JP4162450B2 - 角膜手術装置 - Google Patents
角膜手術装置 Download PDFInfo
- Publication number
- JP4162450B2 JP4162450B2 JP2002250494A JP2002250494A JP4162450B2 JP 4162450 B2 JP4162450 B2 JP 4162450B2 JP 2002250494 A JP2002250494 A JP 2002250494A JP 2002250494 A JP2002250494 A JP 2002250494A JP 4162450 B2 JP4162450 B2 JP 4162450B2
- Authority
- JP
- Japan
- Prior art keywords
- corneal
- image
- mark
- eye
- rotational
- 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 - Fee Related
Links
- 238000001356 surgical procedure Methods 0.000 title claims description 42
- 210000004087 cornea Anatomy 0.000 title claims description 21
- 238000005259 measurement Methods 0.000 claims description 55
- 230000003287 optical effect Effects 0.000 claims description 33
- 238000001514 detection method Methods 0.000 claims description 24
- 238000002679 ablation Methods 0.000 claims description 23
- 238000012545 processing Methods 0.000 claims description 19
- 238000002271 resection Methods 0.000 claims description 18
- 238000003384 imaging method Methods 0.000 claims description 12
- 238000012937 correction Methods 0.000 claims description 9
- 238000006073 displacement reaction Methods 0.000 claims description 7
- 230000001678 irradiating effect Effects 0.000 claims 1
- 210000001508 eye Anatomy 0.000 description 70
- 210000005252 bulbus oculi Anatomy 0.000 description 15
- 238000000034 method Methods 0.000 description 12
- 238000010586 diagram Methods 0.000 description 11
- 210000003128 head Anatomy 0.000 description 11
- 238000004458 analytical method Methods 0.000 description 7
- 210000001747 pupil Anatomy 0.000 description 7
- 210000003786 sclera Anatomy 0.000 description 5
- 230000007246 mechanism Effects 0.000 description 4
- 238000004891 communication Methods 0.000 description 3
- 230000004418 eye rotation Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 210000003560 epithelium corneal Anatomy 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 208000016339 iris pattern Diseases 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 235000004522 Pentaglottis sempervirens Nutrition 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 210000002294 anterior eye segment Anatomy 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000003683 corneal stroma Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000004907 flux Effects 0.000 description 1
- 238000005286 illumination Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 238000003331 infrared imaging Methods 0.000 description 1
- 210000001232 limbus corneae Anatomy 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 230000004379 myopia Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000000049 pigment Substances 0.000 description 1
- 208000014733 refractive error Diseases 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
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
- 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
- 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
- A61F9/00817—Beam shaping with masks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/113—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for determining or recording eye movement
-
- 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
- A61F2009/00844—Feedback systems
- A61F2009/00846—Eyetracking
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Optics & Photonics (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Physics & Mathematics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Laser Surgery Devices (AREA)
- Eye Examination Apparatus (AREA)
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2002250494A JP4162450B2 (ja) | 2002-08-29 | 2002-08-29 | 角膜手術装置 |
| US10/649,699 US7118561B2 (en) | 2002-08-29 | 2003-08-28 | Corneal surgery apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2002250494A JP4162450B2 (ja) | 2002-08-29 | 2002-08-29 | 角膜手術装置 |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2004089215A JP2004089215A (ja) | 2004-03-25 |
| JP2004089215A5 JP2004089215A5 (enExample) | 2005-10-27 |
| JP4162450B2 true JP4162450B2 (ja) | 2008-10-08 |
Family
ID=31972629
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2002250494A Expired - Fee Related JP4162450B2 (ja) | 2002-08-29 | 2002-08-29 | 角膜手術装置 |
Country Status (2)
| Country | Link |
|---|---|
| US (1) | US7118561B2 (enExample) |
| JP (1) | JP4162450B2 (enExample) |
Families Citing this family (24)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP4086667B2 (ja) * | 2003-01-15 | 2008-05-14 | 株式会社ニデック | 角膜手術装置 |
| WO2005099639A1 (en) * | 2004-04-09 | 2005-10-27 | Steinert Roger F | Laser system for vision correction |
| US20050277913A1 (en) * | 2004-06-09 | 2005-12-15 | Mccary Brian D | Heads-up display for displaying surgical parameters in a surgical microscope |
| WO2006059669A1 (ja) | 2004-12-01 | 2006-06-08 | Nidek Co., Ltd. | 眼科装置 |
| US7390089B2 (en) * | 2005-02-25 | 2008-06-24 | 20/10 Perfect Vision Optische Geraete Gmbh | Device and method for aligning an eye with a surgical laser |
| US7934833B2 (en) * | 2005-12-22 | 2011-05-03 | Alcon Refractivehorizons, Inc. | Image alignment system for use in laser ablation treatment of the cornea |
| EP1923027B1 (de) * | 2006-11-08 | 2012-01-11 | Schwind eye-tech-solutions GmbH & Co. KG | System zum Ablatieren von Hornhaut an einem Auge |
| DE102006053098A1 (de) * | 2006-11-10 | 2008-05-15 | Carl Zeiss Meditec Ag | Ophthalmologische Vorrichtung und ophthalmologisches Verfahren zum Positionieren eines Auges eines Patienten in einer vorbestimmten Soll-Position |
| JP5028073B2 (ja) | 2006-11-29 | 2012-09-19 | 株式会社ニデック | 角膜手術装置 |
| US8900221B2 (en) * | 2009-04-01 | 2014-12-02 | Wavelight Gmbh | Apparatus for treating an eye with laser radiation |
| US8939965B2 (en) * | 2009-09-29 | 2015-01-27 | Od-Os Gmbh | Ophthalmic apparatus and method of operating the same |
| JP5654225B2 (ja) * | 2009-09-30 | 2015-01-14 | 株式会社ニデック | 角膜形状測定装置 |
| JP5665432B2 (ja) * | 2010-08-31 | 2015-02-04 | キヤノン株式会社 | 眼科装置 |
| ES2380469B2 (es) * | 2010-10-15 | 2013-04-10 | Universidad De Murcia | Instrumento para la medida rápida de las propiedades ópticas del ojo en todo el campo visual. |
| JP6005488B2 (ja) * | 2012-11-26 | 2016-10-12 | 株式会社クリュートメディカルシステムズ | 眼科用観察システム |
| JP6338255B2 (ja) * | 2013-03-13 | 2018-06-06 | オプティメディカ・コーポレイションOptimedica Corporation | レーザ手術システム用の自由浮動型患者インターフェース |
| EP3801193B1 (en) | 2018-06-08 | 2023-11-01 | Alcon Inc. | System and method for automatic torsion correction in diagnostic ophthalmic measurements |
| JP7100503B2 (ja) * | 2018-06-15 | 2022-07-13 | 株式会社トプコン | 眼科装置 |
| JP7322356B2 (ja) * | 2019-07-30 | 2023-08-08 | 株式会社トプコン | 眼科装置及び眼科システム |
| JP7220471B2 (ja) * | 2019-11-27 | 2023-02-10 | 株式会社タカギセイコー | マイボーム腺観察可能な細隙灯顕微鏡 |
| CA3185712A1 (en) * | 2020-08-26 | 2022-03-03 | Mario Abraham | Laser surgical systems and methods for creating a marker in an eye |
| JP7612429B2 (ja) * | 2021-01-22 | 2025-01-14 | 株式会社トプコン | 眼科装置及びカバー部材 |
| WO2023047626A1 (ja) * | 2021-09-21 | 2023-03-30 | ソニーグループ株式会社 | 画像処理装置、画像処理方法及び手術顕微鏡システム |
| CN119174624B (zh) * | 2024-11-21 | 2025-04-01 | 江西择高医疗科技有限公司 | 针刀镜手术操控系统 |
Family Cites Families (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5865832A (en) * | 1992-02-27 | 1999-02-02 | Visx, Incorporated | System for detecting, measuring and compensating for lateral movements of a target |
| JP3199124B2 (ja) | 1990-12-28 | 2001-08-13 | 株式会社ニデック | レーザアブレーション装置 |
| AU671607B2 (en) | 1991-11-06 | 1996-09-05 | Shui T. Lai | Corneal surgery device and method |
| US5637109A (en) | 1992-02-14 | 1997-06-10 | Nidek Co., Ltd. | Apparatus for operation on a cornea using laser-beam |
| DE4232915A1 (de) | 1992-10-01 | 1994-04-07 | Hohla Kristian | Vorrichtung zur Formung der Cornea durch Abtragen von Gewebe |
| US5520679A (en) | 1992-12-03 | 1996-05-28 | Lasersight, Inc. | Ophthalmic surgery method using non-contact scanning laser |
| CO4230054A1 (es) | 1993-05-07 | 1995-10-19 | Visx Inc | Metodo y sistemas para tratamiento con laser de errores refractivos utilizando formacion de imagenes de desplazamiento |
| US5632742A (en) | 1994-04-25 | 1997-05-27 | Autonomous Technologies Corp. | Eye movement sensing method and system |
| US5752950A (en) * | 1994-04-25 | 1998-05-19 | Autonomous Technologies Corp. | System for automatically inhibiting ophthalmic treatment laser |
| US5620436A (en) | 1994-09-22 | 1997-04-15 | Chiron Technolas Gmbh Ophthalmologische Systeme | Method and apparatus for providing precise location of points on the eye |
| US6159202A (en) | 1995-09-29 | 2000-12-12 | Nidex Co., Ltd. | Corneal surgery apparatus |
| US5906608A (en) | 1996-01-31 | 1999-05-25 | Nidek Co., Ltd. | Ablation apparatus |
| US6299307B1 (en) * | 1997-10-10 | 2001-10-09 | Visx, Incorporated | Eye tracking device for laser eye surgery using corneal margin detection |
| EP0947158B1 (en) | 1998-03-31 | 2006-05-24 | Nidek Co., Ltd. | Ophthalmic apparatus |
| US6086204A (en) | 1999-09-20 | 2000-07-11 | Magnante; Peter C. | Methods and devices to design and fabricate surfaces on contact lenses and on corneal tissue that correct the eye's optical aberrations |
| EP1767174A3 (en) | 1999-10-21 | 2008-09-17 | Technolas GmbH Ophthalmologische Systeme | Iris recognition and tracking for optical treatment |
| MXPA01006287A (es) | 1999-10-21 | 2002-04-17 | Nidek Kk | Aparato para determinar una cantidad de ablacion de cornea y aparato quirurgico para una cornea.,. |
| JP3664937B2 (ja) | 2000-03-27 | 2005-06-29 | 株式会社ニデック | 眼科装置 |
| JP2001276111A (ja) * | 2000-03-31 | 2001-10-09 | Nidek Co Ltd | 眼科手術装置 |
| US6702806B2 (en) * | 2000-04-19 | 2004-03-09 | Alcon, Inc. | Eye registration and astigmatism alignment control systems and method |
| US6607527B1 (en) * | 2000-10-17 | 2003-08-19 | Luis Antonio Ruiz | Method and apparatus for precision laser surgery |
| WO2002056789A2 (en) * | 2000-11-14 | 2002-07-25 | Opthalmic Inventions, Llc | Topography-guided opthalmic ablation and eye-tracking |
| JP4481537B2 (ja) | 2001-09-12 | 2010-06-16 | 株式会社ニデック | 角膜手術装置 |
| JP3978024B2 (ja) * | 2001-12-03 | 2007-09-19 | 株式会社ニデック | 眼科装置及び角膜手術装置 |
| DE10297574B4 (de) * | 2001-12-21 | 2009-09-10 | Sensomotoric Instruments Gmbh | Verfahren und Vorrichtung zur Augenerfassung |
| US6666857B2 (en) * | 2002-01-29 | 2003-12-23 | Robert F. Smith | Integrated wavefront-directed topography-controlled photoablation |
-
2002
- 2002-08-29 JP JP2002250494A patent/JP4162450B2/ja not_active Expired - Fee Related
-
2003
- 2003-08-28 US US10/649,699 patent/US7118561B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| JP2004089215A (ja) | 2004-03-25 |
| US7118561B2 (en) | 2006-10-10 |
| US20040044333A1 (en) | 2004-03-04 |
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