TWI758959B - Ophthalmic laser apparatus - Google Patents
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- TWI758959B TWI758959B TW109140368A TW109140368A TWI758959B TW I758959 B TWI758959 B TW I758959B TW 109140368 A TW109140368 A TW 109140368A TW 109140368 A TW109140368 A TW 109140368A TW I758959 B TWI758959 B TW I758959B
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- A—HUMAN NECESSITIES
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- 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
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Abstract
Description
本發明關於一種雷射眼科設備。 The present invention relates to a laser ophthalmology device.
在眼睛的構造中,大約有三分之二的屈光度是由角膜前表面的曲率來決定的,因此,可藉由改變角膜的形狀來顯著地改善或消除眼睛的屈光不正。角膜為一種多層構造的薄膜,其前表面及後表面為幾乎同心的,且具有約0.5至0.6毫米的中心厚度、以及約0.6至0.8毫米的邊緣厚度。角膜的多層構造從前表面到後表面依序為上皮細胞層(Epithelium)、前彈力層(Bowman)、基質層(Stroma)、後彈力層(Descemet)、及內皮細胞層(Endothelium)。上皮細胞層的中心厚度約為70μm,且前彈力層的厚度約為12μm。基質層的厚度約占角膜總厚度的90%(約500μm),且主要由規則排列的膠原纖維和相互連接的角膜細胞所組成。內皮細胞層由一層六角形扁平細胞所構成。 In the structure of the eye, about two-thirds of the refractive power is determined by the curvature of the anterior surface of the cornea, therefore, the refractive error of the eye can be significantly improved or eliminated by changing the shape of the cornea. The cornea is a multi-layered constructed film, the anterior and posterior surfaces of which are nearly concentric, and have a central thickness of about 0.5 to 0.6 millimeters, and a peripheral thickness of about 0.6 to 0.8 millimeters. The multi-layered structure of the cornea consists of Epithelium, Bowman, Stroma, Descemet, and Endothelium in order from the anterior surface to the posterior surface. The central thickness of the epithelial cell layer is about 70 μm, and the thickness of the proelastic layer is about 12 μm. The thickness of the stromal layer accounts for about 90% of the total thickness of the cornea (about 500 μm), and is mainly composed of regularly arranged collagen fibers and interconnected corneal cells. The endothelial cell layer consists of a layer of hexagonal flat cells.
基於上面所說明的角膜構造,由於角膜的基質層具有足夠的厚度,為了矯正的目的,可切除基質層的前部分以改變其輪廓,進而改變眼睛的屈光度,同時保留大部分的基質組織。 Based on the corneal architecture described above, since the stromal layer of the cornea has sufficient thickness, for corrective purposes, the anterior portion of the stromal layer can be resected to change its contour, thereby changing the power of the eye, while preserving most of the stromal tissue.
各種雷射被廣泛地應用於眼科手術中,例如,青光眼、白內障、屈光手術等。例如,紫外光(UV)雷射被用於屈光手術(或角膜重塑術)中,其中,紫外光雷射的例子包括193nm的準分子雷射、五次諧波(213nm)的釹雅各雷射(Neodymium-Yttrium Aluminum Garnet;Nd-YAG laser)等。具體而言,這些紫外 光雷射被廣泛地運用於雷射屈光角膜切削術(PRK)、以及雷射原位層狀角膜塑形術(LASIK)等,其均利用雷射光切削角膜組織以改變其曲率,進而達到改變眼睛的屈光度(矯正視力)的效果。 Various lasers are widely used in ophthalmic surgery, such as glaucoma, cataract, refractive surgery, etc. For example, ultraviolet (UV) lasers are used in refractive surgery (or corneal reshaping), where examples of UV lasers include 193 nm excimer lasers, fifth harmonic (213 nm) neodymium lasers Various lasers (Neodymium-Yttrium Aluminum Garnet; Nd-YAG laser), etc. Specifically, these UV Light lasers are widely used in laser refractive keratectomy (PRK) and laser in situ lamellar orthokeratology (LASIK). The effect of changing the diopter of the eye (correcting vision).
目前市面上用於執行LASIK的雷射眼科設備都具有類似的設計,其都是藉由移動患者所在的手術台來使患者眼睛的視軸對準雷射光束。具體而言,患者會躺在可沿著XYZ軸精密地移動的手術台上,藉由此手術台使患者(亦即,其角膜的表面)移動,直到角膜的表面到達雷射眼科設備中的顯微鏡的聚焦點為止,並接著設置雷射光束傳輸路徑。在雷射眼科設備中,由於設置有雷射光源的主機櫃的體積相當龐大且移動不便,通常會透過光學系統來傳遞雷射光束,使雷射光束在經過光學系統之後在顯微鏡下方被轉向為向下方向,以對齊顯微鏡的光軸。在這種雷射眼科設備的使用過程中,為了使患者眼睛的視軸對準雷射光束,需要不斷地移動患者所在的手術台,在這樣的情況下,由於手術台的體積較為龐大,容易造成操作者(例如,醫生或手術助理)使用上的不方便,並欠缺操作上的靈活性。 The laser ophthalmic devices currently on the market for performing LASIK all have a similar design, in which the optical axis of the patient's eye is aligned with the laser beam by moving the patient's operating table. Specifically, the patient will lie on an operating table that is precisely movable along the XYZ axes, by which the patient (ie, the surface of his cornea) is moved until the surface of the cornea reaches the surface of the laser ophthalmology device. the focus point of the microscope, and then set the laser beam transmission path. In the laser ophthalmology equipment, because the main cabinet with the laser light source is quite bulky and inconvenient to move, the laser beam is usually transmitted through the optical system, so that the laser beam is turned under the microscope after passing through the optical system. Downward orientation to align the optical axis of the microscope. During the use of this laser ophthalmic equipment, in order to align the visual axis of the patient's eyes with the laser beam, it is necessary to constantly move the operating table where the patient is located. It is inconvenient for operators (eg, doctors or surgical assistants) to use and lacks operational flexibility.
另外,在傳統的雷射眼科設備中,如第五B圖所示,雷射束L1’~L3’在入射到患者的眼睛E時,由於中間和周圍位置之入射角度差異大,因此必須給予相應的光學補償,避免過大的入射角度差異對雷射眼科手術的進行造成不利的影響。 In addition, in the conventional laser ophthalmic equipment, as shown in Fig. 5B, when the laser beams L1'~L3' are incident on the patient's eye E, due to the large difference in the incident angle between the middle and the surrounding positions, it must be given Corresponding optical compensation avoids adverse effects on laser eye surgery due to excessive incident angle differences.
本發明的目的在於提供一種兼具使用上的便利性和操作上的靈活性的雷射眼科設備。具體而言,相較於傳統的雷射眼科設備是藉由使患者移動來達成兩者之間的對準,本發明所提供的雷射眼科設備是藉由分別將雷射眼科 設備的組成構件設置在不同的機櫃中並使其中的雷射掃描施用裝置相對於患者的眼睛移動,來達成兩者之間的對準,在這樣的情況下,由於不需要移動體積龐大的手術台(亦即,移動患者),而是僅使設置在其中一個機櫃的雷射掃描施用裝置相對於患者移動,本發明的雷射眼科設備在進行雷射眼科手術的過程中,可同時提供操作者使用上的便利性以及提升操作上的靈活性。此外,本發明所提供的雷射眼科設備在雷射束入射患者的眼睛前,可先將其轉換成大致平行的雷射束,而無需針對入射角度不同的雷射束進行額外的光學補償,即可避免對雷射眼科手術的進行造成不利的影響。 The purpose of the present invention is to provide a laser ophthalmic device with both convenience in use and flexibility in operation. Specifically, compared with the traditional laser ophthalmology device which achieves alignment between the two by moving the patient, the laser ophthalmology device provided by the present invention achieves the alignment between the two by moving the laser ophthalmology device separately. The components of the device are placed in separate cabinets and the laser scanning applicator therein is moved relative to the patient's eye to achieve alignment between the two, in which case there is no need to move the bulky procedure Instead of moving the patient table (that is, moving the patient), but only moving the laser scanning applicator disposed in one of the cabinets relative to the patient, the laser ophthalmic device of the present invention can simultaneously provide operation during laser eye surgery. User convenience and improved operational flexibility. In addition, the laser ophthalmic device provided by the present invention can convert the laser beam into a substantially parallel laser beam before the laser beam enters the patient's eyes, without additional optical compensation for laser beams with different incident angles. This can avoid adverse effects on the performance of laser eye surgery.
根據本發明所提供之雷射眼科設備,包括第一機櫃;與第一機櫃分開地設置的第二機櫃;雷射光源,設置在第一機櫃中,且配置為產生雷射束;定位裝置,設置在第二機櫃上,且配置來定位患者的眼睛的位置;雷射掃描施用裝置,設置在第二機櫃上,且配置為基於定位裝置的定位結果而被移動以對準患者的眼睛;驅動裝置,設置在第二機櫃中,且配置為分別驅動定位裝置及雷射掃描施用裝置,使其沿著X方向、Y方向及Z方向移動;光引導裝置,設置在雷射光源與雷射掃描施用裝置之間,且配置為將雷射光源產生的雷射束引導朝向雷射掃描施用裝置;以及控制器,設置在第一機櫃中,且配置為電性地連接並控制雷射光源、驅動裝置、及雷射掃描施用裝置,其中,雷射掃描施用裝置配置為將來自光引導裝置的雷射束轉換成大致平行的雷射束,並將大致平行的雷射束施加到患者的眼睛。 The laser ophthalmic equipment provided according to the present invention includes a first cabinet; a second cabinet provided separately from the first cabinet; a laser light source, which is arranged in the first cabinet and configured to generate a laser beam; a positioning device, disposed on the second cabinet and configured to locate the position of the patient's eye; a laser scanning applicator disposed on the second cabinet and configured to be moved to align the patient's eye based on the positioning result of the positioning device; actuated The device is arranged in the second cabinet and is configured to drive the positioning device and the laser scanning application device respectively to move along the X direction, the Y direction and the Z direction; the light guiding device is arranged between the laser light source and the laser scanning device between the applicators and configured to direct a laser beam generated by the laser light source toward the laser scanning applicator; and a controller disposed in the first cabinet and configured to electrically connect and control the laser light source, drive A device, and a laser scanning applicator, wherein the laser scanning applicator is configured to convert a laser beam from a light directing device into a substantially parallel laser beam and apply the substantially parallel laser beam to a patient's eye.
藉由本發明上述的雷射眼科設備,由於雷射眼科設備與患者的眼睛之間的對準僅藉由使設置在第二機櫃的雷射掃描施用裝置移動來達成,而不需要相對於雷射眼科設備移動患者的位置(亦即,不需要一再地移動患者所在之 體積龐大的手術台),在操作雷射眼科設備進行雷射眼科手術的過程中,根據本發明的雷射眼科設備在使用上較為便利,且更可靈活地使雷射掃描施用裝置移動到對準患者的眼睛的位置處,以利於用更高的精準度進行雷射眼科手術。 With the above-mentioned laser ophthalmic device of the present invention, since the alignment between the laser ophthalmic device and the patient's eye is achieved only by moving the laser scanning applicator disposed in the second cabinet, it does not need to be relative to the laser The ophthalmic device moves the patient's position (that is, does not need to move the patient In the process of operating the laser ophthalmic equipment for laser ophthalmic surgery, the laser ophthalmic equipment according to the present invention is more convenient to use, and can more flexibly move the laser scanning applicator to the opposite The exact position of the patient's eye to facilitate laser eye surgery with greater precision.
1:雷射眼科設備 1: Laser ophthalmic equipment
2:第一機櫃 2: The first cabinet
3:第二機櫃 3: Second cabinet
4:雷射光源 4: Laser light source
5:定位裝置 5: Positioning device
6:雷射掃描施用裝置 6: Laser scanning applicator
7:驅動裝置 7: Drive device
8:光引導裝置 8: Light guide device
9:控制器 9: Controller
60:眼追蹤系統 60: Eye Tracking System
62:掃描器 62: Scanner
63:透鏡 63: Lens
64:反射鏡 64: Reflector
80:導光模組 80: Light guide module
81:導光臂 81: light guide arm
100:使用者介面 100: User Interface
200:開關 200: switch
300:手術台 300: Operating table
400:操縱桿 400: Joystick
E:眼睛 E: eyes
L:雷射束 L: laser beam
L1~L3:雷射束 L1~L3: Laser beam
L1’~L3’:雷射束 L1'~L3': Laser beam
參照以下詳細說明,特別是當結合所附圖式來考量時,本發明之更完整的理解及其許多附帶的優點將變得容易理解,其中:[第一圖]為根據本發明的實施例之雷射眼科設備的立體示意圖。 A more complete understanding of the present invention and its many attendant advantages will become readily apparent with reference to the following detailed description, especially when considered in conjunction with the accompanying drawings, in which: [FIGURE 1] is an embodiment according to the present invention Three-dimensional schematic diagram of the laser ophthalmology equipment.
[第二圖]為根據本發明的實施例的雷射眼科設備從另一個角度觀看之立體示意圖。 [Fig. 2] is a perspective view of the laser ophthalmic device according to an embodiment of the present invention viewed from another angle.
[第三圖]為根據本發明的實施例之雷射眼科設備的方塊圖。 [FIG. 3] is a block diagram of a laser ophthalmic device according to an embodiment of the present invention.
[第四圖]顯示雷射束通過根據本發明的實施例之雷射眼科設備的雷射掃描施用裝置時的行進路徑之示意圖。 [FIG. 4] A schematic diagram showing a travel path of a laser beam when passing through a laser scanning applicator of a laser ophthalmic apparatus according to an embodiment of the present invention.
[第五A圖]為本發明採用大致平行的雷射束施加到患者的眼睛的示意圖。 [FIG. 5 A] is a schematic diagram of the present invention using substantially parallel laser beams applied to a patient's eye.
[第五B圖]為傳統採用非平行的雷射束施加到患者的眼睛的示意圖。 [FIG. 5 B] is a schematic diagram of a conventional non-parallel laser beam applied to the patient's eye.
將在下文中參照所附圖式描述本發明的實施例。 Embodiments of the present invention will hereinafter be described with reference to the accompanying drawings.
第一圖至第三圖顯示根據本發明的實施例之雷射眼科設備1。第一圖及第二圖為根據本發明的實施例的雷射眼科設備1分別從兩個不同的角度觀看之立體示意圖,且第三圖為根據本發明的實施例之雷射眼科設備1的方塊示意圖。
The first to third figures show a laser
如第一圖及第二圖所示,根據本發明之雷射眼科設備1包括第一機櫃2和與第一機櫃2分開地設置的第二機櫃3。較佳地,為了方便調整雷射眼科設備1的位置使其更符合操作者的需求,第一機櫃2和第二機櫃3均被設計為可在地面上移動的,例如,第一機櫃2和第二機櫃3分別具備各自的輪子,以便於在地面上移動。另一方面,第一機櫃2和第二機櫃3的最大長度(或寬度)僅有70公分,而能夠順利地進入大多數的電梯,對於根據本發明的雷射眼科設備1的運送是更為有利的。
As shown in the first and second figures, the laser
如第一圖至第三圖所示,在第一機櫃2中設置有雷射光源4及控制器9,而在第二機櫃3上設置有定位裝置5、雷射掃描施用裝置6、以及配置為分別驅動定位裝置5及雷射掃描施用裝置6使其能夠沿著X方向、Y方向及Z方向移動的驅動裝置7。要進一步說明的是,驅動裝置7可為,例如但不限於,藉由馬達驅動之線性滑軌;或者藉由馬達驅動之使用多關節的機械手臂,而上述定位裝置5及雷射掃描施用裝置6則分別裝設於此線性滑軌或不同的機械手臂上(應理解的是,上述驅動裝置的驅動方式為本領域技術人士所熟知的技術,本實施例及圖式中不再詳述其作動方式)。
As shown in the first to third figures, the
雷射光源4配置為產生雷射束L,例如,準分子雷射束,藉由此準分子雷射束,可對患者的眼睛E進行雷射眼科手術,例如,LASIK手術。
The
此外,雷射眼科設備1還包括光引導裝置8,其被設置在雷射光源4與雷射掃描施用裝置6之間,且配置為將來自雷射光源4的雷射束L引導朝向雷射掃描施用裝置6。具體而言,光引導裝置8包括導光模組80及導光臂81,導光模組80被設置在第一機櫃2中,且導光臂81連接第一機櫃2中的導光模組80與設置在第二機櫃3上的雷射掃描施用裝置6。換言之,第一機櫃2與第二機櫃3藉由導光
臂81(其連接第一機櫃2中的導光模組80與第二機櫃3上的雷射掃描施用裝置6)而被相互連接。
Furthermore, the laser
定位裝置5配置為在驅動裝置5的驅動下沿著X方向、Y方向及Z方向移動,以定位患者的眼睛E的位置。在本發明的實施例中,定位裝置5包括顯微鏡和來自定位光源的定位光束(圖中未示),顯微鏡藉由定位光束來定位患者的眼睛E的位置。
The
雷射掃描施用裝置6配置為基於定位裝置5的定位結果而在驅動裝置5的驅動下沿著X方向、Y方向及Z方向移動,以對準患者的眼睛E並對患者的眼睛E施加雷射束L。關於定位裝置5及雷射掃描施用裝置6的移動,將在後面的說明中詳細描述,此處暫不贅述。
The
控制器9配置為電性地連接並控制雷射眼科設備1的各個部件。在根據本發明的雷射眼科設備1中,控制器9電性地連接並控制雷射光源4、驅動裝置7、及雷射掃描施用裝置6。
The
進一步言之,控制器9包括儲存裝置,其當中儲存有與雷射眼科設備1執行雷射眼科手術所需的相關資訊。舉例而言,這些相關資訊包括欲對患者的眼睛E施加的雷射束L所應具備的密度、所應遵循的路徑等的預設資訊、以及關於雷射眼科設備1安裝定位之後的第一機櫃2、第二機櫃3、及手術台300的相對位置的預定位置資訊等等。此預定位置資訊可表示出當患者躺在手術台300上時其眼睛E所在的位置的大致範圍。
Further, the
控制器9配置為根據這些相關資訊來控制雷射光源4、驅動裝置7、及雷射掃描施用裝置6的運作。
The
具體而言,控制器9配置為控制雷射光源4使其發出雷射束L,控制驅動裝置7使其依據預先儲存的預定位置資訊分別驅動定位裝置5和雷射掃描施用裝置6沿著X方向、Y方向及Z方向移動,並控制雷射掃描施用裝置6使其根據預先儲存的預設資訊對患者的眼睛E施加雷射束L。
Specifically, the
除此之外,根據本發明的雷射眼科設備1還包括與控制器9相互連接的使用者介面100及開關200。在根據本發明的實施例中,如第一圖及第二圖所示,使用者介面100包括螢幕及鍵盤,以供操作者將執行雷射眼科手術所需的相關資訊輸入到控制器9的儲存裝置中,並監控雷射眼科設備1的操作,例如,雷射掃描施用裝置6的粗調定位及細調定位等。此外,如第二圖所示,開關200較佳地為腳踏式開關,其可在使用者的操作下發出命令,經由控制器9使雷射光源4發出雷射束L。然而,本領域技術人士應能理解的是,本發明並不侷限於上述類型的使用者介面100及開關200,其他類型的使用者介面100及開關200亦能夠被使用,只要能達到上述的功能即可。
Besides, the laser
接下來,將說明操作根據本發明的實施例之雷射眼科設備1來進行雷射眼科手術的過程。
Next, the process of operating the
首先,當患者已經躺在手術台300上之後(亦即,患者的眼睛E已處於固定的位置之後),依據控制器9中預先儲存的預定位置資訊,操作者(例如,醫生或手術助理)可透過使用者介面100經由控制器9來控制驅動裝置7,使驅動裝置7驅動定位裝置5將其移動到預定位置。當定位裝置5被移動到此預定位置之後,操作者(例如,醫生或手術助理)接著可藉由定位裝置5(亦即,顯微鏡及定位光束)對患者的眼睛E的位置進行定位。
First, after the patient has been lying on the operating table 300 (ie, after the patient's eyes E have been in a fixed position), according to the predetermined position information pre-stored in the
接著,在定位裝置5已完成對患者的眼睛E的定位之後,類似於驅動裝置7對定位裝置5的驅動,驅動裝置7會依據控制器9中預先儲存的預定位置資訊驅動雷射掃描施用裝置6將其移動到患者的眼睛E上方的預定位置(此定位亦可被稱為粗調定位)。除了依據控制器9中預先儲存的預定位置資訊的驅動之外,雷射掃描施用裝置6還可依據定位裝置5對患者的眼睛E的定位結果被進一步地移動到與患者的眼睛E更精確地對準的位置(此定位亦可被稱為細調定位)。詳而言之,此細調定位可由操作者手動地操作微調裝置(例如,第一圖及第二圖中所顯示的操縱桿400)以控制驅動裝置7驅動雷射掃描施用裝置6使其移動來達成。
Next, after the
需注意的是,在雷射掃描施用裝置6基於定位裝置5的定位結果而被移動到與患者的眼睛E對準的過程中,定位裝置5仍會持續地定位患者的眼睛E的位置,藉以持續地調整雷射掃描施用裝置6的位置,以維持定位的精準度。
It should be noted that, in the process that the
在雷射掃描施用裝置6完成上述的粗調定位和細調定位之後,使用者可操作開關200發出命令,此命令透過控制器9被傳達到雷射光源4,使雷射光源4發出相應的雷射束L,且此雷射束L經由導光模組80、導光臂81傳遞到雷射掃描施用裝置6,此時,控制器9會根據控制器9中所儲存的預設資訊控制雷射掃描施用裝置6對患者的眼睛E施加雷射束L,以進行雷射眼科手術。
After the
然而,雖然雷射掃描施用裝置6經由上述的粗調定位和細調定位之後已達成與手術台300上的患者的眼睛E的對準,但在雷射眼科手術的過程中,由於患者的眼睛E仍然會有意或無意地轉動,使得其位置偏移被定位裝置5定位時的位置,在這樣的情況下,若未隨著眼睛E位置的偏移去調整雷射束L施加到患者的眼睛E的位置,將可能會在進行雷射眼科手術的過程中發生失真的問題。
However, although the
因此,在根據本發明的雷射眼科設備1中,雷射掃描施用裝置6較佳地還包括眼追蹤系統60及掃描器62(參見第三圖),眼追蹤系統60可即時且不斷地再次定位(追蹤)患者的眼睛E(例如,瞳孔)的位置,且掃描器62可根據眼追蹤系統60的再次定位結果不斷地微調其中心位置,使雷射掃描施用裝置6所施加的雷射束L能夠更精確地對準患者的眼睛E。
Therefore, in the laser
具體而言,在雷射掃描施用裝置6已被移動到對準患者的眼睛E之後,在雷射掃描施用裝置6對患者的眼睛E施加雷射束L的過程中,雷射掃描施用裝置6的眼追蹤系統60會在控制器9的控制下即時且不斷地再次定位(追蹤)患者的眼睛E(例如,瞳孔)的位置,並且,根據眼追蹤系統60的再次定位結果,控制器9控制雷射掃描施用裝置6的掃描器62使其不斷地微調其中心位置,以補償因患者的眼睛E的有意或無意移動所導致的眼睛E位置的偏移,使雷射掃描施用裝置6所施加的雷射束L更精確地即時對準患者的眼睛E,並藉由此雷射束L精確地對患者的眼睛E(例如,角膜)進行雷射眼科手術,例如,LASIK手術。如此一來,在進行雷射眼科手術的過程中,可確保不會因為患者的眼睛E位置的偏移而發生雷射切削角膜的失真問題。
Specifically, after the
接下來,參照第四圖說明雷射束L在通過雷射掃描施用裝置6時的行進路徑。
Next, the travel path of the laser beam L when passing through the
如第四圖所示,根據本發明的雷射掃描施用裝置6較佳地還包括透鏡63及反射鏡64,其中,透鏡63在掃描器62與導光臂81之間被設置在雷射掃描施用裝置6之最遠離患者的眼睛E的遠側處,且配置為使來自光引導裝置8(第三圖)的導光臂81之雷射束L接著通過掃描器62及反射鏡64且轉換成大致平行的雷
射束(參見第五A圖中的雷射束L1~L3),此大致平行的雷射束L1~L3接著被施加朝向患者的眼睛E。
As shown in FIG. 4 , the
如第五A圖及第五B圖所示,相較於傳統的雷射眼科設備未將雷射束L轉換成大致平行的雷射束(參見第五B圖中的雷射束L1’~L3’),而需要對於以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’(特別是針對入射到患者的眼睛E中間和周圍位置之入射角度差異最大的雷射束L1’~L3’)給予相應的光學補償,使得以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’彼此之間的光學特性不要有太大的差異,避免過大的差異對雷射眼科手術的進行造成不利的影響,本發明的雷射眼科設備藉由將雷射束L轉換成大致平行的雷射束L1~L3並對患者的眼睛E施加此大致平行的雷射束L1~L3(參見第五A圖),將可有效地避免以不同入射角度入射到患者的眼睛E之雷射束L1’~L3’之間的差異對雷射眼科手術所造成的不利影響。 As shown in Fig. 5A and Fig. 5B, the laser beam L is not converted into a substantially parallel laser beam compared to the conventional laser ophthalmic equipment (see the laser beam L1'~ L3'), while the laser beams L1' to L3' incident on the patient's eye E at different incident angles (especially for the laser beam L1 with the largest difference in the incident angle between the middle and surrounding positions of the patient's eye E) are required. '~L3') to give corresponding optical compensation, so that the optical characteristics of the laser beams L1'~L3' incident on the patient's eye E at different incident angles should not be too different from each other, so as to avoid too large differences. The laser ophthalmology device of the present invention converts the laser beam L into substantially parallel laser beams L1-L3 and applies the substantially parallel laser beam L1 to the patient's eye E, which may adversely affect the performance of the ophthalmic surgery. ~L3 (see Fig. 5A), will effectively avoid the adverse effects on laser eye surgery caused by the difference between the laser beams L1'~L3' incident on the patient's eye E at different incident angles.
如第一圖至第三圖所示,此外,在本發明的雷射眼科設備1中,由於雷射掃描施用裝置6可被獨立地驅動以相對於患者的眼睛E移動到所欲的位置,相較於傳統上使得雷射眼科設備幾乎是整體地相對於患者的眼睛E移動,本發明的雷射掃描施用裝置6可被更靈活地操作或移動到較為接近患者的眼睛E的位置處,例如,本發明的雷射掃描施用裝置6較佳地可被移動到與患者的眼睛E距離約三公分的位置處。在這樣的情況下,由於患者的眼睛E與施加雷射束L的雷射掃描施用裝置6之間的距離較短,可大幅地減少雷射掃描施用裝置6所施加的雷射束L在抵達患者的眼睛E之前所受到的干擾,提升雷射眼科手術的精準度。
As shown in the first to third figures, in addition, in the laser
綜上所述,在本發明的雷射眼科設備1中,由於對患者的眼睛E所施加的雷射束L是藉由雷射掃描施用裝置6所轉換之大致平行的雷射束L1~L3(參
見第五A圖),本發明的雷射眼科設備可有效地避免因不同入射角度入射到患者的眼睛的雷射束L1’~L3’(參見第五B圖)之間的差異所造成的不利影響,而不需要給予額外的光學補償,故而能夠達到提升雷射眼科設備1的使用效率的有利技術效果。
To sum up, in the laser
此外,在本發明的雷射眼科設備1中,由於對患者的眼睛E施加雷射束L的雷射掃描施用裝置6可被獨立地驅動以相對於患者的眼睛E移動,而可被移動到距離患者的眼睛E較近的位置處,本發明的雷射眼科設備1可大幅地減少雷射掃描施用裝置6所施加的雷射束L在抵達患者的眼睛E之前所受到的干擾,故而還能夠達到提升雷射眼科手術的精準度的有利技術效果。
Furthermore, in the laser
最後,在本發明的雷射眼科設備1中,由於雷射眼科設備1(雷射掃描施用裝置6)與患者的眼睛E之間的對準是藉由移動雷射掃描施用裝置6來進行的,而非相對於雷射眼科設備使患者移動,操作者(亦即,醫生或手術助理)在操作雷射眼科設備1進行雷射眼科手術的過程中,只需要藉由驅動裝置7使雷射掃描施用裝置6移動到與患者的眼睛E對準的位置,而不需要一再地移動患者所在之體積相對龐大的手術台300,在操作上具備較佳的便利及靈活性,進而能夠以更高的精準度進行雷射眼科手術。
Finally, in the laser
在本文中所描述的實施例的圖式旨在提供對於本發明的理解。換言之,圖式僅為代表性的且可能未按比例繪製。圖式中的某些比例可能被放大,而其他比例可能被縮小。據此,圖式應被視為示意性的而非限制性的。 The drawings of the embodiments described herein are intended to provide an understanding of the invention. In other words, the drawings are representative only and may not be drawn to scale. Some scales in the drawings may be exaggerated, while other scales may be reduced. Accordingly, the drawings are to be regarded as illustrative rather than restrictive.
雖然已於上述實施例中參照附圖說明本發明的各種實施例,但上述實施例僅為本發明的較佳實施例,並非意圖用來將本發明侷限於上文中所描述及附圖中所示的特徵及結構。應理解的是,在不偏離本發明的範疇的情況下, 熟知本領域的技術人士所能夠設想到各種其它的省略、置換、變化和修改亦被包含在本發明的範疇內。 Although various embodiments of the present invention have been described in the above-mentioned embodiments with reference to the accompanying drawings, the above-mentioned embodiments are only preferred embodiments of the present invention, and are not intended to limit the present invention to the above-mentioned descriptions and those shown in the accompanying drawings. features and structure shown. It should be understood that, without departing from the scope of the present invention, Various other omissions, substitutions, changes and modifications that can be conceived by those skilled in the art are also included within the scope of the present invention.
1:雷射眼科設備 1: Laser ophthalmic equipment
2:第一機櫃 2: The first cabinet
3:第二機櫃 3: Second cabinet
5:定位裝置 5: Positioning device
6:雷射掃描施用裝置 6: Laser scanning applicator
81:導光臂 81: light guide arm
100:使用者介面 100: User Interface
300:手術台 300: Operating table
400:操縱桿 400: Joystick
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EP1123689B1 (en) * | 2000-02-10 | 2005-03-30 | Nidek Co., Ltd. | Ophthalmic apparatus |
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US9592156B2 (en) * | 2012-02-24 | 2017-03-14 | Excelsius Medical Co. Ltd. | Laser beam ophthalmological surgery method and apparatus |
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