DE69832289T2 - Dual-mode ophthalmische laserablation - Google Patents
Dual-mode ophthalmische laserablation Download PDFInfo
- Publication number
- DE69832289T2 DE69832289T2 DE69832289T DE69832289T DE69832289T2 DE 69832289 T2 DE69832289 T2 DE 69832289T2 DE 69832289 T DE69832289 T DE 69832289T DE 69832289 T DE69832289 T DE 69832289T DE 69832289 T2 DE69832289 T2 DE 69832289T2
- Authority
- DE
- Germany
- Prior art keywords
- laser
- cornea
- laser beam
- spot size
- double
- 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.)
- Expired - Lifetime
Links
- 238000000608 laser ablation Methods 0.000 title description 2
- 238000001356 surgical procedure Methods 0.000 claims description 26
- 210000004087 cornea Anatomy 0.000 claims description 21
- 238000012876 topography Methods 0.000 claims description 19
- 230000003287 optical effect Effects 0.000 claims description 14
- 239000007787 solid Substances 0.000 claims description 9
- 238000011269 treatment regimen Methods 0.000 claims description 9
- 238000002679 ablation Methods 0.000 claims description 6
- 230000005540 biological transmission Effects 0.000 claims description 3
- 238000007493 shaping process Methods 0.000 claims description 3
- 238000000034 method Methods 0.000 description 21
- 238000012937 correction Methods 0.000 description 19
- 201000009310 astigmatism Diseases 0.000 description 13
- 230000004305 hyperopia Effects 0.000 description 10
- 201000006318 hyperopia Diseases 0.000 description 10
- 230000004379 myopia Effects 0.000 description 10
- 208000001491 myopia Diseases 0.000 description 10
- 238000011282 treatment Methods 0.000 description 10
- 210000001519 tissue Anatomy 0.000 description 9
- 241000219739 Lens Species 0.000 description 8
- 235000021251 pulses Nutrition 0.000 description 8
- 206010020675 Hypermetropia Diseases 0.000 description 6
- 210000000981 epithelium Anatomy 0.000 description 4
- 230000004438 eyesight Effects 0.000 description 4
- 230000004304 visual acuity Effects 0.000 description 4
- 230000003628 erosive effect Effects 0.000 description 3
- 230000001788 irregular Effects 0.000 description 3
- 238000002430 laser surgery Methods 0.000 description 3
- 206010051559 Corneal defect Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000010438 heat treatment Methods 0.000 description 2
- CPBQJMYROZQQJC-UHFFFAOYSA-N helium neon Chemical compound [He].[Ne] CPBQJMYROZQQJC-UHFFFAOYSA-N 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 235000014647 Lens culinaris subsp culinaris Nutrition 0.000 description 1
- 206010044565 Tremor Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- ISQINHMJILFLAQ-UHFFFAOYSA-N argon hydrofluoride Chemical compound F.[Ar] ISQINHMJILFLAQ-UHFFFAOYSA-N 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000002996 emotional effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 238000000265 homogenisation Methods 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/35—Surgical robots for telesurgery
-
- 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
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00804—Refractive treatments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
- A61B2017/306—Surgical pincettes, i.e. surgical tweezers without pivotal connections holding by means of suction
-
- 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
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
- A61B2090/3945—Active visible markers, e.g. light emitting diodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
- A61B2218/005—Irrigation using gas or vapor, e.g. for protection or purging
-
- 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
- A61F2009/00872—Cornea
-
- 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
- A61F2009/00878—Planning
- A61F2009/00882—Planning based on topography
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Ophthalmology & Optometry (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Optics & Photonics (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Molecular Biology (AREA)
- Robotics (AREA)
- Medical Informatics (AREA)
- Laser Surgery Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US4490897P | 1997-04-25 | 1997-04-25 | |
| US44908P | 1997-04-25 | ||
| PCT/EP1998/002428 WO1998048746A1 (en) | 1997-04-25 | 1998-04-24 | Dual mode ophthalmic laser ablation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE69832289D1 DE69832289D1 (en) | 2005-12-15 |
| DE69832289T2 true DE69832289T2 (de) | 2006-08-10 |
Family
ID=21934981
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE69832289T Expired - Lifetime DE69832289T2 (de) | 1997-04-25 | 1998-04-24 | Dual-mode ophthalmische laserablation |
Country Status (9)
| Country | Link |
|---|---|
| EP (1) | EP1011563B1 (https=) |
| JP (1) | JP2001522279A (https=) |
| CN (1) | CN1211055C (https=) |
| AU (1) | AU735854B2 (https=) |
| BR (1) | BR9808977A (https=) |
| CA (1) | CA2287284C (https=) |
| DE (1) | DE69832289T2 (https=) |
| ES (1) | ES2251082T3 (https=) |
| WO (1) | WO1998048746A1 (https=) |
Families Citing this family (23)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6129722A (en) | 1999-03-10 | 2000-10-10 | Ruiz; Luis Antonio | Interactive corrective eye surgery system with topography and laser system interface |
| US6373571B1 (en) * | 1999-03-11 | 2002-04-16 | Intralase Corp. | Disposable contact lens for use with an ophthalmic laser system |
| WO2001028477A1 (en) * | 1999-10-21 | 2001-04-26 | Technolas Gmbh Ophthalmologische Systeme | Multi-step laser correction of ophthalmic refractive errors |
| EP1221921B1 (en) | 1999-10-21 | 2006-01-04 | Technolas GmbH Ophthalmologische Systeme | Apparatus for ophthalmic refractive correction |
| CN100563607C (zh) * | 2003-04-11 | 2009-12-02 | 泰克诺拉斯眼科系统有限公司 | 关于视力矫正处理计划的方法和系统 |
| US8491353B2 (en) | 2003-09-30 | 2013-07-23 | Panasonic Corporation | Mold for optical components |
| DE10353264B4 (de) * | 2003-11-14 | 2022-07-07 | Carl Zeiss Meditec Ag | Adapter zum Koppeln einer Laserbearbeitungsvorrichtung mit einem Objekt |
| DE102005046130A1 (de) | 2005-09-27 | 2007-03-29 | Bausch & Lomb Inc. | System und Verfahren zur Behandlung eines Auges eines Patienten, das mit hoher Geschwindigkeit arbeitet |
| EP1862154B1 (de) * | 2006-05-31 | 2011-03-23 | Ziemer Holding AG | Ophtalmologische Vorrichtung |
| DE102006036085A1 (de) | 2006-08-02 | 2008-02-07 | Bausch & Lomb Incorporated | Verfahren und Vorrichtung zur Berechnung einer Laserschußdatei zur Verwendung in einem Excimer-Laser |
| AT505357B1 (de) * | 2007-06-13 | 2009-04-15 | Lechthaler Andreas | Vorrichtung zur bestrahlung eines objektes, insbesondere der menschlichen haut, mit uv-licht |
| DE102008028509A1 (de) | 2008-06-16 | 2009-12-24 | Technolas Gmbh Ophthalmologische Systeme | Behandlungsmusterüberwachungsvorrichtung |
| EP2306948B1 (de) | 2008-06-30 | 2017-12-06 | WaveLight GmbH | Vorrichtung zur ophthalmologischen, insbesondere refraktiven laserchirurgie |
| DE102008035995A1 (de) | 2008-08-01 | 2010-02-04 | Technolas Perfect Vision Gmbh | Kombination einer Excimer-Laserablation und Femtosekundenlasertechnik |
| DE102008053827A1 (de) | 2008-10-30 | 2010-05-12 | Technolas Perfect Vision Gmbh | Vorrichtung und Verfahren zum Bereitstellen einer Laserschussdatei |
| BRPI0924566A2 (pt) * | 2009-05-26 | 2016-08-30 | Wavelight Gmbh | sistema para cirurgia oftálmica a laser |
| JP6236882B2 (ja) * | 2013-06-03 | 2017-11-29 | 株式会社ニデック | レーザ治療装置 |
| US20160157935A1 (en) * | 2013-07-11 | 2016-06-09 | Koninklijke Philips N.V. | Device and method for non-invasive treatment of skin using laser light |
| DE102014105943A1 (de) * | 2014-04-28 | 2015-10-29 | Vossamed Gmbh & Co. Kg | Vorrichtung zum Erzeugen von Schnitten oder Perforationen am Auge |
| JP6657591B2 (ja) * | 2015-05-01 | 2020-03-04 | 株式会社ニデック | 眼科用レーザデリバリおよび眼科用レーザ治療装置 |
| JP7449587B2 (ja) * | 2019-03-13 | 2024-03-14 | ベルキン ヴィジョン リミテッド | 自動レーザ虹彩切開術 |
| US12564517B2 (en) | 2020-10-26 | 2026-03-03 | Belvin Vision Ltd. | Avoiding blood vessels during direct selective laser trabeculoplasty |
| JP2025534703A (ja) | 2022-10-11 | 2025-10-17 | ベルキン ビジョン リミティド | 自動選択的レーザ線維柱帯形成術 |
Family Cites Families (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4773414A (en) | 1983-11-17 | 1988-09-27 | Lri L.P. | Method of laser-sculpture of the optically used portion of the cornea |
| US4770172A (en) | 1983-11-17 | 1988-09-13 | Lri L.P. | Method of laser-sculpture of the optically used portion of the cornea |
| US4732148A (en) | 1983-11-17 | 1988-03-22 | Lri L.P. | Method for performing ophthalmic laser surgery |
| US4729372A (en) | 1983-11-17 | 1988-03-08 | Lri L.P. | Apparatus for performing ophthalmic laser surgery |
| US4718418A (en) | 1983-11-17 | 1988-01-12 | Lri L.P. | Apparatus for ophthalmological surgery |
| US4665913A (en) | 1983-11-17 | 1987-05-19 | Lri L.P. | Method for ophthalmological surgery |
| US4669466A (en) | 1985-01-16 | 1987-06-02 | Lri L.P. | Method and apparatus for analysis and correction of abnormal refractive errors of the eye |
| FR2576780B1 (fr) | 1985-02-04 | 1991-06-14 | Azema Alain | Appareil pour modifier la courbure de la cornee oculaire sur toute la surface pupillaire par ablation photochimique de ladite cornee |
| GB8606821D0 (en) | 1986-03-19 | 1986-04-23 | Pa Consulting Services | Corneal reprofiling |
| US4840175A (en) | 1986-12-24 | 1989-06-20 | Peyman Gholam A | Method for modifying corneal curvature |
| CA2021696A1 (en) * | 1989-08-11 | 1991-02-12 | David F. Muller | Laser reprofiling system employing a light restricting mask |
| DE4103493C1 (https=) * | 1991-02-06 | 1992-07-09 | Aesculap Ag, 7200 Tuttlingen, De | |
| US5217453A (en) * | 1991-03-18 | 1993-06-08 | Wilk Peter J | Automated surgical system and apparatus |
| US6090100A (en) | 1992-10-01 | 2000-07-18 | Chiron Technolas Gmbh Ophthalmologische Systeme | Excimer laser system for correction of vision with reduced thermal effects |
| DE4232915A1 (de) * | 1992-10-01 | 1994-04-07 | Hohla Kristian | Vorrichtung zur Formung der Cornea durch Abtragen von Gewebe |
| AU4530696A (en) * | 1995-01-11 | 1996-07-31 | Summit Technology, Inc. | Integrated laser reprofiling systems |
| US5891132A (en) | 1996-05-30 | 1999-04-06 | Chiron Technolas Gmbh Opthalmologische Systeme | Distributed excimer laser surgery system |
-
1998
- 1998-04-24 BR BR9808977-3A patent/BR9808977A/pt not_active IP Right Cessation
- 1998-04-24 CA CA2287284A patent/CA2287284C/en not_active Expired - Lifetime
- 1998-04-24 WO PCT/EP1998/002428 patent/WO1998048746A1/en not_active Ceased
- 1998-04-24 JP JP54658598A patent/JP2001522279A/ja active Pending
- 1998-04-24 DE DE69832289T patent/DE69832289T2/de not_active Expired - Lifetime
- 1998-04-24 AU AU75288/98A patent/AU735854B2/en not_active Expired
- 1998-04-24 ES ES98922772T patent/ES2251082T3/es not_active Expired - Lifetime
- 1998-04-24 CN CNB988045001A patent/CN1211055C/zh not_active Expired - Lifetime
- 1998-04-24 EP EP98922772A patent/EP1011563B1/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| CA2287284A1 (en) | 1998-11-05 |
| CN1253487A (zh) | 2000-05-17 |
| DE69832289D1 (en) | 2005-12-15 |
| CN1211055C (zh) | 2005-07-20 |
| CA2287284C (en) | 2010-06-15 |
| EP1011563A1 (en) | 2000-06-28 |
| JP2001522279A (ja) | 2001-11-13 |
| BR9808977A (pt) | 2000-08-01 |
| EP1011563B1 (en) | 2005-11-09 |
| HK1026359A1 (en) | 2000-12-15 |
| WO1998048746A1 (en) | 1998-11-05 |
| AU7528898A (en) | 1998-11-24 |
| AU735854B2 (en) | 2001-07-19 |
| ES2251082T3 (es) | 2006-04-16 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8364 | No opposition during term of opposition |