to deflect the treatment light beam to form a treatment pattern under the control of a controller, the scanner further being configured to deflect the OCT light beam; and
a delivery system configured to deliver the treatment light beam to the target tissue to form the treatment pattern, the delivery system being further configured to deliver the OCT light beam to the target tissue such that the OCT light beam is indicative of a focal position of the treatment light beam.

12. The system of claim 11 , further comprising: a common optical path comprising one or more optical elements for delivering both the treatment light beam and the OCT light beam to at least one of the scanner and the delivery system.

13. The system of claim 12 , wherein the one or more optical elements comprises a beam combiner for combining the treatment light beam and the OCT light beam.

14. The system of claim 11 , where the target tissue is selected from the group consisting of the lens, lens capsule, cornea, limbus and sclera of the patient's eye.

15. The system of claim 11 , further comprising:
an OCT detector for measuring back reflections or scatter of the OCT light beam from structures at or near the target tissue of the patient's eye, and wherein the controller identifies a location of the treatment light beam based on the measured scattering properties.

16. The system of claim 11 , wherein the treatment light beam and the OCT light beam are delivered simultaneously.

17. The system of claim 11 , wherein the OCT light source is configured to emit an OCT light beam having wavelengths between 800 and 1400 nm.

18. The system of claim 11 , further comprising: a profilometer for measuring a surface profile of a surface of the cornea of the patient's eye.

19. The system of claim 11 , further comprising: A second light source for generating an aiming light beam, wherein the scanner is configured to deflect the aiming light beam to form an aiming pattern that is delivered to the target tissue and visually indicates a position of the treatment pattern on the patient's eye.

20. The system of claim 11 , further comprising:
a camera for capturing an image of the target tissue;
a display device for displaying the captured image; and
a graphic user interface for modifying a composition and location of the treatment pattern on the patient's eye.

Assignees

• Optimedica Corp

Inventors

• Culbertson William
• Angeley David
• Marcellino George R
• Andersen Dan

Classifications

• A61F9/009

  Auxiliary devices making contact with the eyeball and coupling in laser light, {e.g. goniolenses (apparatus for eye examination A61B3/0008)} · CPC title

• A61F9/00812

  Inlays; Onlays; Intraocular lenses [IOL] · CPC title

• A61F9/008

  using laser · CPC title

• A61F9/00754

  for cutting or perforating the anterior lens capsule, e.g. capsulotomes · CPC title

• A61F9/00

  Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand (caps with means for protecting the eyes A42B1/0181; visors for helmets A42B3/22; eye baths A61H35/02; sunglasses or goggles having the same features as spectacles G02C) · CPC title