JP4917599B2 - 負の高次球面収差による老視矯正 - Google Patents
負の高次球面収差による老視矯正 Download PDFInfo
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- JP4917599B2 JP4917599B2 JP2008519372A JP2008519372A JP4917599B2 JP 4917599 B2 JP4917599 B2 JP 4917599B2 JP 2008519372 A JP2008519372 A JP 2008519372A JP 2008519372 A JP2008519372 A JP 2008519372A JP 4917599 B2 JP4917599 B2 JP 4917599B2
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- 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
- A61B3/103—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for determining refraction, e.g. refractometers, skiascopes
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- 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
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- 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
- A61B3/1015—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for wavefront analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/10—Eye inspection
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- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1637—Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
- A61F2/164—Aspheric lenses
-
- 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
-
- 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
- A61F9/00808—Inducing higher orders, e.g. for correction of presbyopia
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- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
- G02C7/041—Contact lenses for the eyes bifocal; multifocal
-
- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
- G02C7/041—Contact lenses for the eyes bifocal; multifocal
- G02C7/042—Simultaneous type
-
- 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
-
- 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
- A61F2009/0088—Planning based on wavefront
-
- 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
- A61F9/00806—Correction of higher orders
-
- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C2202/00—Generic optical aspects applicable to one or more of the subgroups of G02C7/00
- G02C2202/22—Correction of higher order and chromatic aberrations, wave front measurement and calculation
Description
102 代表的な方法
122 角膜
R 網膜
Claims (9)
- 瞳孔を有する目の老視を治療する装置であって、
出力に接続された処方生成器モジュールを含み、前記目が前記瞳孔を横切って誘導された負の球面収差を有するように、前記処方生成器モジュールが前記目の高次の負の球面収差の老視緩和量を画定し、前記出力はレンズ製造または目矯正アセンブリと通信するように構成される、
ことを特徴とする装置。 - 前記処方生成器は入力を有し、さらに、
目の感知された収差に対応する複数の屈折ゼルニケ係数を生成する、前記処方生成器の前記入力に接続された波面システムと、
前記目の角膜の方向へレーザエネルギーのパターンを向けることにより、前記目に処方を施すための切除レーザビームを含む、前記レンズ製造または目矯正アセンブリと、
を含み、
前記処方生成器は、前記屈折ゼルニケ係数を少なくともひとつの老視緩和ゼルニケ係数と組み合わせ、前記少なくともひとつの老視緩和ゼルニケ係数は前記負の球面収差の老視緩和量に対応する少なくともひとつの高次ゼルニケ係数を含み、前記瞳孔を横切って0.1から0.3マイクロメートルの負の球面収差を前記目に与えるようにする、
ことを特徴とする請求項1記載の装置。 - 前記処方生成器モジュールは、レンズが前記目に挿入されたとき前記目の光学を変化させるように適応された眼内レンズを同定し、変化した目は前記瞳孔を横切って誘導された負の球面収差を有し、前記出力は、前記目に同定された前記眼内レンズを与えるように眼内レンズソースと通信するよう構成されている、
ことを特徴とする請求項1記載の装置。 - 前記処方生成器は入力を有し、さらに、
目の感知された収差に対応する複数の屈折ゼルニケ係数を生成する、前記処方生成器の前記入力に接続された波面システムを含み、
前記処方生成器は前記屈折ゼルニケ係数を少なくともひとつの老視緩和ゼルニケ係数と組み合わせ、前記少なくともひとつの老視緩和ゼルニケ係数は前記負の球面収差の老視緩和量に対応する少なくともひとつの高次ゼルニケ係数を含み、前記瞳孔を横切って0.1から0.3マイクロメートルの負の球面収差を前記目に与えるようにする、
ことを特徴とする請求項3記載の装置。 - さらに、前記眼内レンズを製造するための眼内レンズ製造装置を含む、
ことを特徴とする請求項3記載の装置。 - 前記目が、前記瞳孔を横切って誘導された負の球面収差を有するように、前記処方生成器モジュールは前記目のレーザ誘導変更を同定し、前記出力がレーザ眼科手術アセンブリと通信するように構成されている、
ことを特徴とする請求項1記載の装置。 - 前記レーザ眼科手術アセンブリは、赤外線レーザ、紫外線レーザ、フェムト秒レーザ、波長多重固体レーザの少なくともひとつを含む、
ことを特徴とする請求項6記載の装置。 - 前記処方生成器は入力を有し、さらに、
目の感知された収差に対応する複数の屈折ゼルニケ係数を生成する、前記処方生成器の前記入力に接続された波面システムを含み、
前記処方生成器は前記屈折ゼルニケ係数を少なくともひとつの老視緩和ゼルニケ係数と組み合わせ、前記少なくともひとつの老視緩和ゼルニケ係数は前記負の球面収差の老視緩和量に対応する少なくともひとつの高次ゼルニケ係数を含み、前記瞳孔を横切って0.1から0.3マイクロメートルの負の球面収差を前記目に与えるようにする、
ことを特徴とする請求項7記載の装置。 - 前記目のレーザ誘導変更は、角膜の切開を含む、
ことを特徴とする請求項6記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/173,904 | 2005-06-30 | ||
US11/173,904 US7261412B2 (en) | 2005-06-30 | 2005-06-30 | Presbyopia correction through negative high-order spherical aberration |
PCT/US2006/023820 WO2007005261A2 (en) | 2005-06-30 | 2006-06-19 | Presbyopia correction through negative high-order spherical aberration |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2009500072A JP2009500072A (ja) | 2009-01-08 |
JP2009500072A5 JP2009500072A5 (ja) | 2009-08-06 |
JP4917599B2 true JP4917599B2 (ja) | 2012-04-18 |
Family
ID=37589047
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008519372A Expired - Fee Related JP4917599B2 (ja) | 2005-06-30 | 2006-06-19 | 負の高次球面収差による老視矯正 |
Country Status (8)
Country | Link |
---|---|
US (5) | US7261412B2 (ja) |
EP (1) | EP1895928B1 (ja) |
JP (1) | JP4917599B2 (ja) |
KR (1) | KR101274321B1 (ja) |
AU (1) | AU2006266300B2 (ja) |
CA (1) | CA2612248C (ja) |
MX (1) | MX2007016344A (ja) |
WO (1) | WO2007005261A2 (ja) |
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