CA3100509A1 - Systemes et methodes pour une incision lenticulaire au laser - Google Patents
Systemes et methodes pour une incision lenticulaire au laser Download PDFInfo
- Publication number
- CA3100509A1 CA3100509A1 CA3100509A CA3100509A CA3100509A1 CA 3100509 A1 CA3100509 A1 CA 3100509A1 CA 3100509 A CA3100509 A CA 3100509A CA 3100509 A CA3100509 A CA 3100509A CA 3100509 A1 CA3100509 A1 CA 3100509A1
- Authority
- CA
- Canada
- Prior art keywords
- lenticular
- lens
- incision
- edge transition
- lenticular incision
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title claims abstract description 67
- 230000007704 transition Effects 0.000 claims abstract description 61
- 210000004087 cornea Anatomy 0.000 claims description 78
- 230000003287 optical effect Effects 0.000 claims description 49
- 238000002224 dissection Methods 0.000 description 51
- 238000012937 correction Methods 0.000 description 30
- 238000000605 extraction Methods 0.000 description 22
- 230000009471 action Effects 0.000 description 21
- 239000000463 material Substances 0.000 description 21
- 210000001519 tissue Anatomy 0.000 description 19
- 201000006318 hyperopia Diseases 0.000 description 18
- 206010020675 Hypermetropia Diseases 0.000 description 17
- 230000004305 hyperopia Effects 0.000 description 17
- 230000002093 peripheral effect Effects 0.000 description 13
- 238000001356 surgical procedure Methods 0.000 description 13
- 238000003860 storage Methods 0.000 description 12
- 230000008569 process Effects 0.000 description 9
- 230000008901 benefit Effects 0.000 description 8
- 238000002430 laser surgery Methods 0.000 description 8
- 238000005259 measurement Methods 0.000 description 8
- 238000000149 argon plasma sintering Methods 0.000 description 7
- 230000007246 mechanism Effects 0.000 description 6
- 230000015654 memory Effects 0.000 description 6
- 208000001491 myopia Diseases 0.000 description 6
- 230000004379 myopia Effects 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 238000011282 treatment Methods 0.000 description 4
- 239000011800 void material Substances 0.000 description 4
- 206010052118 Corneal striae Diseases 0.000 description 3
- 201000009310 astigmatism Diseases 0.000 description 3
- 210000001525 retina Anatomy 0.000 description 3
- 238000002679 ablation Methods 0.000 description 2
- 230000004075 alteration Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 210000003683 corneal stroma Anatomy 0.000 description 2
- 210000000981 epithelium Anatomy 0.000 description 2
- 230000004438 eyesight Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000002177 Cataract Diseases 0.000 description 1
- 206010047571 Visual impairment Diseases 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 210000002159 anterior chamber Anatomy 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000001742 aqueous humor Anatomy 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000006735 deficit Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00827—Refractive correction, e.g. lenticle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00827—Refractive correction, e.g. lenticle
- A61F9/00829—Correction of higher orders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00834—Inlays; Onlays; Intraocular lenses [IOL]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00836—Flap cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00844—Feedback systems
- A61F2009/00846—Eyetracking
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00844—Feedback systems
- A61F2009/00848—Feedback systems based on wavefront
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00897—Scanning mechanisms or algorithms
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Optics & Photonics (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physics & Mathematics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Laser Surgery Devices (AREA)
Abstract
Des modes de réalisation de la présente invention concernent, d'une manière générale, des interventions ophtalmiques au laser et, plus particulièrement, des systèmes et des méthodes pour une incision lenticulaire au laser. Dans un mode de réalisation, un système de laser chirurgical ophtalmique comprend un système d'émission de laser servant à émettre un faisceau laser pulsé vers une cible dans un il d'un sujet, un dispositif à balayage XY servant à dévier le faisceau laser pulsé, un dispositif à balayage Z servant à modifier une profondeur d'un foyer du faisceau laser pulsé et un dispositif de commande conçu pour former une incision lenticulaire supérieure et une incision lenticulaire inférieure d'une lentille dans l'il du sujet, chacune des incisions lenticulaires supérieure et inférieure comprenant une partie sphérique centrale et une partie de transition de bord qui n'est pas située sur la même surface sphérique que la partie sphérique, mais qui a une forme plus abrupte.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US16/109,654 US10709611B2 (en) | 2014-09-25 | 2018-08-22 | Systems and methods for lenticular laser incision |
| US16/109,654 | 2018-08-22 | ||
| PCT/IB2019/056981 WO2020039328A1 (fr) | 2018-08-22 | 2019-08-19 | Systèmes et méthodes pour une incision lenticulaire au laser |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA3100509A1 true CA3100509A1 (fr) | 2020-02-27 |
Family
ID=69591218
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3100509A Pending CA3100509A1 (fr) | 2018-08-22 | 2019-08-19 | Systemes et methodes pour une incision lenticulaire au laser |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP3840702A4 (fr) |
| AU (1) | AU2019323793A1 (fr) |
| CA (1) | CA3100509A1 (fr) |
| WO (1) | WO2020039328A1 (fr) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116249505A (zh) * | 2020-09-30 | 2023-06-09 | Amo开发有限责任公司 | 使用飞秒眼科激光系统的具有可再治疗选项的可再治疗角膜透镜切口 |
| CN117729906A (zh) * | 2021-06-07 | 2024-03-19 | 泰克诺拉斯完美视觉有限公司 | 使用凸起接触表面形成角膜内切口的方法和系统 |
| US12121476B2 (en) | 2022-04-06 | 2024-10-22 | Amo Development, Llc | Corneal lenticular incision using a femtosecond laser with smooth scanning trajectory connecting multiple sweeps |
| DE102023208088A1 (de) * | 2023-08-24 | 2025-02-27 | Carl Zeiss Meditec Ag | Verfahren und Vorrichtung zur Erzeugung von Steuerdaten mit einer optimierten Schnittgeometrie und Schnittreihenfolge für eine Korrektur der Refraktion eines Auges |
Family Cites Families (22)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5207668A (en) | 1983-11-17 | 1993-05-04 | Visx Incorporated | Method for opthalmological surgery |
| US4770172A (en) | 1983-11-17 | 1988-09-13 | Lri L.P. | Method of laser-sculpture of the optically used portion of the cornea |
| US4732148A (en) | 1983-11-17 | 1988-03-22 | Lri L.P. | Method for performing ophthalmic laser surgery |
| US4773414A (en) | 1983-11-17 | 1988-09-27 | Lri L.P. | Method of laser-sculpture of the optically used portion of the cornea |
| US5219343A (en) | 1983-11-17 | 1993-06-15 | Visx Incorporated | Apparatus for performing ophthalmogolical surgery |
| US4665913A (en) | 1983-11-17 | 1987-05-19 | Lri L.P. | Method for ophthalmological surgery |
| US5108388B1 (en) | 1983-12-15 | 2000-09-19 | Visx Inc | Laser surgery method |
| US4669466A (en) | 1985-01-16 | 1987-06-02 | Lri L.P. | Method and apparatus for analysis and correction of abnormal refractive errors of the eye |
| US5163934A (en) | 1987-08-05 | 1992-11-17 | Visx, Incorporated | Photorefractive keratectomy |
| US4764930A (en) | 1988-01-27 | 1988-08-16 | Intelligent Surgical Lasers | Multiwavelength laser source |
| US5993438A (en) | 1993-11-12 | 1999-11-30 | Escalon Medical Corporation | Intrastromal photorefractive keratectomy |
| US5646791A (en) | 1995-01-04 | 1997-07-08 | Visx Incorporated | Method and apparatus for temporal and spatial beam integration |
| US6110166A (en) * | 1995-03-20 | 2000-08-29 | Escalon Medical Corporation | Method for corneal laser surgery |
| US6302876B1 (en) | 1997-05-27 | 2001-10-16 | Visx Corporation | Systems and methods for imaging corneal profiles |
| US8394084B2 (en) | 2005-01-10 | 2013-03-12 | Optimedica Corporation | Apparatus for patterned plasma-mediated laser trephination of the lens capsule and three dimensional phaco-segmentation |
| CA2711438C (fr) | 2008-01-08 | 2013-10-01 | Amo Wavefront Sciences Llc | Systemes et procedes pour mesurer une forme de surface |
| MX2011013286A (es) * | 2009-06-12 | 2012-04-11 | Wavelight Gmbh | Aparato para cirugia laser oftalmica. |
| EP2774587B1 (fr) | 2010-01-08 | 2021-10-20 | AMO Development, LLC | Système permettant de modifier un tissu oculaire et des lentilles intraoculaires |
| US9521949B2 (en) | 2011-06-23 | 2016-12-20 | Amo Development, Llc | Ophthalmic range finding |
| WO2013053366A1 (fr) * | 2011-10-10 | 2013-04-18 | Wavelight Gmbh | Dispositif et procédé pouvant être utilisés en chirurgie oculaire chez l'être humain |
| AU2015320445B2 (en) * | 2014-09-25 | 2020-06-25 | Amo Development, Llc | Systems for lenticular laser incision |
| US11065156B2 (en) | 2016-06-29 | 2021-07-20 | Amo Development, Llc | Lenticular laser incision for low myopia and/or hyperopia patients |
-
2019
- 2019-08-19 CA CA3100509A patent/CA3100509A1/fr active Pending
- 2019-08-19 EP EP19851297.2A patent/EP3840702A4/fr active Pending
- 2019-08-19 WO PCT/IB2019/056981 patent/WO2020039328A1/fr not_active Ceased
- 2019-08-19 AU AU2019323793A patent/AU2019323793A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| EP3840702A4 (fr) | 2022-05-11 |
| WO2020039328A1 (fr) | 2020-02-27 |
| AU2019323793A1 (en) | 2020-12-03 |
| EP3840702A1 (fr) | 2021-06-30 |
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