ES2178680T3 - Sistema de laser con excisor para la correccion de la vision. - Google Patents

Sistema de laser con excisor para la correccion de la vision.

Info

Publication number
ES2178680T3
ES2178680T3 ES95935934T ES95935934T ES2178680T3 ES 2178680 T3 ES2178680 T3 ES 2178680T3 ES 95935934 T ES95935934 T ES 95935934T ES 95935934 T ES95935934 T ES 95935934T ES 2178680 T3 ES2178680 T3 ES 2178680T3
Authority
ES
Spain
Prior art keywords
epithelium
area
astigmatism
models
correction
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.)
Expired - Lifetime
Application number
ES95935934T
Other languages
English (en)
Inventor
Kristian Hohla
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chiron Technolas GmbH Ophthalmologische System
Original Assignee
Chiron Technolas GmbH Ophthalmologische System
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Chiron Technolas GmbH Ophthalmologische System filed Critical Chiron Technolas GmbH Ophthalmologische System
Application granted granted Critical
Publication of ES2178680T3 publication Critical patent/ES2178680T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00802Methods or devices for eye surgery using laser for photoablation
    • A61F9/00804Refractive treatments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00802Methods or devices for eye surgery using laser for photoablation
    • A61F9/00817Beam shaping with masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • A61B2017/00061Light spectrum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00872Cornea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00878Planning
    • A61F2009/00882Planning based on topography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00897Scanning 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)
  • Lasers (AREA)

Abstract

APARATO Y METODO DE CONTROL DE UN APARATO PARA RETIRAR TEJIDO DEL OJO Y QUE REALIZA VARIOS TIPOS DE CORRECCIONES UTILIZANDO UN RAYO RELATIVAMENTE LARGO, PERO QUE OSCILA O VACILA, LO QUE EVITA QUE SE REFUERCEN LAS ARRUGAS DURANTE EL PROCESO DE RETIRADA DE TEJIDO. ADEMAS, SE REALIZAN VARIOS TIPOS DE CORRECCION, COMO LA CORRECCION DE LA HIPERMETROPIA Y EL ASTIGMATISMO, UTILIZANDO UN RAYO LARGO QUE RASTREA EL AREA A ABLACIONAR UTILIZANDO DISPAROS DE SOLAPAMIENTO. ADEMAS SE RETIRA EL EPITELIO DEL AREA A TRATAR UTILIZANDO UN TINTE FLUORESCENTE INFRARROJO PARA TEÑIR EL EPITELIO, Y OBSERVAR DESPUES LOS MODELOS FLUORESCENTES DEL AREA DE EPITELIO A RETIRAR. UNA VEZ QUE CIERTO AREA DEJA DE SER FLUORESCENTE DESPUES DE LOS DISPAROS LASER, SE APLICAN DISPAROS MAS PEQUEÑOS, RETIRANDO DE FORMA SELECTIVA EL EPITELIO DE LAS ZONAS RESTANTES. DE NUEVO, SE OBSERVAN LOS MODELOS DE FLUORESCENCIA, Y SE REPITE EL PROCESO HASTA QUE NO QUEDA EPITELIO. EN ESTE PUNTO, SE HA RETIRADO TODO EL EPITELIO, Y SE HA CREADO ADEMAS UN MAPA DEL ESPESOR EPITELIAL INICIAL EN CADA PUNTO DEL AREA DE LA QUE SE RETIRO EL EPITELIO. UTILIZANDO DOS MODELOS DE ABLACION CORRECTORES DEL ASTIGMATISMO QUE SE ENTRECRUZAN EN UN ANGULO, SE CREA UNA LENTE CAPAZ DE CORREGIR LA MIOPIA, HIPERMETROPIA Y EL ASTIGMATISMO. ADEMAS, SE FACILITAN DISPAROS DE SOLAPAMIENTO QUE UTILIZAN UN TAMAÑO DE PUNTO FIJO RELATIVAMENTE LARGO PARA CONSEGUIR REDUCIR EL CALENTAMIENTO TERMICO, LOS PATRONES DE TRATAMIENTO SIN ARRUGAS, EL CONTAJE DE DISPAROS REDUCIDO Y UN EQUIPO SIMPLIFICADO.
ES95935934T 1994-10-14 1995-10-12 Sistema de laser con excisor para la correccion de la vision. Expired - Lifetime ES2178680T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08/324,782 US6090100A (en) 1992-10-01 1994-10-14 Excimer laser system for correction of vision with reduced thermal effects

Publications (1)

Publication Number Publication Date
ES2178680T3 true ES2178680T3 (es) 2003-01-01

Family

ID=23265085

Family Applications (1)

Application Number Title Priority Date Filing Date
ES95935934T Expired - Lifetime ES2178680T3 (es) 1994-10-14 1995-10-12 Sistema de laser con excisor para la correccion de la vision.

Country Status (8)

Country Link
US (2) US6090100A (es)
EP (1) EP0785761B1 (es)
JP (1) JPH10509342A (es)
AU (1) AU713834B2 (es)
CA (1) CA2202550A1 (es)
DE (1) DE69527076T2 (es)
ES (1) ES2178680T3 (es)
WO (1) WO1996011655A1 (es)

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DE69527076T2 (de) 2002-12-19
AU3805495A (en) 1996-05-06
US6090100A (en) 2000-07-18
CA2202550A1 (en) 1996-04-25
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EP0785761B1 (en) 2002-06-12
DE69527076D1 (de) 2002-07-18

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