Methods, systems, and adapters are provided for
multiphoton imaging and
laser-tissue interaction with opaque tissue, such as
ocular tissue and periocular tissue. Aspects of the invention include a method of imaging a structure through an opaque tissue, such as
ocular tissue or periocular tissue, the method comprising: deploying an excitation source to transmit
light energy to the structure through the opaque tissue, such as
ocular tissue or periocular tissue, light emitted from the structure via multi-
photon excitation by non-transparent tissue, such as ocular tissue or periocular tissue, is detected, and the structure is imaged based on the detected light. Aspects of the invention further include methods of treating tissue, such as ocular tissue or periocular tissue or
skin tissue, by manipulating the imaged structure, including, for example, providing non-incision therapy, light-tissue interaction, multi-
photon mediated injury, such as
thermal injury, photodisruption, photocrosslinking, vascular coagulation or
ablation of tissue. Aspects of the invention further include methods of imaging
skin tissue or providing dermatological treatment. Aspects of the invention further include methods of providing cosmetic treatments. Aspects of the invention further include methods of directing delivery of
gene therapy or
cell therapy in ocular tissue or periocular tissue. Systems and adapters for performing the methods described herein are also provided.