Surgical guidance and planning software for astigmatism treatment

Patent metadata

Field	Value
Publication number	US-11141106-B2
Application number	US-201815951278-A
Country	US
Kind code	B2
Filing date	Apr 12, 2018
Priority date	Aug 7, 2013
Publication date	Oct 12, 2021
Grant date	Oct 12, 2021

Abstract

Software for calculating an astigmatism treatment is operable upon execution to perform the following steps: receiving biometric information for a patient; determining based on the biometric information an astigmatic correction comprising at least one of (a) a position for one or more limbal relaxing incisions and (b) a power and an orientation for a toric intraocular lens (IOL); generating an output comprising the astigmatic correction; receiving a selection of a different ratio of astigmatic correction attributable to the one or more limbal relaxing incisions and the toric IOL; determining an updated astigmatic correction including at least one of (a) an updated position for the one or more limbal relaxing incisions and (b) an updated power and/or orientation of the toric IOL.

First claim

What is claimed is:

1. A system comprising:
a non-transitory computer-readable medium storing instructions which, when executed by a processor, cause a surgical planning system to perform the steps of:
receiving an initial surgical plan including an initial primary incision position;
receiving a surgically induced astigmatism value corresponding to the initial primary incision position;
determining, based on an amount of astigmatism to be corrected for an eye and the surgically induced astigmatism value corresponding to the initial primary incision position, a power and orientation for a toric intraocular lens (IOL);
determining, based on an amount of post-surgical astigmatism associated with the toric IOL having the determined power and orientation and the surgically induced astigmatism value corresponding to the initial primary incision position, an adjusted primary incision position, wherein a surgically induced astigmatism value corresponding to the adjusted primary incision position reduces the amount of post-surgical astigmatism;
generating an output comprising the adjusted primary incision position; and
generating a surgical plan to incise a cornea of a patient to create the primary incision at the adjusted primary incision position; and

a laser system communicatively coupled with the processor, the laser system operable to receive the adjusted primary incision position and incise a cornea of a patient to create the primary incision at the adjusted incision position.

2. The system of claim 1 , wherein the non-transitory computer-readable medium stores additional instructions which, when executed by the processor, causes the surgical planning system to perform an additional step of receiving at least one secondary incision position, and wherein determining the power and the orientation of the toric IOL is also based on the at least one secondary incision position.

3. The system of claim 1 , wherein the non-transitory computer-readable medium stores additional instructions which, when executed by the processor, causes the surgical planning system to determine a position for at least one limbal relaxing incision based on the power and the orientation for the toric IOL, and
generate an additional output comprising the position for the at least one limbal relaxing incision, wherein the surgical plan further includes a location to create the at least one limbal relaxing incision.

4. The system of claim 1 , wherein the amount of astigmatism to be corrected for the eye is determined based on patient biometric data retrieved from a memory.

5. The system of claim 1 , wherein the amount of astigmatism to be corrected for the eye is determined based on patient biometric data received from a biometer.

Assignees

• Novartis Ag
• Alcon Inc

Inventors

• Chaudhary Gautam
• Holladay Jack T
• Sarayba Melvin
• Srass Hadi

Classifications

• G16H20/00

  ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance · CPC title

• A61F2/1645

  Toric lenses · CPC title

• A61B5/4851 Primary

  Prosthesis assessment or monitoring · CPC title

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• A61F2240/002

  Designing or making customized prostheses · CPC title