89 results about "Refractive surgery" patented technology

Methods for the creation of microspheres treat the clear, intact crystalline lens of the eye with energy pulses, such as from lasers, for the purpose of correcting presbyopia, other refractive errors, and for the retardation and prevention of cataracts. Microsphere formation in non-contiguous patterns or in contiguous volumes works to change the flexure, mass, or shape of the crystalline lens in order to maintain or reestablish the focus of light passing through the ocular lens onto the macular area, and to maintain or reestablish fluid transport within the ocular lens.

The present invention provides monofocal ophthalmic lenses that exhibit extended depth of field while providing sufficient contrast for resolution of an image over a selected range of defocus distances. In some embodiments, a lens of the invention can include a refractive surface having controlled surface modulations relative to a base profile. The surface modulations are designed to extend a depth of field of the lens such that a single image can be resolved, albeit with somewhat less contrast, over a range of distances greater than the focal region of a conventional lens. The ophthalmic lenses of the invention can be employed in various vision correction applications, including, but not limited to, intraocular lenses, contact lenses, instrastromal implants and other refractive devices.

Improved devices, systems, and methods for diagnosing, planning treatments of, and/or treating the refractive structures of an eye of a patient incorporate results of prior refractive corrections into a planned refractive treatment of a particular patient by driving an effective treatment vector function based on data from the prior eye treatments. The exemplary effective treatment vector employs an influence matrix which may allow improved refractive corrections to be generated so as to increase the overall accuracy of laser eye surgery (including LASIK, PRK, and the like), customized intraocular lenses (IOLs), refractive femtosecond treatments, and the like.

Devices, systems, and methods for treating and/or determining appropriate prescriptions for one or both eyes of a patient are particularly well-suited for addressing presbyopia, often in combination with concurrent treatments of other vision defects. High-order spherical aberration may be imposed in one or both of a patient's eyes, often as a controlled amount of negative spherical aberration extending across a pupil. A desired presbyopia-mitigating quantity of high-order spherical aberration may be defined by one or more spherical Zernike coefficients, which may be combined with Zernike coefficients generated from a wavefront aberrometer. The resulting prescription can be imposed using refractive surgical techniques such as laser eye surgery, using intraocular lenses and other implanted structures, using contact lenses, using temporary or permanent corneal reshaping techniques, and/or the like.

The invention is directed to a system and methods for automatically determining a multiple number of viable treatment plans for correcting a patient's vision via photoablative refractive surgery. Embodiments of the invention rely on selected various diagnostic input about the patient's eye to classify the eye as being particularly suitable for treatment by several different treatment algorithms. The invention is further directed to the simultaneous presentation of various treatment plans based upon selected input data and available treatment algorithms that can be reviewed, modified, and ultimately selected for application. A system embodiment according to the invention includes a component for receiving the diagnostic input data about the patient's vision, for analyzing the input data and determining the potentially usable treatment algorithms, and for processing the potentially usable treatment algorithms based upon the input data, and a component for displaying the multilevel graphical user interface which facilitates review, modification, and selection of viable treatment plans for correcting the patient's vision. The system is further operably associated with a storage medium for storing calculated and selected treatment plans which include executable instructions for a photoablative laser component of the system to deliver a selected treatment plan to the patient's eye.

The apparatus for correction presbyopia comprises a photorefractive surgery laser beam device operating by means of a control program capable of managing the following instructions: extent of at least a first circular area of intervention, which determines at least first laser beam aiming parameters; at least a first depth of intervention in the first area of intervention, which determines at least first intensity and/or duration parameters for the laser beam; at least a first activation of the laser beam with the first aiming parameters an the first intensity and/or duration parameters; extent of at least a second circular area of intervention, concentric, superimposed and with a diameter different from the first area of intervention, which determines at least second laser beam aiming parameters; at least a second depth of intervention in the second area of intervention, which determines at least second intensity and/or duration parameters for the laser beam; and at least a second activation of the laser beam, following on from the first activation, with the second aiming parameters and the second intensity and/or duration parameters.

An improved ophthalmic imaging instrument including a wavefront sensor-based adaptive optical subsystem that measures phase aberrations in reflections derived from light produced by an imaging light source and compensates for such phase aberrations when capturing images of reflections derived from light produced by the same imaging light source. The high-resolution image data captured by the improved ophthalmic imaging instrument can be used to assist in detection and diagnosis (such as color imaging, fluorescein angiography, indocyanine green angiography) of abnormalities and disease in the human eye and treatment (including pre-surgery preparation and computer-assisted eye surgery such as laser refractive surgery) of abnormalities and disease in the human eye.

An orientation method for corrective eye surgery that registers pairs of eye images taken at different times and with the patient in different positions includes retrieving reference digital image data on an eye of the patient, including image data on an extracorneal eye feature. Real-time image data are collected that include image data on the extracorneal eye feature. A combined image is displayed of a superposition of the data sets, and a determination is made as to whether the combined image indicates an adequate registration between them based upon the extracorneal eye feature data in the two data sets. If the registration is not adequate, one of the data sets is manipulated until an adequate registration is achieved. A system is directed to apparatus and software for orienting a corrective program for eye surgery.

A method of accurately fabricating a non-human donor corneal tissue for implantation into a recipient human cornea, the method comprising the steps of: removing corneal tissue from a donor with a femtosecond laser; placing the corneal tissue in a fixative solution for a selected time interval to cross-link the collagen fibrils in the tissue and prevent swelling of the corneal tissue; and shaping the tissue to provide a conical inlay of a selected shape and thickness having one or more radial extensions. The method is such that the corneal inlay may be attached to the peripheral corneal and/or the sclera. The method is such that the corneal inlay may be stored for a period of up to two years prior to attachment.

A corneal topography analysis system includes: an input unit for inputting corneal curvature data; and an analysis unit that determines plural indexes characterizing topography of the cornea based on the input corneal curvature data, the analysis unit further judges corneal topography from features inherent in predetermined classifications of corneal topography using the determined indexes and a neural network so as to judge at least one of normal cornea, myopic refractive surgery, hyperopic refractive surgery, corneal astigmatism, penetrating keratoplasty, keratoconus, keratoconus suspect, pellucid marginal degeneration, or other classification of corneal topography.

A method and apparatus for a refractive surgical treatment that uses a laser which produces a succession of laser pulses applied to a material region. The laser pulses irradicates the material region to be divided where the energy of the individual pulse in less than the energy required to produce the material division or cutting.

An ophthalmic apparatus which allows a patient to experience a manner of view after surgery (after correction) prior to surgery (prior to correction) and is capable of obtaining information required for performing refractive surgery suitable for the patient. The apparatus, which allows a patient to experience a manner of view after correction of optical aberration of a patient's eye, includes a target presenting optical system for presenting a target which the patient's eye is made to visually recognize, an aberration correcting optical system, which is arranged within an optical path of the target presenting optical system and has a light shaping optical unit which performs light shaping, for correcting the optical aberration of the patient's eye, an input unit which inputs data for correcting the optical aberration of the patient's eye, and a control unit which controls driving of the aberration correcting optical system based on the inputted correction data.

The present invention relates to a method of altering the refractive properties of the eye, the method including applying a substance to a cornea of an eye, the substance configured to facilitate cross linking of the cornea, irradiating the cornea so as to activate cross linkers in the cornea, and altering the cornea so as to change the refractive properties of the eye.

Selection of an appropriate intraocular lens (IOL) and/or the applicable surgical parameters for optimizing the results of refractive procedures on the eye. Features of the IOL are crucial for the selection and/or adjustment of the optimal IOL, but so is the IOL selection method (and parameters) from a surgical perspective. For the method, corresponding output parameters are determined from predetermined, estimated, or measured input parameters and/or their mean values, wherein at least two input parameters are varied with one another and which have at least one input parameter as a distribution function. The resulting function is optimized by means of corresponding target values and the determined distribution function of one or more output parameters is used as a decision aid. The present solution is used for selecting an appropriate IOL and/or the applicable surgical parameters and is applicable in the field of eye surgery for implanting IOLs.

Aspects extend to methods, systems, and computer program products for providing personalized surgery recommendations for eye patients. Surgery types, and surgery parameters can be recommended for a patient based on predicted post-operative UCVA for the patient if the surgery types and surgery parameters were to be used. Predicting post-operative UCVA can be handled as a regression problem based on patient demography and pre-operative examination details. In an additional aspect, surgery parameters are automatically determined and/or optimized for improved post-operative UCVA by including surgery parameters in a regression model.

Treatment table verification techniques involve comparing intended refraction information with expected optical refraction information, and validating or qualifying the treatment table based on such comparisons. Systems and methods for verifying treatment tables provide enhanced safety for laser vision correction treatments.

Systems and methods for fine-tuning refractive shapes for vision treatment are provided. Techniques encompass determining a variable index of refraction for a cornea of the eye, and determining the refractive treatment shape for the eye based on the variable index of refraction. Techniques also encompass determining a variable radius of curvature of an anterior surface of a cornea of the eye, and determining the refractive treatment shape for the eye based on the variable radius of curvature.

The invention relates to an optical system used for objective visual quality analysis and having aberration detecting and compensating functions and belongs to the technical field of optical instruments. The optical system is used for checking and testing eyes and comprises an illuminating optical path, a pupil-positioning optical path and a main optical path. By combining a wavefront detector with a point light source imaging system and meanwhile adding a wavefront correction device for compensating human eye aberration in real time, the optical system can achieve evaluate the overall visual quality of human eyes, can also independently detect the human eye aberration and evaluate the visual quality under the influence of other factors besides the human eye aberration and can further perform preoperative simulation to evaluate the visual quality after a corneal refractive surgery.