Apparatus for monitoring one or more surgical parameters of the eye

Patent metadata

Field	Value
Publication number	US-9949636-B2
Application number	US-201715624894-A
Country	US
Kind code	B2
Filing date	Jun 16, 2017
Priority date	Oct 22, 2011
Publication date	Apr 24, 2018
Grant date	Apr 24, 2018

Abstract

An apparatus for monitoring one or more surgical parameters of the eye over multiple sessions which are temporally spaced apart and between which the eye of the patient can have moved, said apparatus comprising: a camera for taking one or more images of the eye; a module for determining during a first session said at least one surgical parameter of the eye and its coordinates based on the image taken by said camera in a first coordinate system; a module for determining during a second session temporally spaced apart from said first session said at least one surgical parameter of the eye and its coordinates based on the image taken by said camera in a second coordinate system; a module for determining the eye motion in six degrees of freedom between said first and said second session and for determining a coordinate transformation based thereon; a module for transforming based on said determined eye motion said at least one surgical parameter of the eye and its coordinates from said first coordinate system into said second coordinate system; a module for quantifying and/or visualizing the change of said at least one surgical parameter of the eye and its coordinates between said first and said second session based on said surgical eye parameter and its coordinates measured during said second session and said transformed surgical eye parameter and its coordinates measured during said first session, wherein said surgical eye parameters are one or more of the following: implant-related parameters of the eye which are based on an implant which has been surgically placed in the eye of a patient; or the location and/or contour of corneal or limbal or scleral incisions.

First claim

The invention claimed is:

1. A method for monitoring at least one surgical parameter of an eye of a patient over multiple sessions which are temporally spaced apart and between which the eye can have moved, the method comprising:
determining, during a first session, the at least one surgical parameter of the eye and its coordinates based on an image taken by a camera in a first coordinate system;
determining, during a second session temporally spaced apart from the first session, the at least one surgical parameter of the eye and its coordinates based on the image taken by a camera in a second coordinate system;
determining an eye motion in six degrees of freedom between the first session and the second session and determining a coordinate transformation based thereon;
transforming, based on the determined eye motion, the at least one surgical parameter of the eye and its coordinates from the first coordinate system into the second coordinate system; and
quantifying or visualizing a change of the at least one surgical parameter of the eye and its coordinates between the first session and the second session based on the at least one surgical parameter of the eye and its coordinates measured during the second session and the transformed at least one surgical parameter of the eye and its coordinates measured during the first session;
wherein the at least one surgical parameter of the eye comprises one or more of the following:
implant-related parameters of the eye which are based on an implant which has been surgically placed in the eye of a patient; and
a location and/or contour of corneal or limbal or scleral incisions.

2. The method of claim 1 , wherein the implant related eye parameter comprises one or more of the following:
an orientation or position of the implant in the eye;
a location or the contour of a rhexis;
an overlap of the rhexis with a contour of the implant.

3. The method of claim 1 , further comprising:
displaying the least one surgical parameter of the eye measured during the second session and the transformed at least one surgical parameter of the eye measured during said first session in the image of the eye taken during the second session; and
calculating a difference between the at least one surgical parameter of the eye measured during the second session and the transformed at least one surgical parameter of the eye measured during the first session and visualizing the difference in the image of the eye taken during the second session.

4. The method of claim 1 , wherein the first session is one of:
a pre-surgery session, wherein the second session is an intra surgery session or a post surgery session,
an intra-surgery session, wherein the second session is a post surgery session, and
a post-surgery session, wherein the second session is another post surgery session performed at a later time.

5. The method of claim 1 , further comprising measuring and recording the at least one surgical parameter of the eye during multiple sessions over time in order to record the change of the at least one surgical parameter of the eye over time.

Assignees

• Novartis Ag

Inventors

• Kersting Oliver
• Grundig Martin

Classifications

• A61B5/4851

  Prosthesis assessment or monitoring · CPC title

• A61F2/16

  Intraocular lenses · CPC title

• A61B3/14

  Arrangements specially adapted for eye photography · CPC title

• A61B3/1005

  for measuring distances inside the eye, e.g. thickness of the cornea (A61B3/11 takes precedence) · CPC title

• A61F9/007 Primary

  Methods or devices for eye surgery · CPC title