Abrégé

A system for visualizing an eye of a patient during corneal surgery includes a processor and a first and second camera in signal communication with the processor. The cameras are positionable for focusing on a cornea positioned for surgery. A first and a second display and optics therefor are in signal communication with the processor and are positionable for viewing through a first and a second eyepiece of a stereo microscope, respectively. Software is resident on the processor for receiving a first and second corneal image from the first and second cameras, for processing the received first and second images for display, and for transmitting the processed first and second images to the first and the second displays, respectively, via the display optics. The displays can then be viewed by a surgeon through the microscope at least during the surgery.

Classes IPC  ?

• A61B 3/13 - Microscopes ophtalmiques
• G02B 21/22 - Aménagements stéréoscopiques
• A61F 9/007 - Procédés ou dispositifs pour la chirurgie de l'œil
• G02B 21/06 - Moyens pour éclairer un échantillon
• G02B 21/00 - Microscopes
• G02B 21/36 - Microscopes aménagés pour la photographie ou la projection
• A61F 9/01 - Traitement de la cornée

Abrégé

A method for optimizing a prescription for laser-ablation corneal treatment includes receiving a measured correction prescription for a current patient. Next a database of treatment outcomes on a plurality of previously treated patients is accessed. The database contains a desired correction, and an actual correction. A difference between the desired correction and the actual correction represents an over- or undercorrection resulting from surgery. From the difference data is calculated a distribution of data points as a function of correction level. From the data-point distribution is calculated a statistically based offset applicable to the correction prescription for matching actual corrections with desired corrections. From the data-point distribution is calculated a confidence interval of the data using a predetermined confidence level. The statistically based offset is then adjusted based upon the confidence interval to provide an optimized prescription. The adjusted offset is then output for use in performing a refractive procedure.

Classes IPC  ?

• A61F 9/01 - Traitement de la cornée
• A61B 3/103 - Appareils pour l'examen optique des yeuxAppareils pour l'examen clinique des yeux du type à mesure objective, c.-à-d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient pour la détermination de la réfraction, p. ex. réfractomètres, skiascopes

Abrégé

A method for improving an accuracy of a prescription for laser-ablation corneal treatment includes the step of receiving a set of raw data comprising Hartmann-Shack image data obtained from a plurality of aberrometer measurements of a patient eye. The Hartmann-Shack data can include, for example, a dot pattern image for each measurement. A set of reconstructed wavefront data calculated from the set of raw data for the plurality of aberrometer measurements is also received. Data on a selected component of the set of raw data and in the set of reconstructed wavefront data are compared. If the selected component data differ more than a predetermined amount between the raw data and the reconstructed wavefront data, the raw data can be further manipulated prior to undertaking laser ablation. In addition, these data are removed from consideration for inclusion in the database of treatment outcomes.

Classes IPC  ?

• A61B 3/103 - Appareils pour l'examen optique des yeuxAppareils pour l'examen clinique des yeux du type à mesure objective, c.-à-d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient pour la détermination de la réfraction, p. ex. réfractomètres, skiascopes
• A61F 9/01 - Traitement de la cornée

Abrégé

A system for positioning an eye of a patient, for example, for laser ophthalmic surgery includes a reflectometer adapted to receive as input a reflected beam from an anterior surface of a cornea of an eye of a patient. The interferometer is calibratable to a desired position of the corneal anterior surface. A comparator is in signal communication with the interferometer and is adapted to calculate from the input a difference between an actual position and the desired position of the corneal anterior surface. A device is in signal communication with the comparator for moving the patient a distance in a direction for matching the actual position to the desired position of the corneal anterior surface.

Classes IPC  ?

• A61F 9/008 - Procédés ou dispositifs pour la chirurgie de l'œil utilisant un laser
• A61B 3/15 - Dispositions spécialement adaptées à la photographie de l'œil avec des moyens d'alignement, d'espacement ou de suppression des réflexions parasites

Abrégé

A system (10) is provided that includes a patient support structure (200) for performing laser ophthalmic surgery thereon. The patient support structure includes a movable platform having a headrest area (205) and a patient identification device integrated into the platform. The identification device (13) is adapted to receive a signal from a patient-borne device '(201) and is operable to communicate with a processor (14) for automatically confirming patient identity. A temperature and a humidity sensor are positioned adjacent the headrest area. A heatable cushion (40) is provided for heating at least a portion of the patient positionable on the platform. A calibration stage (29) is also provided for calibrating a patient head position, wherein the calibration means is integral to the structure and positioned adjacent the headrest area. The platform can be moved from a first position for entry/exit and/or for flap cutting and a second position for performing a corneal ablation.

Classes IPC  ?

• A61F 9/007 - Procédés ou dispositifs pour la chirurgie de l'œil
• A61G 13/12 - Appuis qui leur sont spécialement adaptésDisposition des surfaces pour supporter des patients

Abrégé

A method of the present invention is directed to improving an outcome of a surgical procedure on a patient cornea. The method includes the steps of measuring a mechanical parameter of a cornea of an eye and determining a laser-surgery prescription for the cornea to improve a visual parameter therefor. The prescription is then adjusted based upon the measured mechanical parameter of the cornea.

Classes IPC  ?

• A61F 9/01 - Traitement de la cornée

Abrégé

A system (200) or method of positioning an ophthalmic device relative to an eye is provided. The method first obtains a series of images of an eye. In these series of images, the distance between the ophthalmic device and the eye is varied while the region of the eye image remains substantially the same. It is possible then to process these images to determine the high frequency content associated with each image. By comparing the high frequency content associated with each image, it is possible to determine which image has the largest amount of high frequency content. The high frequency content is maximized when the image is the sharpest. An optimally focused image will have the largest amount of high frequency content . By examining the high frequency content associate with the series of images is impossible to adjust the relative position and distance between the eye and the ophthalmic device to the distance associated with the image having the largest amount of high frequency content (i.e., optimally focused) .

Classes IPC  ?

• A61F 9/01 - Traitement de la cornée
• A61B 3/10 - Appareils pour l'examen optique des yeuxAppareils pour l'examen clinique des yeux du type à mesure objective, c.-à-d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient

Abrégé

A system for tracking eye movement includes a detector (11) that is adapted to receive radiation reflected from a retina (13) defining a spatial extent of a pupil (14) of an eye. The detector acts to generate data indicative of a positioning of the received radiation on the detector. A processor (23) is in communication with the detector and has software resident thereon for determining from an analysis of the data a pupil position. A controller (25) is in communication with the processor and with a device for adjusting a direction of radiation emitted by an illumination source (17) responsive to the determined pupil position in order to substantially center the emitted radiation on the pupil. The illumination source is preferably coaxial with the detector, and emits a beam having a diameter less than the pupil diameter.

Classes IPC  ?

• A61B 3/113 - Appareils pour l'examen optique des yeuxAppareils pour l'examen clinique des yeux du type à mesure objective, c.-à-d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient pour déterminer ou enregistrer le mouvement de l'œil

Abrégé

Embodiments of the present invention provide an alignment system operable to align a laser associated with a laser vision correction system. One embodiment of the alignment system comprises a laser source, a beam steering device, a system controller, a partially reflective surface, focusing optics, and an optical detector. The laser source generates a laser beam that the beam steering device receives and redirects along either a surgical pathway or an alignment pathway. The system controller couples to the beam steering device and directs the beam steering device to choose which pathway to be utilized. Additionally, the system controller may control the pulse repetition rate, intensity, beam profile and alignment of the laser beam. The partially reflective surface, within the alignment pathway, partially reflects the laser beam towards alignment coordinates on the surface of the optical detector. Focusing optics, if needed, may further be utilized to focus the partially reflected laser beam on the surface of the optical detector. The optical detector senses the coordinates associated with the illuminated portion of the surface of the optical detector. The system controller compares the coordinates associated with the alignment coordinates and the sensed coordinates and generates a position offset which is used to align the laser beam/steering device.

Classes IPC  ?

• A61F 9/01 - Traitement de la cornée

Abrégé

A method for performing wavefront-guided laser surgery on a cornea includes the step of calculating a corneal flap configuration based upon collected anatomical information on an eye and wavefront data on a cornea of the eye. Such data may be collected by, for example, an aberrometer, although this is not intended as a limitation. The calculated configuration is transmitted to a processor in controlling relation to a corneal flap-cutting device. The flap-cutting device is used to create a corneal flap based upon the calculated configuration. A system for performing wavefront-guided laser surgery on a cornea includes a processor for receiving the anatomical information and wavefront data. A software package is adapted to calculate the corneal flap configuration and to control a corneal flap-cutting device to cut a corneal flap commensurate with the calculated corneal flap configuration.

Classes IPC  ?

• A61F 9/01 - Traitement de la cornée

Abrégé

A system and method for determining a lateral position of an eye relative to an ophthalmic device are disclosed. One embodiment of the method includes receiving data comprising an image of a surface of an eye. An edge feature in the image is located, wherein the edge feature is in a known relationship to a pupil of the eye. The image is mapped from the edge feature to laterally define the pupil, and a center of the pupil is determined using the pupil definition. The pupil center comprises a location from which to achieve a preferred lateral eye position relative to an ophthalmic device. An embodiment of the system of this invention can include a processor and a software package executable by the processor, the software package adapted to cause the processor to carry out the method steps.

Classes IPC  ?

• A61B 3/15 - Dispositions spécialement adaptées à la photographie de l'œil avec des moyens d'alignement, d'espacement ou de suppression des réflexions parasites
• A61F 9/01 - Traitement de la cornée

Abrégé

A system and method for determining an optimal position of an eye relative to an ophthalmic device are disclosed. One embodiment of the method includes receiving data comprising an image of a surface of an eye with the eye at a first position relative to an ophthalmic device. An edge feature in the image is located, and a sharpness calculation on the edge feature is performed using a predetermined algorithm to yield a sharpness value. The eye surface is then adjusted to a second position relative to the ophthalmic device, and the previous steps are repeated until the sharpness value is maximized, which is an indication that an optimal eye position has been achieved. An embodiment of the system includes a processor and a software package executable by the processor, the software package adapted to perform the calculations as above. Means are also provided for adjusting the eye surface to a second position relative to the ophthalmic device.

Classes IPC  ?

• A61B 3/10 - Appareils pour l'examen optique des yeuxAppareils pour l'examen clinique des yeux du type à mesure objective, c.-à-d. instruments pour l'examen des yeux indépendamment des perceptions ou des réactions du patient