ES2126960T3 - Sistema para reperfilar la cornea. - Google Patents

Sistema para reperfilar la cornea.

Info

Publication number
ES2126960T3
ES2126960T3 ES95942575T ES95942575T ES2126960T3 ES 2126960 T3 ES2126960 T3 ES 2126960T3 ES 95942575 T ES95942575 T ES 95942575T ES 95942575 T ES95942575 T ES 95942575T ES 2126960 T3 ES2126960 T3 ES 2126960T3
Authority
ES
Spain
Prior art keywords
cornea
annular beam
region
intensity
disclosed
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
Application number
ES95942575T
Other languages
English (en)
Inventor
David F Muller
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Summit Technology Inc
Original Assignee
Summit Technology Inc
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 Summit Technology Inc filed Critical Summit Technology Inc
Application granted granted Critical
Publication of ES2126960T3 publication Critical patent/ES2126960T3/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B3/00Simple or compound lenses
    • G02B3/02Simple or compound lenses with non-spherical faces
    • G02B3/04Simple or compound lenses with non-spherical faces with continuous faces that are rotationally symmetrical but deviate from a true sphere, e.g. so called "aspheric" lenses
    • 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
    • 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
    • A61F9/0081Transplantation
    • 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
    • A61F9/00817Beam shaping with masks
    • A61F9/00819Beam shaping with masks with photoablatable masks
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B23MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23KSOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00Working by laser beam, e.g. welding, cutting or boring
    • B23K26/02Positioning or observing the workpiece, e.g. with respect to the point of impact; Aligning, aiming or focusing the laser beam
    • B23K26/06Shaping the laser beam, e.g. by masks or multi-focusing
    • B23K26/073Shaping the laser spot
    • B23K26/0734Shaping the laser spot into an annular shape
    • 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
    • A61F2009/00844Feedback systems
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Transplantation (AREA)
  • General Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Mechanical Engineering (AREA)
  • Laser Surgery Devices (AREA)
  • Eye Examination Apparatus (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)

Abstract

SE PROPONEN METODOS Y SISTEMAS PARA EL REPERFILADO CORNEO UTILIZANDO UN HAZ ANGULAR DE RADIACION ABLATIVA PARA CORREGIR ERRORES DE REFRACCION DE LA VISION Y/O CREAR "ZONAS DE TRANSICION" QUE REDUZCAN CUALQUIER DISCONTINUIDAD EN LA SUPERFICIE DE LA CORNEA DESPUES DE PROCEDIMIENTOS PARA CORREGIR LA HIPERMETROPIA O EL ASTIGMATISMO. LOS METODOS Y SISTEMAS PROPUESTOS PUEDEN UTILIZARSE TAMBIEN PARA MODIFICAR LA DISTRIBUCION DE INTENSIDADES DEL HAZ LUMINOSO, DE MANERA QUE LA RADIACION ANULAR TENGA UNA INTENSIDAD VARIABLE DEPENDIENDO DEL RADIO Y, POR TANTO, CONSIGA UN EFECTO DE MEZCLA O CUALQUIER OTRO EFECTO DESEADO CON EL MENOR NUMERO DE PULSOS. SE PROPONEN METODOS DE QUERATECTOMIA FOTORREFRACTARIA (QFR), ENTRE ELLOS LOS PASOS NECESARIOS PARA (A) REPERFILAR SELECTIVAMENTE LA CORNEA ELIMINANDO TEJIDO CORNEO CON RADIACION ABLATIVA PARA FORMAR UNA REGION REPERFILADA EN LA ZONA OPTICA QUE AUMENTE, AL MENOS EN PARTE, LA CURVATURA CENTRAL DE LA CORNEA, Y (B) APLICAR A LA REGION PERIFERICA DE LA CORNEA UN HAZ ANULAR DE RADIACION ABLATIVA CON UNA INTENSIDAD QUE VARIE RADIALMENTE DESDE EL SEGMENTO INTERIOR AL EXTERIOR DEL HAZ ANULAR PARA CREAR UNA ZONA DE TRANSICION SUAVE ENTRE LA REGION REPERFILADA Y LA REGION INTACTA DE LA CORNEA. SE PROPONEN ELEMENTOS DE LENTE OPTICA CON UNA CARA ANTERIOR GENERALMENTE CONICA Y UNA CARA POSTERIOR QUE SUELE SER PERPENDICULAR AL RECORRIDO DEL HAZ INCIDENTE. LA LUZ QUE ATRAVIESA ESTE ELEMENTO OPTICO SE REFRACTARA EN UN HAZ ANULAR. EL PERFIL DE INTENSIDAD DEL HAZ ANULAR PUEDE MODIFICARSE UTILIZANDO UN HAZ INICIAL QUE NO TENGA UN PERFIL UNIFORME O VARIANDO LA FORMA DE LA CARA ANTERIOR O POSTERIOR DEL ELEMENTO OPTICO.
ES95942575T 1994-12-08 1995-12-04 Sistema para reperfilar la cornea. Expired - Lifetime ES2126960T3 (es)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US08/351,826 US5613965A (en) 1994-12-08 1994-12-08 Corneal reprofiling using an annular beam of ablative radiation

Publications (1)

Publication Number Publication Date
ES2126960T3 true ES2126960T3 (es) 1999-04-01

Family

ID=23382576

Family Applications (1)

Application Number Title Priority Date Filing Date
ES95942575T Expired - Lifetime ES2126960T3 (es) 1994-12-08 1995-12-04 Sistema para reperfilar la cornea.

Country Status (9)

Country Link
US (1) US5613965A (es)
EP (1) EP0796065B1 (es)
JP (1) JPH10510184A (es)
AT (1) ATE173389T1 (es)
AU (1) AU717380B2 (es)
CA (1) CA2206868C (es)
DE (1) DE69506128T2 (es)
ES (1) ES2126960T3 (es)
WO (1) WO1996017566A1 (es)

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US8025661B2 (en) 1994-09-09 2011-09-27 Cardiofocus, Inc. Coaxial catheter instruments for ablation with radiant energy
US6423055B1 (en) * 1999-07-14 2002-07-23 Cardiofocus, Inc. Phototherapeutic wave guide apparatus
US6063072A (en) * 1994-12-08 2000-05-16 Summit Technology, Inc. Methods and systems for correction of hyperopia and/or astigmatism using ablative radiation
US5904678A (en) * 1995-06-19 1999-05-18 Lasersight Technologies, Inc. Multizone, multipass photorefractive keratectomy
WO1997042891A1 (en) * 1996-05-10 1997-11-20 California Institute Of Technology Conoscopic system for real-time corneal topography
US5997529A (en) 1996-10-28 1999-12-07 Lasersight Technologies, Inc. Compound astigmatic myopia or hyperopia correction by laser ablation
US6210169B1 (en) 1997-01-31 2001-04-03 Lasersight Technologies, Inc. Device and method for simulating ophthalmic surgery
US6156030A (en) * 1997-06-04 2000-12-05 Y-Beam Technologies, Inc. Method and apparatus for high precision variable rate material removal and modification
US6007202A (en) 1997-10-23 1999-12-28 Lasersight Technologies, Inc. Eye illumination system and method
US6132424A (en) 1998-03-13 2000-10-17 Lasersight Technologies Inc. Smooth and uniform laser ablation apparatus and method
US6010497A (en) * 1998-01-07 2000-01-04 Lasersight Technologies, Inc. Method and apparatus for controlling scanning of an ablating laser beam
US6409718B1 (en) 1998-02-03 2002-06-25 Lasersight Technologies, Inc. Device and method for correcting astigmatism by laser ablation
US6193710B1 (en) * 1998-07-16 2001-02-27 Visx, Incorporated Method for scanning non-overlapping patterns of laser energy with diffractive optics
US6551306B1 (en) * 1999-04-13 2003-04-22 Cesar C. Carriazo Refractive laser ablation through topography
US6497701B2 (en) 1999-04-30 2002-12-24 Visx, Incorporated Method and system for ablating surfaces with partially overlapping craters having consistent curvature
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US9033961B2 (en) * 1999-07-14 2015-05-19 Cardiofocus, Inc. Cardiac ablation catheters for forming overlapping lesions
US7935108B2 (en) 1999-07-14 2011-05-03 Cardiofocus, Inc. Deflectable sheath catheters
US8540704B2 (en) * 1999-07-14 2013-09-24 Cardiofocus, Inc. Guided cardiac ablation catheters
JP2002058695A (ja) 1999-09-03 2002-02-26 Carl Zeiss Jena Gmbh 眼の照射方法及び装置
DE19943723C2 (de) * 1999-09-03 2002-11-07 Zeiss Carl Jena Gmbh Vorrichtung zur Bestrahlung des Auges
DE19943735B4 (de) * 1999-09-03 2007-04-26 Carl Zeiss Meditec Ag Vorrichtung zur Bestrahlung des Auges
US6530916B1 (en) 1999-11-15 2003-03-11 Visx, Incorporated Uniform large area ablation system and method
DE10044522C2 (de) * 2000-09-04 2002-08-01 Fraunhofer Ges Forschung Optische Anordnung zur Strahlführung
JP4003918B2 (ja) * 2000-10-20 2007-11-07 株式会社ニデック 角膜手術装置
US20070265650A1 (en) * 2001-07-23 2007-11-15 Ioannis Pallikaris Device for separating the epithelial layer from the surface of the cornea of an eye
CA2454662A1 (en) * 2001-07-23 2003-02-06 Fos Holding S.A. Device for separating the epithelium layer from the surface of the cornea of an eye
US7156859B2 (en) * 2001-07-23 2007-01-02 Fos Holding S.A. Device for separating the epithelium layer from the surface of the cornea of an eye
US6613043B2 (en) 2001-11-06 2003-09-02 Robert L. Epstein System for increasing the accuracy and safety of ablative laser treatments
US7632250B2 (en) * 2002-05-10 2009-12-15 Tyco Healthcare Group Lp Introducer seal assembly
JP4171616B2 (ja) * 2002-06-24 2008-10-22 株式会社ニデック 角膜手術装置及び角膜切除量決定装置
EP1515672A1 (en) * 2002-06-27 2005-03-23 Technovision GmbH Gesellschaft für die Entwicklung Medizinischer Technologien Myopia correction enhancing biodynamic ablation
US6951556B2 (en) 2002-07-01 2005-10-04 Epstein Robert L Method and apparatus for correcting off-center laser ablations in refractive surgery
AU2003284208A1 (en) * 2002-10-15 2004-05-04 The Ohio State University Customized transition zone system and method for an ablation pattern
EP1569586A1 (en) * 2002-12-10 2005-09-07 Sightrate B.V. Disposable separator for separating the epithelium layer from the cornea of an eye
WO2004058113A1 (en) * 2002-12-16 2004-07-15 The Ohio State University Parametric model based ablative surgical systems and methods
US20040260321A1 (en) * 2002-12-19 2004-12-23 Ming-Kok Tai Apparatus and method for separating the epithelium layer from the cornea of an eye without corneal pre-applanation
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US7856985B2 (en) * 2005-04-22 2010-12-28 Cynosure, Inc. Method of treatment body tissue using a non-uniform laser beam
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Also Published As

Publication number Publication date
US5613965A (en) 1997-03-25
DE69506128D1 (de) 1998-12-24
JPH10510184A (ja) 1998-10-06
CA2206868A1 (en) 1996-06-13
AU717380B2 (en) 2000-03-23
DE69506128T2 (de) 1999-07-22
AU4375796A (en) 1996-06-26
CA2206868C (en) 2004-04-13
EP0796065A1 (en) 1997-09-24
EP0796065B1 (en) 1998-11-18
WO1996017566A1 (en) 1996-06-13
ATE173389T1 (de) 1998-12-15

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