JP4918547B2 - 角膜切開を補償するシステム及び方法 - Google Patents
角膜切開を補償するシステム及び方法 Download PDFInfo
- Publication number
- JP4918547B2 JP4918547B2 JP2008523472A JP2008523472A JP4918547B2 JP 4918547 B2 JP4918547 B2 JP 4918547B2 JP 2008523472 A JP2008523472 A JP 2008523472A JP 2008523472 A JP2008523472 A JP 2008523472A JP 4918547 B2 JP4918547 B2 JP 4918547B2
- Authority
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- Prior art keywords
- incision
- transparent material
- wavefront
- path
- cornea
- 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
- 238000000034 method Methods 0.000 title description 39
- 230000004075 alteration Effects 0.000 claims description 29
- 239000012780 transparent material Substances 0.000 claims description 19
- 230000000704 physical effect Effects 0.000 claims description 4
- 210000004087 cornea Anatomy 0.000 description 44
- 210000001519 tissue Anatomy 0.000 description 31
- 230000003287 optical effect Effects 0.000 description 26
- 238000001356 surgical procedure Methods 0.000 description 23
- 230000009471 action Effects 0.000 description 17
- 210000001525 retina Anatomy 0.000 description 15
- 210000003484 anatomy Anatomy 0.000 description 12
- 230000000694 effects Effects 0.000 description 12
- 238000002679 ablation Methods 0.000 description 11
- 230000008569 process Effects 0.000 description 9
- 230000015556 catabolic process Effects 0.000 description 8
- 238000012876 topography Methods 0.000 description 7
- 206010020675 Hypermetropia Diseases 0.000 description 6
- 208000001491 myopia Diseases 0.000 description 6
- 206010010071 Coma Diseases 0.000 description 5
- 238000004458 analytical method Methods 0.000 description 5
- 201000009310 astigmatism Diseases 0.000 description 5
- 238000012937 correction Methods 0.000 description 5
- 230000004438 eyesight Effects 0.000 description 5
- 201000006318 hyperopia Diseases 0.000 description 5
- 230000004305 hyperopia Effects 0.000 description 5
- 230000006872 improvement Effects 0.000 description 5
- 210000002555 descemet membrane Anatomy 0.000 description 4
- 230000004379 myopia Effects 0.000 description 4
- 230000008859 change Effects 0.000 description 3
- 230000003631 expected effect Effects 0.000 description 3
- 208000014733 refractive error Diseases 0.000 description 3
- 235000004035 Cryptotaenia japonica Nutrition 0.000 description 2
- 102000007641 Trefoil Factors Human genes 0.000 description 2
- 235000015724 Trifolium pratense Nutrition 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000004624 confocal microscopy Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000000572 ellipsometry Methods 0.000 description 2
- 210000003038 endothelium Anatomy 0.000 description 2
- 238000000386 microscopy Methods 0.000 description 2
- 238000012014 optical coherence tomography Methods 0.000 description 2
- 230000003044 adaptive effect Effects 0.000 description 1
- 239000012620 biological material Substances 0.000 description 1
- 210000004045 bowman membrane Anatomy 0.000 description 1
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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
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00827—Refractive correction, e.g. lenticle
- A61F9/00829—Correction of higher orders
-
- 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
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- 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
- A61F2009/00853—Laser thermal keratoplasty or radial keratotomy
-
- 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
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)
- Prostheses (AREA)
- Eye Examination Apparatus (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/189,426 US20070027438A1 (en) | 2005-07-26 | 2005-07-26 | System and method for compensating a corneal dissection |
| US11/189,426 | 2005-07-26 | ||
| PCT/IB2006/000746 WO2007012924A1 (en) | 2005-07-26 | 2006-03-30 | System and method for compensating a corneal dissection |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2009502289A JP2009502289A (ja) | 2009-01-29 |
| JP2009502289A5 JP2009502289A5 (https=) | 2009-05-14 |
| JP4918547B2 true JP4918547B2 (ja) | 2012-04-18 |
Family
ID=36694995
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2008523472A Expired - Fee Related JP4918547B2 (ja) | 2005-07-26 | 2006-03-30 | 角膜切開を補償するシステム及び方法 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US20070027438A1 (https=) |
| EP (1) | EP1909717A1 (https=) |
| JP (1) | JP4918547B2 (https=) |
| WO (1) | WO2007012924A1 (https=) |
Families Citing this family (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| DE102006036085A1 (de) | 2006-08-02 | 2008-02-07 | Bausch & Lomb Incorporated | Verfahren und Vorrichtung zur Berechnung einer Laserschußdatei zur Verwendung in einem Excimer-Laser |
| US20080082088A1 (en) * | 2006-09-05 | 2008-04-03 | Intralase Corp. | System and method for resecting corneal tissue |
| US8685006B2 (en) * | 2006-11-10 | 2014-04-01 | Carl Zeiss Meditec Ag | Treatment apparatus for surgical correction of defective eyesight, method of generating control data therefore, and method for surgical correction of defective eyesight |
| DE102007019814B4 (de) * | 2007-04-26 | 2024-11-07 | Carl Zeiss Meditec Ag | Nachbehandlung bei augenchirurgischer Refraktionskorrektur |
| US8623038B2 (en) | 2007-04-26 | 2014-01-07 | Carl Zeiss Meditec Ag | Re-treatment for ophthalmic correction of refraction |
| WO2008141304A2 (en) * | 2007-05-11 | 2008-11-20 | Amo Manufacturing Usa, Llc | Combined wavefront and topography systems and methods |
| US9456925B2 (en) | 2007-09-06 | 2016-10-04 | Alcon Lensx, Inc. | Photodisruptive laser treatment of the crystalline lens |
| ES2655204T3 (es) * | 2007-09-06 | 2018-02-19 | Alcon Lensx, Inc. | Fijación de objetivo precisa de foto-disrupción quirúrgica |
| JP2010538704A (ja) * | 2007-09-10 | 2010-12-16 | アルコン レンゼックス, インコーポレーテッド | 重力場における有効なレーザ光破壊手術 |
| US8409179B2 (en) | 2007-12-17 | 2013-04-02 | Technolas Perfect Vision Gmbh | System for performing intrastromal refractive surgery |
| US7717908B2 (en) * | 2007-12-17 | 2010-05-18 | Technolas Perfect Vision Gmbh | Method patterns for intrastromal refractive surgery |
| US8444633B2 (en) * | 2008-04-16 | 2013-05-21 | Technolas Perfect Vision Gmbh | System and method for altering internal stress distributions to reshape a material |
| JP5269981B2 (ja) * | 2008-04-22 | 2013-08-21 | エーエムオー ディベロップメント エルエルシー | 角膜レーザ手術中の高次光学補正 |
| DE102008028509A1 (de) | 2008-06-16 | 2009-12-24 | Technolas Gmbh Ophthalmologische Systeme | Behandlungsmusterüberwachungsvorrichtung |
| 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 |
| US20100130967A1 (en) * | 2008-11-21 | 2010-05-27 | Mathias Glasmacher | Method and Apparatus for Enhanced Corneal Accommodation |
| US20100191229A1 (en) * | 2009-01-27 | 2010-07-29 | Bille Josef F | Methods for Employing Intrastromal Corrections in Combination with Surface Refractive Surgery to Correct Myopic/Hyperopic Presbyopia |
| US20160074221A1 (en) * | 2010-06-14 | 2016-03-17 | Marie-Jose B. Tassignon | Femtosecond laser apparatus for plasma induced vitreous ablation in the eye |
| PL2804571T3 (pl) | 2012-01-18 | 2019-09-30 | Wavelight Gmbh | Regulacja energii laserowej zgodnie z gęstością optyczną |
| US8807752B2 (en) | 2012-03-08 | 2014-08-19 | Technolas Perfect Vision Gmbh | System and method with refractive corrections for controlled placement of a laser beam's focal point |
| HK1257801A1 (zh) | 2015-10-28 | 2019-11-01 | 宾夕法尼亚州大学信托人 | 用於基因治疗的腺伴随病毒载体的鞘内给药 |
| JP6538759B2 (ja) * | 2017-06-12 | 2019-07-03 | バーフェリヒト ゲゼルシャフト ミット ベシュレンクテル ハフツング | 光学濃度に従ったレーザーエネルギーの調整 |
| US20230304034A1 (en) | 2020-05-12 | 2023-09-28 | The Trustees Of The University Of Pennsylvania | Compositions for drg-specific reduction of transgene expression |
| US20230220069A1 (en) | 2020-06-17 | 2023-07-13 | The Trustees Of The University Of Pennsylvania | Compositions and methods for treatment of gene therapy patients |
| WO2022043921A1 (en) | 2020-08-28 | 2022-03-03 | Amo Development, Llc | Posterior corneal surface mapping and deep lamellar corneal incision parallel to posterior corneal surface |
| WO2023087019A2 (en) | 2021-11-15 | 2023-05-19 | The Trustees Of The University Of Pennsylvania | Compositions for drg-specific reduction of transgene expression |
| US20250250326A1 (en) | 2022-04-06 | 2025-08-07 | The Trustees Of The University Of Pennsylvania | Passive immunization with anti-aav neutralizing antibodies to prevent off-target transduction of intrathecally delivered aav vectors |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020138070A1 (en) * | 2001-03-23 | 2002-09-26 | Peyman Gholam A. | Adjustable ablatable inlay |
| JP2002540837A (ja) * | 1999-04-07 | 2002-12-03 | ヴィスクス インコーポレイテッド | 不正乱視治療用オフセットアブレーションプロフィール |
| JP2003511181A (ja) * | 1999-10-21 | 2003-03-25 | テクノラス ゲーエムベーハー オフタルモロギッシェ システム | 多重電力光線モード、独立型調整カメラ、および調節範囲判定を有する波面センサ |
| JP2003527228A (ja) * | 2000-03-21 | 2003-09-16 | ゴーラム・エー・ペイマン | 角膜の湾曲を矯正するための調節可能な移植用汎用空白体およびそれを用いて角膜の湾曲を矯正する方法 |
| JP2004160188A (ja) * | 2002-11-13 | 2004-06-10 | 20 10 Perfect Vision Optische Geraete Gmbh | 基質内で波面をガイドして剥離を行うための閉ループ制御装置 |
Family Cites Families (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3069080D1 (en) * | 1979-11-28 | 1984-10-04 | Lasag Ag | Observation device for eye-treatment |
| US4665913A (en) * | 1983-11-17 | 1987-05-19 | Lri L.P. | Method for ophthalmological surgery |
| US4770172A (en) * | 1983-11-17 | 1988-09-13 | Lri L.P. | Method of laser-sculpture of the optically used portion of the cornea |
| US4718418A (en) * | 1983-11-17 | 1988-01-12 | Lri L.P. | Apparatus for ophthalmological surgery |
| US4601288A (en) * | 1984-02-24 | 1986-07-22 | Myers John D | Laser device and method |
| US4538608A (en) * | 1984-03-23 | 1985-09-03 | Esperance Jr Francis A L | Method and apparatus for removing cataractous lens tissue by laser radiation |
| US4887592A (en) * | 1987-06-02 | 1989-12-19 | Hanspeter Loertscher | Cornea laser-cutting apparatus |
| US4988348A (en) * | 1989-05-26 | 1991-01-29 | Intelligent Surgical Lasers, Inc. | Method for reshaping the cornea |
| US5549632A (en) * | 1992-10-26 | 1996-08-27 | Novatec Laser Systems, Inc. | Method and apparatus for ophthalmic surgery |
| US5993438A (en) * | 1993-11-12 | 1999-11-30 | Escalon Medical Corporation | Intrastromal photorefractive keratectomy |
| US6110166A (en) * | 1995-03-20 | 2000-08-29 | Escalon Medical Corporation | Method for corneal laser surgery |
| US6099521A (en) * | 1998-05-26 | 2000-08-08 | Shadduck; John H. | Semiconductor contact lens cooling system and technique for light-mediated eye therapies |
| US6949093B1 (en) * | 2000-03-21 | 2005-09-27 | Minu, L.L.C. | Adjustable universal implant blank for modifying corneal curvature and methods of modifying corneal curvature therewith |
| US6428533B1 (en) * | 2000-10-17 | 2002-08-06 | 20/10 Perfect Vision Optische Geraete Gmbh | Closed loop control for refractive laser surgery (LASIK) |
| US6451006B1 (en) * | 2001-02-14 | 2002-09-17 | 20/10 Perfect Vision Optische Geraete Gmbh | Method for separating lamellae |
| US6730074B2 (en) * | 2002-05-24 | 2004-05-04 | 20/10 Perfect Vision Optische Geraete Gmbh | Cornea contact system for laser surgery |
| WO2003102498A1 (en) * | 2002-05-30 | 2003-12-11 | Visx, Inc. | “tracking torsional eye orientation and position” |
| US7232436B2 (en) * | 2002-11-13 | 2007-06-19 | Josef Bille | Closed loop control for intrastromal wavefront-guided ablation with fractionated treatment program |
| US8414564B2 (en) * | 2010-02-18 | 2013-04-09 | Alcon Lensx, Inc. | Optical coherence tomographic system for ophthalmic surgery |
-
2005
- 2005-07-26 US US11/189,426 patent/US20070027438A1/en not_active Abandoned
-
2006
- 2006-03-30 EP EP06744468A patent/EP1909717A1/en not_active Withdrawn
- 2006-03-30 WO PCT/IB2006/000746 patent/WO2007012924A1/en not_active Ceased
- 2006-03-30 JP JP2008523472A patent/JP4918547B2/ja not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2002540837A (ja) * | 1999-04-07 | 2002-12-03 | ヴィスクス インコーポレイテッド | 不正乱視治療用オフセットアブレーションプロフィール |
| JP2003511181A (ja) * | 1999-10-21 | 2003-03-25 | テクノラス ゲーエムベーハー オフタルモロギッシェ システム | 多重電力光線モード、独立型調整カメラ、および調節範囲判定を有する波面センサ |
| JP2003527228A (ja) * | 2000-03-21 | 2003-09-16 | ゴーラム・エー・ペイマン | 角膜の湾曲を矯正するための調節可能な移植用汎用空白体およびそれを用いて角膜の湾曲を矯正する方法 |
| US20020138070A1 (en) * | 2001-03-23 | 2002-09-26 | Peyman Gholam A. | Adjustable ablatable inlay |
| JP2004160188A (ja) * | 2002-11-13 | 2004-06-10 | 20 10 Perfect Vision Optische Geraete Gmbh | 基質内で波面をガイドして剥離を行うための閉ループ制御装置 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP1909717A1 (en) | 2008-04-16 |
| WO2007012924A1 (en) | 2007-02-01 |
| US20070027438A1 (en) | 2007-02-01 |
| JP2009502289A (ja) | 2009-01-29 |
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