DE102009021604A1 - Verfahren zur Markierung von Koagulationsstellen auf einer Retina sowie System zur Koagulation der Retina - Google Patents
Verfahren zur Markierung von Koagulationsstellen auf einer Retina sowie System zur Koagulation der Retina Download PDFInfo
- Publication number
- DE102009021604A1 DE102009021604A1 DE102009021604A DE102009021604A DE102009021604A1 DE 102009021604 A1 DE102009021604 A1 DE 102009021604A1 DE 102009021604 A DE102009021604 A DE 102009021604A DE 102009021604 A DE102009021604 A DE 102009021604A DE 102009021604 A1 DE102009021604 A1 DE 102009021604A1
- Authority
- DE
- Germany
- Prior art keywords
- sequence
- coagulation
- spot
- retina
- spots
- Prior art date
- Legal status (The legal status 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 status listed.)
- Pending
Links
- 230000015271 coagulation Effects 0.000 title claims abstract description 102
- 238000005345 coagulation Methods 0.000 title claims abstract description 102
- 210000001525 retina Anatomy 0.000 title claims abstract description 49
- 238000000034 method Methods 0.000 title claims abstract description 30
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 40
- 238000012790 confirmation Methods 0.000 claims abstract description 16
- 238000003384 imaging method Methods 0.000 claims abstract description 5
- 230000002452 interceptive effect Effects 0.000 claims abstract description 3
- 238000013519 translation Methods 0.000 claims description 15
- 239000003086 colorant Substances 0.000 claims description 4
- 230000002123 temporal effect Effects 0.000 claims 1
- 230000001112 coagulating effect Effects 0.000 abstract 1
- 238000011161 development Methods 0.000 description 19
- 230000018109 developmental process Effects 0.000 description 19
- 238000011282 treatment Methods 0.000 description 19
- 230000014616 translation Effects 0.000 description 13
- 238000010521 absorption reaction Methods 0.000 description 8
- 108091008695 photoreceptors Proteins 0.000 description 6
- 239000000049 pigment Substances 0.000 description 6
- 230000006378 damage Effects 0.000 description 5
- 210000003583 retinal pigment epithelium Anatomy 0.000 description 5
- 210000001519 tissue Anatomy 0.000 description 5
- XUMBMVFBXHLACL-UHFFFAOYSA-N Melanin Chemical compound O=C1C(=O)C(C2=CNC3=C(C(C(=O)C4=C32)=O)C)=C2C4=CNC2=C1C XUMBMVFBXHLACL-UHFFFAOYSA-N 0.000 description 4
- 210000000981 epithelium Anatomy 0.000 description 4
- 230000002207 retinal effect Effects 0.000 description 4
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- BUHVIAUBTBOHAG-FOYDDCNASA-N (2r,3r,4s,5r)-2-[6-[[2-(3,5-dimethoxyphenyl)-2-(2-methylphenyl)ethyl]amino]purin-9-yl]-5-(hydroxymethyl)oxolane-3,4-diol Chemical compound COC1=CC(OC)=CC(C(CNC=2C=3N=CN(C=3N=CN=2)[C@H]2[C@@H]([C@H](O)[C@@H](CO)O2)O)C=2C(=CC=CC=2)C)=C1 BUHVIAUBTBOHAG-FOYDDCNASA-N 0.000 description 1
- 206010012689 Diabetic retinopathy Diseases 0.000 description 1
- 206010061818 Disease progression Diseases 0.000 description 1
- 206010020843 Hyperthermia Diseases 0.000 description 1
- 208000029091 Refraction disease Diseases 0.000 description 1
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- 238000002647 laser therapy Methods 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00821—Methods or devices for eye surgery using laser for coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B90/13—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints guided by light, e.g. laser pointers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2015—Miscellaneous features
- A61B2018/2025—Miscellaneous features with a pilot laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00863—Retina
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Physics & Mathematics (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Laser Surgery Devices (AREA)
Priority Applications (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102009021604A DE102009021604A1 (de) | 2009-05-15 | 2009-05-15 | Verfahren zur Markierung von Koagulationsstellen auf einer Retina sowie System zur Koagulation der Retina |
| CN201080021140.7A CN102421398B (zh) | 2009-05-15 | 2010-05-14 | 标注出视网膜上的凝结位置的方法以及使视网膜凝结的系统 |
| US13/320,727 US8986289B2 (en) | 2009-05-15 | 2010-05-14 | Method for marking coagulation sites of a retina and system for coagulating the retina |
| JP2012510172A JP5675781B2 (ja) | 2009-05-15 | 2010-05-14 | 網膜上に凝固個所をマーキングするための方法ならびに網膜の凝固システム |
| EP10721705A EP2429469A1 (de) | 2009-05-15 | 2010-05-14 | Verfahren zur markierung von koagulationsstellen auf einer retina sowie system zur koagulation der retina |
| PCT/EP2010/002968 WO2010130456A1 (de) | 2009-05-15 | 2010-05-14 | Verfahren zur markierung von koagulationsstellen auf einer retina sowie system zur koagulation der retina |
| US14/632,691 US9855169B2 (en) | 2009-05-15 | 2015-02-26 | Method for marking of coagulation sites on a retina as well as a system for coagulating the retina |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102009021604A DE102009021604A1 (de) | 2009-05-15 | 2009-05-15 | Verfahren zur Markierung von Koagulationsstellen auf einer Retina sowie System zur Koagulation der Retina |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE102009021604A1 true DE102009021604A1 (de) | 2010-11-18 |
Family
ID=42370895
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE102009021604A Pending DE102009021604A1 (de) | 2009-05-15 | 2009-05-15 | Verfahren zur Markierung von Koagulationsstellen auf einer Retina sowie System zur Koagulation der Retina |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US8986289B2 (enExample) |
| EP (1) | EP2429469A1 (enExample) |
| JP (1) | JP5675781B2 (enExample) |
| CN (1) | CN102421398B (enExample) |
| DE (1) | DE102009021604A1 (enExample) |
| WO (1) | WO2010130456A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102018205179A1 (de) | 2018-04-06 | 2019-10-10 | Carl Zeiss Meditec Ag | Vorrichtung und Verfahren zur Voranzeige eines zu applizierenden Spotmusters für eine Lasertherapie am Auge |
Families Citing this family (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP5601610B2 (ja) * | 2010-03-31 | 2014-10-08 | 株式会社ニデック | 眼科用レーザ治療装置 |
| US11309081B2 (en) | 2010-10-13 | 2022-04-19 | Gholam A. Peyman | Telemedicine system with dynamic imaging |
| US9510974B1 (en) | 2010-10-13 | 2016-12-06 | Gholam A. Peyman | Laser coagulation of an eye structure or a body surface from a remote location |
| US8452372B2 (en) * | 2010-10-13 | 2013-05-28 | Gholam Peyman | System for laser coagulation of the retina from a remote location |
| US8903468B2 (en) * | 2010-10-13 | 2014-12-02 | Gholam Peyman | Laser coagulation of an eye structure from a remote location |
| US9037217B1 (en) | 2010-10-13 | 2015-05-19 | Gholam A. Peyman | Laser coagulation of an eye structure or a body surface from a remote location |
| US10456209B2 (en) | 2010-10-13 | 2019-10-29 | Gholam A. Peyman | Remote laser treatment system with dynamic imaging |
| US9931171B1 (en) | 2010-10-13 | 2018-04-03 | Gholam A. Peyman | Laser treatment of an eye structure or a body surface from a remote location |
| US8561280B2 (en) * | 2011-10-20 | 2013-10-22 | Alcon Research, Ltd. | Assembling a multi-fiber multi-spot laser probe |
| US9849034B2 (en) * | 2011-11-07 | 2017-12-26 | Alcon Research, Ltd. | Retinal laser surgery |
| US9962291B2 (en) | 2012-05-25 | 2018-05-08 | Ojai Retinal Technology, Llc | System and process for neuroprotective therapy for glaucoma |
| JP5956884B2 (ja) | 2012-09-13 | 2016-07-27 | 株式会社トプコン | レーザ治療装置 |
| JP5956883B2 (ja) * | 2012-09-13 | 2016-07-27 | 株式会社トプコン | レーザ治療装置 |
| JP6040688B2 (ja) * | 2012-09-28 | 2016-12-07 | 株式会社ニデック | 眼科用レーザ治療装置 |
| JP6973086B2 (ja) * | 2016-02-03 | 2021-11-24 | 株式会社ニデック | 眼科用レーザ屈折矯正装置、眼科用フォトチューニング設定装置、眼科用フォトチューニングシステム、眼鏡用フォトチューニング設定装置、及びこれらに用いられるプログラム、眼科用レーザ手術装置 |
| DE102016205914A1 (de) * | 2016-04-08 | 2017-10-12 | Carl Zeiss Meditec Ag | Verfahren zur selektiven, minimal invasiven Lasertherapie am Auge |
| EP3668461B1 (en) * | 2017-08-18 | 2025-11-12 | AlphaRET Pty Ltd | Multi-spot ophthalmic laser |
| KR102231939B1 (ko) * | 2020-06-23 | 2021-03-25 | 가톨릭대학교 산학협력단 | 안구에 조사되는 레이저 피드백장치 및 이를 이용한 레이저 피드백방법 |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060100677A1 (en) * | 2003-12-24 | 2006-05-11 | Blumenkranz Mark S | Patterned laser treatment of the retina |
| US20060161145A1 (en) * | 2000-06-01 | 2006-07-20 | Massachusetts General Hospital | Optical devices and methods for selective and conventional photocoagulation of the retinal pigment epithelium |
| WO2007035855A2 (en) | 2005-09-19 | 2007-03-29 | Optimedica Corporation | System and method for generating treatment patterns |
| WO2007051061A2 (en) * | 2005-10-28 | 2007-05-03 | Optimedica Corporation | Photomedical treatment system and method with a virtual aiming device |
| DE102005055885A1 (de) * | 2005-11-23 | 2007-05-24 | Carl Zeiss Meditec Ag | Vorrichtung und Verfahren zur Photokoagulation der Netzhaut |
| US20080015553A1 (en) * | 2006-07-12 | 2008-01-17 | Jaime Zacharias | Steering laser treatment system and method of use |
| US20080033406A1 (en) * | 2006-04-28 | 2008-02-07 | Dan Andersen | Dynamic optical surgical system utilizing a fixed relationship between target tissue visualization and beam delivery |
| US20080167642A1 (en) * | 2006-11-10 | 2008-07-10 | Palanker Daniel V | System And Method For Determining Dosimetry In Ophthalmic Photomedicine |
| WO2009045286A1 (en) * | 2007-10-05 | 2009-04-09 | Optimedica Corporation | Semi-automated ophthalmic photocoagulation method and apparatus |
| DE102008011836A1 (de) * | 2008-02-28 | 2009-09-03 | Carl Zeiss Meditec Ag | Ophthalmologisches Gerät und Verfahren zur Beobachtung, Untersuchung, Diagnose und/oder Therapie eines Auges |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AUPP420298A0 (en) * | 1998-06-17 | 1998-07-09 | Lions Eye Institute Of Western Australia Incorporated, The | Z axis tracker |
| DE10135944C2 (de) * | 2001-07-24 | 2003-10-02 | Med Laserzentrum Luebeck Gmbh | Verfahren und Vorrichtung zur nichtinvasiven Bestimmung der Temperatur an mit einer Strahlung, insbesondere Laserstrahlung behandeltem biologischem Gewebe |
| US6639332B2 (en) * | 2001-12-19 | 2003-10-28 | Bausch & Lomb Incorporated | Foot controller with ophthalmic surgery interlock circuit and method |
| US20070121069A1 (en) * | 2005-11-16 | 2007-05-31 | Andersen Dan E | Multiple spot photomedical treatment using a laser indirect ophthalmoscope |
| DE102006019127A1 (de) | 2006-04-25 | 2007-10-31 | Carl Zeiss Meditec Ag | Multiwellenlängen-Lasersystem und Verfahren für ophthalmologische Anwendungen |
| US8568393B2 (en) * | 2007-03-13 | 2013-10-29 | Topcon Medical Laser Systems, Inc. | Computer guided patterned laser trabeculoplasty |
-
2009
- 2009-05-15 DE DE102009021604A patent/DE102009021604A1/de active Pending
-
2010
- 2010-05-14 CN CN201080021140.7A patent/CN102421398B/zh active Active
- 2010-05-14 WO PCT/EP2010/002968 patent/WO2010130456A1/de not_active Ceased
- 2010-05-14 EP EP10721705A patent/EP2429469A1/de not_active Withdrawn
- 2010-05-14 JP JP2012510172A patent/JP5675781B2/ja active Active
- 2010-05-14 US US13/320,727 patent/US8986289B2/en active Active
-
2015
- 2015-02-26 US US14/632,691 patent/US9855169B2/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060161145A1 (en) * | 2000-06-01 | 2006-07-20 | Massachusetts General Hospital | Optical devices and methods for selective and conventional photocoagulation of the retinal pigment epithelium |
| US20060100677A1 (en) * | 2003-12-24 | 2006-05-11 | Blumenkranz Mark S | Patterned laser treatment of the retina |
| WO2007035855A2 (en) | 2005-09-19 | 2007-03-29 | Optimedica Corporation | System and method for generating treatment patterns |
| WO2007051061A2 (en) * | 2005-10-28 | 2007-05-03 | Optimedica Corporation | Photomedical treatment system and method with a virtual aiming device |
| DE102005055885A1 (de) * | 2005-11-23 | 2007-05-24 | Carl Zeiss Meditec Ag | Vorrichtung und Verfahren zur Photokoagulation der Netzhaut |
| US20080033406A1 (en) * | 2006-04-28 | 2008-02-07 | Dan Andersen | Dynamic optical surgical system utilizing a fixed relationship between target tissue visualization and beam delivery |
| US20080015553A1 (en) * | 2006-07-12 | 2008-01-17 | Jaime Zacharias | Steering laser treatment system and method of use |
| US20080167642A1 (en) * | 2006-11-10 | 2008-07-10 | Palanker Daniel V | System And Method For Determining Dosimetry In Ophthalmic Photomedicine |
| WO2009045286A1 (en) * | 2007-10-05 | 2009-04-09 | Optimedica Corporation | Semi-automated ophthalmic photocoagulation method and apparatus |
| DE102008011836A1 (de) * | 2008-02-28 | 2009-09-03 | Carl Zeiss Meditec Ag | Ophthalmologisches Gerät und Verfahren zur Beobachtung, Untersuchung, Diagnose und/oder Therapie eines Auges |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102018205179A1 (de) | 2018-04-06 | 2019-10-10 | Carl Zeiss Meditec Ag | Vorrichtung und Verfahren zur Voranzeige eines zu applizierenden Spotmusters für eine Lasertherapie am Auge |
| WO2019193077A1 (de) | 2018-04-06 | 2019-10-10 | Carl Zeiss Meditec Ag | Vorrichtung und verfahren zur voranzeige eines zu applizierenden spotmusters für eine lasertherapie am auge |
| US11951042B2 (en) | 2018-04-06 | 2024-04-09 | Carl Zeiss Meditec Ag | Device and method for the pre-display of a spot pattern to be applied for a laser treatment of the eye |
Also Published As
| Publication number | Publication date |
|---|---|
| US20120150159A1 (en) | 2012-06-14 |
| CN102421398A (zh) | 2012-04-18 |
| JP5675781B2 (ja) | 2015-02-25 |
| US9855169B2 (en) | 2018-01-02 |
| EP2429469A1 (de) | 2012-03-21 |
| US8986289B2 (en) | 2015-03-24 |
| WO2010130456A1 (de) | 2010-11-18 |
| CN102421398B (zh) | 2015-04-01 |
| US20150164691A1 (en) | 2015-06-18 |
| JP2012526570A (ja) | 2012-11-01 |
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