AU2008361191A1 - Method for calibrating the pulse energy of a laser device using a coherence-optical interferometric measuring apparatus - Google Patents

Description

Method for calibrating the pulse energy of a laser device using a coherence-optical interferometric measuring apparatus 5 The invention concerns a method of calibrating the pulse energy of a laser device which provides pulsed working laser radiation. In the method, by means of the work ing laser radiation, multiple test ablations, in particular multiple-pulse test ablations, are carried out on one or more test objects, each with different pulse energy. The t0 ablation depth of each of the test ablations is measured, and on the basis of the measured ablation depths and a specified setpoint ablation depth, an associated setpoint pulse energy is determined. This setpoint pulse energy is set on the laser device. 5 This invention also concerns a laser device to carry out an energy calibration of a working laser. The method described above and the laser device mentioned above are used in, among other things, refractive ophthalmological laser surgery. Refractive laser surgery should be understood here as changing the imaging proper ties of the optical system called the "eye" by means of laser radiation. The interaction of the irradiated laser radiation with the eye changes the refraction properties of one or more components of the eye. Since the cornea is what decides the imaging prop 5 erties of the eye, in many cases laser surgery on the eye includes working on the cornea. By targeted removal of material (material ablation), a change of the shape of the cornea is caused. The term reshaping the cornea is therefore also used. An important example of refractive ophthalmological surgery is LASIK (LASer-In-Situ 0 Keratomileusis), in which the cornea tissue is removed (ablated) to reshape the cor nea to correct visual defects. For ablating cornea tissue, an excimer laser in the UV -2 range (typically 193 nm) is usually used. The laser radiation is guided over the eye temporally and positionally in such a way that at selected locations of the cornea a specified quantity of tissue is ablated. This ablation is described by the so-called ablation profile, i.e. the ablation profile indicates the ablation to be done at every 5 point of the cornea. The ablation profile is usually calculated before the surgical intervention for the eye to be corrected is carried out. The basis of this calculation is measurement of the eye in its current state. For this measurement of the eye, the prior art knows various o techniques, in particular topography meters (so-called topolyzers), wave front ana lysers, Scheimpflug devices, pachymeters and subjective refraction determination. The ablation profile is calculated so that after the operation, the cornea has an opti mum shape for the treated eye, and previously existing optical imaging errors of the 5 eye are corrected as far as possible. For calculating the ablation profile, suitable methods have been available to specialists for quite a long time. When the ablation profile for the eye to be treated has been determined, next how the desired removal can best be achieved with the available laser radiation is com o puted. To do this, a relationship between the energy density of the laser pulse and the material removal which it effects must be found and taken into account. This relationship forms the basis for calibrating the working laser for a material to be worked on and a defined removal of material. In addition to the energy density of the laser pulse, a series of further parameters influence the amount of the material 5 removal, e.g. the material properties themselves, the material temperature, the sur face shape, etc., but here primarily a variation of the pulse energy will be considered. The control programme for the laser pulses is computed on the assumption of a specified, constant removal per pulse. It is therefore important that the energy which effects precisely this assumed/required removal should be precisely set on the laser o system.

-3 In ophthalmological surgery, various kinds of methods for energy calibration of lasers with respect to the effect of the pulsed laser light with the material to be worked on are known: 5 In a first method, by means of the laser beam to be calibrated, an ablation is carried out on a special capacitor foil. The ablation causes a colour change, which is then used as a measure of the energy which has been applied to the foil to ablate it. In a further method of energy calibration, a refractive ablation is applied to a sample o of polymethylmethacrylate (PMMA). Then the change of the refraction at the ablation position is determined using a vertex refractometer. Also, a method in which a defined test ablation is carried out on a PMMA fluence test disc has been developed. "Fluence" here is understood as the energy of the laser 5 beam per unit area. The ablation depth of the test ablation is measured by means of a mechanical probe. If the determined ablation depth is within a specified range, the energy of the laser system is set correctly. However, the above-mentioned methods and the associated systems have various o disadvantages. For instance, if the mechanical measurement of a fluence test disc of PMMA as described above is used, the user must decide after every ablation and measurement whether the set energy must be adjusted or has already been set correctly. To achieve the desired setpoint value for the energy of the laser beam, it can happen that the user must repeat this procedure several times. This is rather 5 complicated for the user, who must approach the optimum ablation depth and thus the desired radiated energy step by step, by raising or reducing the radiated energy. It is an object of this invention to give an improved energy calibration method and a corresponding laser device which avoid the above-mentioned disadvantages. 0 -4 According to the invention, for this purpose, in the above-mentioned method, it is provided that the ablation depths are measured by means of a coherent optical inter ferometric measuring device. This makes contactless measurement of the ablation positions on the test object(s) possible, so that one precondition of automation of the 5 calibration method is fulfilled. In this way, both the depth of the ablation and the distance of the test object from the laser device can be determined. Additionally, in a coherent optical interferometric measuring method it is possible to carry out the measurement in a beam-guided manner and at some distance from the test object, and thus to integrate the measuring method into an existing laser device which pro o vides pulsed working laser radiation. Contactless determination of the ablation depth and the integration capability of the measuring method permit a completely new approach to the determination of the ablation depth on the test object. Thus, for one thing, the calibration of the pulse s energy can be improved so that, for instance, the test object is measured directly after the test ablation, without the test object having to be moved for the purpose, and thus automation of the calibration process can be achieved. Also, the precision of the calibration is improved, since by means of the coherent optical interferometric measuring device, simultaneously with the ablation depth, the position of the test o object relative to the working plane of the laser device can be determined and ad justed. This permits a more precise, because better adapted to the later use situa tion, determination of the pulse energy of the working laser. According to an advantageous embodiment of the method, the measuring device s works on the OLCR (Optical Low Coherence Reflectometry) principle. This measure ment principle is used in pachymetry, to measure the thickness of the cornea. The invention thus teaches using a method which is suitable for measuring the thickness of the cornea to measure the ablation depth of a test ablation on the test object. Thus a change of the refractive properties of the test object, caused by the ablation, o can be precisely and reproducibly determined.

-5 In particular, it is specially easy to integrate the interferometric measuring device if the ablation depths are measured by means of a measuring beam of the measuring device, the course of said measuring beam being coaxial with the working laser ra diation. Optical devices which already exist, e.g. mirrors, lenses, etc., and which are 5 used to guide and shape the working laser beam, can be used simultaneously for the measuring beam of the measuring device. To automate the energy calibration proc ess, several of the test ablations can be carried out on the same test object, which can be moved relative to the measuring device between successive test ablations. In particular, it can be provided that the test object is not moved manually but by a o motor, so that without the intervention of a user, a series of test ablations can be carried out on the test object. In an embodiment, it is provided that the test ablations are applied at a radial dis tance from the disc centre of a test disc which is used as the test object, and a turn s table which carries the test disc is turned by a specified angle of rotation between successive test ablations. The test ablations are thus distributed evenly, at a maxi mum distance from each other, on the test disc, and movement of the test object is achieved in a technically simple manner. Falsification of the measurement result by deposit of the material from adjacent ablations is reduced or avoided. 0 In a method according to the invention, it can also be provided that on a test object, in particular a test object with at least one test ablation, a control ablation with the determined setpoint pulse energy is carried out, and the ablation depth of the control ablation is then measured with the measuring device. This is useful, in particular, s after a series of test ablations on the test object. For instance, after determining the ablation depths of the several test ablations, assuming a functional relationship be tween the applied pulse energy and ablation depth, a setpoint pulse energy which correlates with the setpoint ablation depth can be derived. By carrying out a control ablation with the determined setpoint pulse energy, it is possible to verify whether o this setpoint pulse energy results in the desired setpoint ablation depth.

-6 For cooling the test object(s) and/or for cleaning the region above the test ablations, it is recommended that an air current should be generated and directed at least onto the ablated part of a test object. This can happen while a test ablation is being car ried out, or at least after it, to blow away any ablation products in the unavoidable 5 ablation clouds for precise, optical measurement of the ablation craters. As well as the described method according to the invention for pulse energy calibra tion, the idea of the invention is also implemented in a laser device. Such a laser device comprises: 0 - a laser radiation source, which provides pulsed working laser radiation for process ing an object, - a coherent optical interferometric measuring device for measuring at least one length measurement using a measuring beam which runs along the direction of the working laser radiation, 5 - a controllable positioning module for positioning a test object arrangement which is formed from at least one test object in multiple defined positions relative to the laser radiation source, -a computer which controls the laser radiation source, the measuring device and the positioning module, and which is designed to carry out the following actions to cali 0 brate the laser radiation source, under the control of a control program: - carry out multiple test ablations, in particular multiple-pulse test ablations, on the test object arrangement by means of the working laser radiation, with different pulse energy in each case, - control the positioning module, to move the test object arrangement between suc 5 cessive test ablations in various of the defined relative positions to the laser radiation source, - measure the ablation depth of each of the test ablations by means of the measur ing device, - determine a setpoint pulse energy on the basis of the measured ablation depths 0 and a specified setpoint ablation depth, and if appropriate set the determined set point pulse energy for the working laser radiation.

-7 The invention is explained further below, on the basis of the attached drawings. Fig. 1 shows a flowchart of an embodiment according to the invention for a method s of energy calibration of a laser device, Fig. 2 shows an energy-ablation depth diagram for various test ablations which have been carried out, o Figs. 3a and 3b show, in schematic block representation, an embodiment according to the invention of a laser device, before and after a test ablation, Figs. 4a and 4b show a positioning module for fixing a test object in a defined, changeable position, in plan and side view respectively, and 5 Fig. 5 shows a test object which is provided with test ablation positions and a control ablation position, in plan view. In Fig. 1, a possible embodiment of a method according to the invention is shown, with steps S1-S8. To calibrate the pulse energy of a laser device which provides o pulsed laser radiation, first an initial pulse energy is set on the laser device (Si). This initial value of the pulse energy can either be near the desired setpoint energy or on an edge of a range which covers the desired pulse energy. With this first set pulse energy, a test ablation is carried out on a test object, e.g. 5 with several thousand laser pulses (S2). By the impinging pulse energy of the work ing laser beam, at the test ablation position a specified quantity of the test object material is removed, so that an indentation forms on the test object. This ablation depth is determined by means of a pachymeter (S3). Using pachy o metry, it is possible to set the distance of the test object from the laser device ex actly, and simultaneously to measure the thickness of the test object. A suitable -8 material for the test object, with ablation, should either have an interaction with the working laser beam which is comparable to that between the later target object (e.g. the cornea) and the working laser beam. Or a material of which the reaction to the irradiated laser pulses is different (e.g. of different strength) compared with the 5 material to be treated later (e.g. biological tissue) is used, but the relationship be tween the reaction of the test material and the reaction of the material to be treated is known at least to a broad approximation, e.g. from empirical data. The material of the test object must also be accessible to pachymetry. In this connection, the mate rial polymethylmethacrylate (PMMA) in the form of thin laminae has been shown to o be specially suitable. After the depth of the ablation position is determined, a first ablation depth / pulse energy value pair exists. Starting from this measured value, the pulse energy for a further test ablation is changed (S4). For this purpose, starting from the first pulse energy, the next pulse 5 energy is raised/reduced by one step width. Alternatively to this step by step scan ning of an energy range, other methods are conceivable. For instance, the setpoint energy value could also be determined by an iterative interval nesting method. The method continues by executing steps S2-S4 again, until either the previously o defined pulse energy range is run through or the test object is provided with the maximum number of test ablations. Next, a relationship between the measured ablation depths and the associated pulse energies is determined (S5). For instance, a linear correlation of the ablation depth s and pulse energy can be assumed, and a compensating straight line can be fitted to the pulse energy / ablation depth value pairs ("linear fit"). If appropriate, regression analyses of higher order or fitting according to other models can be carried out. From the functional relationship which is determined in this way, the required set o point energy can be calculated from the desired setpoint ablation depth (S6).

-9 The setpoint energy value is set, and a control ablation with the determined setpoint energy is carried out (S7). The ablation depth of the control ablation, which is deter mined next, should now correspond to the desired setpoint ablation depth, which is verified by comparing the control ablation depth with the setpoint ablation depth 5 (S8). In this way, the working laser, after the method according to the invention is carried out, is calibrated simply and precisely for its ablation effect, and for instance pre pared for carrying out ophthalmological laser surgery. L Fig. 2 shows an example of such a calibration process according to the method ac cording to the invention. In the diagram, the energy of a laser pulse in mJ is shown on the abscissa, and a range of 1.58-1.76 mJ is shown. Test ablations with energy values 1.60 mJ, 1.65 mJ, 1.70 mJ and 1.75 mJ were carried out. The ablation depths s which were determined by pachymetry are shown on the ordinate in pm, in a range of 35-75 pm. The ablation depths associated with the pulse energy values are 55 pm, 60 pm, 65 pm and 70 pm. The following compensating straight line can be fitted to these four measured value pairs A-D: oy =100x -105 The parameter y represents the ablation depth in pm, and the parameter x repre sents the energy of the laser pulse in mJ. For instance, if the setpoint ablation depth is 63.5 pm, which is designated in the diagram by the symbol Ey, the result for the s suggested setpoint energy is 1.658 mJ. This value is designated in the diagram by the symbol Ex. Of course, use of linear regression is only one of many possibilities for determining the desired setpoint energy for a specified setpoint ablation depth from the meas o ured value pairs.

- 10 The laser device 100 shown in Figs. 3a and 3b is designed, for instance, for ophthal mological laser surgery, and includes, as the laser radiation source, a working laser 110 which is suitable for cornea ablations and emits pulsed radiation, an eye tracker 120, which is used to follow the eye movements during the cornea treatment, and a 5 fixing light 140, on which the patient must fix his or her eyes during the cornea treatment, to keep the eye movements as small as possible. A pachymeter 130, which is suitable for capturing the cornea thickness by means of OLCR (Optical Low Coherence Reflectometry), is also integrated in the laser device 100. All the above mentioned components 110-140 work on a common optical axis X, which is imple o mented by various optical components such as mirrors, lenses,,etc. In Figs. 3a and 3b, these optical components are indicated only schematically as mirrors 160. As well as the above-mentioned components, which are known per se, the laser device ac cording to the invention has a positioning module 170 and a computer 150. The positioning module 170 is shown only schematically as a block; there is a more de s tailed description of it in relation to Figs. 4a and 4b. On the positioning module, fitted so that it can be replaced, is a so-called fluence test disc 180 of polymethylmethacry late (PMMA). Both the components 110-140 and the positioning module 170 are connected via control lines 190 to the computer 150. The computer has a control program 200, which is designed to control the components 110-140 and the position o ing module 170. To determine a setpoint pulse energy of the laser device 100, both the distance of the fluence test disc 180 from the laser device 100, in particular from the pachy meter 130, represented by the double arrow 210, and the thickness of the fluence 5 test disc 180, represented by another double arrow 220, are determined. On the basis of these measurement data, the working laser 110 and positioning module 170 are controlled so that multiple test ablations are carried out at different positions of the fluence test disc 180. In Fig. 3b, such a test ablation 230 is indicated schemati cally. Directly after a test ablation is carried out, the test ablation position 230 is 0 measured by means of the pachymeter 130, so that the resulting ablation depth is determined. This is indicated schematically in Fig. 3b by reference symbol 240. After - 11 a series of test ablations is carried out with different pulse energies, as described above in relation to Figs. 1 and 2, the desired setpoint pulse energy for a target ablation depth can be determined. 5 In Figs. 4a and 4b, the positioning module 170, which has already been mentioned in relation to Figs. 3a and 3b, is shown in more detail. Fig. 4a shows a schematic plan view, whereas Fig. 4b shows a schematic side view, of the positioning module. The positioning module 170 has a housing 171. On its top side, a receiving plate 172 to receive the fluence test disc 180 is provided, the receiving plate 172 being arranged o on a receiving device 173, which is joined permanently to the housing 171. An air outlet opening 174 is integrated in the receiving device 173.. The fluence test disc 180 is held by the receiving plate 172. When a series of test ablations is carried out, the test ablation positions 230 are distributed evenly at 90* s angles on the fluence test disc 180, by the fluence test disc being rotated by 90* between the individual test ablations, e.g. counterclockwise, e.g. by means of a mo tor drive which the computer controls. This is indicated in Fig. 4a by the arrow 175. To ensure reproducible measurement results, an air flow is directed onto the top of the fluence test disc, it emerges at the opening 174 and moves over the surface of 0 the fluence test disc 180. The air flow can be used to conduct away any heat. A fan to generate the air flow and a servo motor to drive the receiving plate 172 in rotation can be housed, for instance, in the housing 171 (neither shown). The air flow is usefully directed so that it can remove ablation products in the ablation cloud which appears above the test disc, and thus keep the region above the disc clean and free 5 of disturbing particles. Fig. 5 shows an enlarged view of a fluence test disc 180. Such a circular fluence test disc can, for instance, consist of polymethylmethacrylate (PMMA), have a radius of 30 mm and be about 4 mm thick. Of course, a fluence test disc can be produced in 0 any shape (e.g. square, strip-shaped, etc.) and with dimensions which differ from those stated above. The test ablation disc 180 has four peripheral ablation positions - 12 230-233, which here are arranged at equal distances from each other and as close as possible to the edge. The purpose of this arrangement is to prevent the disc surfaces which are still being used for ablation being contaminated by ablation products of a preceding test ablation, by ensuring a maximum possible distance of the test ablation 5 positions 230-233 from each other. At the centre of the fluence test disc, a control test ablation position 234 is arranged. After measurement of the ablation depth of the test ablations at the test ablation positions 230-233 and analysis of the ablation depths, it is ablated with a pulse en o ergy corresponding to the determined setpoint energy. If a suitable movement mechanism is provided, the control ablation position 234 can also be measured with the pachymeter 130. Alternatively, however, a mechanical measurement method such as measurement by means of a depth measurement probe can be used. By using two independent measurement methods, a lower probability of error is 5 achieved.

Claims (5)

1. 3. Method according to Claim 1 or 2, characterized In that the ablation depths are measured by means of a measuring beam (of the measuring device) which runs 20 along the working laser radiation.
2. 4. Method according to one of the preceding claims, characterized In that multi pie test ablations are carried out on the same test object, which is moved relative to the measuring device between successive test ablations. 25
3. 5. Method according to Claim 4, characterized in that the test ablations are ap plied at a radial distance from the disc centre of a test disc which is used as the test object, and the test disc is turned by a specified angle of rotation between successive test ablations. 30 9A-106 133 - 14 6. Method according to one of the preceding claims, characterized In that on a test object, in particular a test object with at least one of the test ablations, a control ablation with the determined setpoint pulse energy is carried out, and the ablation depth of the control ablation is then measured with the measuring device. 5
4. 7. Method according to one of the preceding claims, characterized in that an air flow is generated and directed onto at least the ablated part of a test object.
5. 8. Laser device, in particular to carry out the method according to one of the 10 preceding claims, comprising - a laser radiation source (110), which provides pulsed working laser ra diation for processing an object, - a coherent optical interferometric measuring device (130) for measuring at least one length measurement using a measuring beam which runs 15 along the direction of the working laser radiation, - a controllable positioning module (170) for positioning a test object ar rangement which is formed from at least one test object (180) in multi ple defined positions relative to the laser radiation source (110), - a computer which controls the laser radiation source (110), the measur 20 ing device (130) and the positioning module (170), and which is de signed to carry out the following actions to calibrate the laser radiation source (110), under the control of a control program (200): - carry out multiple test ablations, In particular multiple-pulse test abla tions, on the test object arrangement by means of the working laser 25 radiation, with different pulse energy in each case, - control the positioning module, to move the test object arrangement between successive test ablations in various of the defined relative po sitions to the laser radiation source, - measure the ablation depth of each of the test ablations by means of 30 the measuring device (130), 9A-106 133 - 15 - determine a setpoint pulse energy on the basis of the measured abla tion depths and a specified setpoint ablation depth, and if appropriate set the determined setpoint pulse energy for the working laser radia tion. 5