WO2002007660A3 - Methods and instruments for refractive ophthalmic surgery - Google Patents

Methods and instruments for refractive ophthalmic surgery Download PDF

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Publication number
WO2002007660A3
WO2002007660A3 PCT/US2001/022936 US0122936W WO0207660A3 WO 2002007660 A3 WO2002007660 A3 WO 2002007660A3 US 0122936 W US0122936 W US 0122936W WO 0207660 A3 WO0207660 A3 WO 0207660A3
Authority
WO
WIPO (PCT)
Prior art keywords
flap
cornea
operative
model
corneal
Prior art date
Application number
PCT/US2001/022936
Other languages
French (fr)
Other versions
WO2002007660A2 (en
Inventor
Cynthia Roberts
William J Dupps Jr
Noriko Katsube
Original Assignee
Univ Ohio State
Cynthia Roberts
William J Dupps Jr
Noriko Katsube
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 Univ Ohio State, Cynthia Roberts, William J Dupps Jr, Noriko Katsube filed Critical Univ Ohio State
Priority to AU2001277038A priority Critical patent/AU2001277038A1/en
Priority to US10/332,891 priority patent/US20030208190A1/en
Priority to JP2002513398A priority patent/JP2004504105A/en
Priority to CA002416598A priority patent/CA2416598A1/en
Priority to EP01954818A priority patent/EP1301155A2/en
Publication of WO2002007660A2 publication Critical patent/WO2002007660A2/en
Publication of WO2002007660A3 publication Critical patent/WO2002007660A3/en

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
    • A61F9/00806Correction of higher orders
    • 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
    • A61F2009/00855Calibration of the laser system
    • A61F2009/00857Calibration of the laser system considering biodynamics
    • 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
    • A61F2009/0088Planning based on wavefront
    • 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

Abstract

Biomechanical responses of the eye are used to improve photorefractive procedures. LASIK or PRK treatments, for example, can be improved by taking pre-operative measurement and predicting the corneas's biodynamic response to the ablative treatment. Predicitve use is mad of the biodynamic response of the cornea due to laser or mechanical keratectomy, that is, creating a corneal flap characterisitc of LASIK. Comparison of pre-flap and post-flap, (pre-ablation) data of the cornea such as corneal thickness, flap thickness, corneal topography and wavefront, for example, can provide predictive information applicable to modifying an ablation alorithm before the laser is engaged, either for a current operation or the development of a model. Modeling, by finite element analysis or other mathematical techniques, can also be used to predict post-operative outcomes based on a pre-operative (no flap cut or other surgical intervention) data for the cornea that is input for an accurate eye model that, in consideration of biodynamic response ∫i⊃via∫/i⊃ the model, provides predictive information for optimizing the sucess of the refractive surgery and ultimately patient satisfaction.
PCT/US2001/022936 2000-07-20 2001-07-20 Methods and instruments for refractive ophthalmic surgery WO2002007660A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AU2001277038A AU2001277038A1 (en) 2000-07-21 2001-07-20 Methods and instruments for improving refractive ophthalmic surgery
US10/332,891 US20030208190A1 (en) 2001-07-20 2001-07-20 Methods and instruments for refractive ophthalmic surgery
JP2002513398A JP2004504105A (en) 2000-07-21 2001-07-20 Method and apparatus for refractive eye surgery
CA002416598A CA2416598A1 (en) 2000-07-21 2001-07-20 Methods and instruments for refractive ophthalmic surgery
EP01954818A EP1301155A2 (en) 2000-07-20 2001-07-20 Methods and instruments for refractive ophthalmic surgery

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US22001900P 2000-07-21 2000-07-21
US60/220,019 2000-07-21

Publications (2)

Publication Number Publication Date
WO2002007660A2 WO2002007660A2 (en) 2002-01-31
WO2002007660A3 true WO2002007660A3 (en) 2002-05-30

Family

ID=22821710

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/022936 WO2002007660A2 (en) 2000-07-20 2001-07-20 Methods and instruments for refractive ophthalmic surgery

Country Status (6)

Country Link
EP (1) EP1301155A2 (en)
JP (1) JP2004504105A (en)
AU (1) AU2001277038A1 (en)
CA (1) CA2416598A1 (en)
SG (1) SG127691A1 (en)
WO (1) WO2002007660A2 (en)

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Also Published As

Publication number Publication date
EP1301155A2 (en) 2003-04-16
SG127691A1 (en) 2006-12-29
AU2001277038A1 (en) 2002-02-05
CA2416598A1 (en) 2002-01-31
JP2004504105A (en) 2004-02-12
WO2002007660A2 (en) 2002-01-31

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