TW202210043A - Apparatus for treating ocular tissue - Google Patents

Apparatus for treating ocular tissue Download PDF

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TW202210043A
TW202210043A TW109131187A TW109131187A TW202210043A TW 202210043 A TW202210043 A TW 202210043A TW 109131187 A TW109131187 A TW 109131187A TW 109131187 A TW109131187 A TW 109131187A TW 202210043 A TW202210043 A TW 202210043A
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target treatment
treatment area
ocular tissue
cut surface
laser beam
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TW109131187A
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TWI749760B (en
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黃承好
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艾克夏醫療儀器股份有限公司
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    • 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
    • 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
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments

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  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
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Abstract

The present invention relates to a method and an apparatus for treating an ocular tissue. The method for treating the ocular tissue includes generating a femtosecond laser beam from a laser source; orientating the femtosecond laser beam toward the ocular tissue; and defining a target area in the ocular tissue using the femtosecond laser beam, wherein the target area contains a sharp-edge part and a to-be-removed part, in which the sharp-edge part has a minimum thickness being gradually reduced to zero and is ablated by the femtosecond laser beam while the target area is defined; and removing the to-be-removed part of the target area from the ocular tissue.

Description

處理眼部組織的方法及設備Method and apparatus for treating ocular tissue

本發明關於處理眼部組織的方法及設備。The present invention relates to methods and apparatus for treating ocular tissue.

為了達到矯正視力的目的,習知已有一種使用準分子雷射來改變眼睛的角膜的弧度的方法,其可稱為雷射視力矯正(Laser Vision Correction,LVC)。在雷射視力矯正方法中,最為常見的是準分子雷射原位層狀角膜塑形術(LASIK),其大約佔所有雷射視力矯正方法的85%。In order to achieve the purpose of correcting vision, there is a known method of using an excimer laser to change the curvature of the cornea of the eye, which may be called Laser Vision Correction (LVC). Among the laser vision correction methods, the most common is excimer laser in situ lamellar orthokeratology (LASIK), which accounts for approximately 85% of all laser vision correction methods.

早期在進行LASIK手術時,醫生通常是使用物理刀片(亦稱為微型角膜切割器)在角膜上割出角膜瓣,接著翻開角膜瓣,再以雷射削去外露之角膜組織,以改變角膜的弧度。近年來,關於在角膜上割出角膜瓣的方法,還發展出一種利用飛秒雷射的方法,其以成千上萬的雷射脈衝光產生光分裂效應來形成極微小點狀空泡導致組織分離,進而形成角膜瓣。由於飛秒雷射可提供比微型角膜切割器更高的安全性、可重複性、可預測性及靈活性,這種利用飛秒雷射的方法已被越來越廣泛地用於在LASIK手術中以形成角膜瓣。此外,使用飛秒雷射的方法還可降低與微型角膜切割器相關的醫源性圓錐角膜(陡峭的角膜)、角膜瓣移位(平坦的角膜)及不規則角膜瓣等的不良併發症發生的機率。In the early days of LASIK surgery, doctors usually used a physical blade (also known as a microkeratome) to cut a corneal flap on the cornea, then opened the corneal flap, and then used a laser to remove the exposed corneal tissue to change the cornea. radian. In recent years, regarding the method of incising the corneal flap on the cornea, a method using femtosecond laser has also been developed, which uses thousands of laser pulses to generate a photo-splitting effect to form extremely tiny point-like vacuoles. The tissue separates to form a corneal flap. This method of utilizing femtosecond lasers has been increasingly used in LASIK surgery as it offers greater safety, repeatability, predictability, and flexibility than microkeratotomy devices. to form a corneal flap. In addition, the use of femtosecond lasers can reduce the adverse complications of iatrogenic keratoconus (steep cornea), flap displacement (flat cornea), and irregular corneal flaps associated with microkeratotomy probability.

然而,在LASIK手術中,由於角膜瓣的切口較大,導致角膜瓣在手術後難以再支撐角膜去對抗眼壓的强度,因此大大地削弱了手術後角膜的强度。However, in LASIK surgery, due to the large incision of the corneal flap, it is difficult for the corneal flap to support the cornea to resist the strength of the intraocular pressure after the operation, thus greatly weakening the strength of the cornea after the operation.

除了LASIK手術之外,近年來還發展出另一種藉由飛秒雷射的雷射視力矯正方法,其藉由飛秒雷射在角膜組織中產生角膜透鏡,再經由飛秒雷射所產生的微創切口從角膜組織中移除(取出)角膜透鏡,藉以改變角膜的弧度。在這種方法中,由於不需要產生切口較大的角膜瓣,較可避免在手術後發生角膜瓣移位的問題,且亦較不會過度地削弱角膜的強度。In addition to LASIK surgery, another method of laser vision correction by femtosecond laser has been developed in recent years. A minimally invasive incision removes (removes) the corneal lens from the corneal tissue, thereby changing the curvature of the cornea. In this method, since there is no need to create a corneal flap with a larger incision, the problem of corneal flap displacement after surgery can be avoided, and the strength of the cornea will not be excessively weakened.

關於移除(取出)角膜透鏡之方法,已知的是利用飛秒雷射在完整的角膜組織中切出兩個切面來形成角膜透鏡,此兩個切面包括一個遵循角膜外部形狀的上切面(稱為Cap)以及一個曲率高於上切面的下切面(稱為Curvature)。接著,使用飛秒雷射在角膜透鏡的切面外周邊再進行一次切割,產生切穿角膜表面的微創切口,以經由此微創切口將角膜透鏡從角膜組織內取出。如此一來,在取出角膜透鏡之後,角膜的外曲率改變,其差值為矯正眼睛的屈光不正(矯正視力)所必需的屈光度。With regard to the method of removing (removing) a corneal lens, it is known to use a femtosecond laser to form a corneal lens by incising two planes in the intact corneal tissue, the two planes including an upper plane that follows the outer shape of the cornea ( called Cap) and a lower cut surface (called Curvature) with a higher curvature than the upper cut surface. Next, a femtosecond laser is used to make another incision at the outer periphery of the incision plane of the corneal lens to generate a minimally invasive incision through the corneal surface, so that the corneal lens can be taken out from the corneal tissue through the minimally invasive incision. As such, after removal of the corneal lens, the outer curvature of the cornea changes by the diopter necessary to correct the refractive error of the eye (correct visual acuity).

美國專利第10682256號揭露了關於取出角膜透鏡之方法的技術,其中,為了避免角膜透鏡在被從角膜組織取出的過程中發生破裂(尤其是角膜透鏡的邊緣部分),必須在角膜透鏡的上切面與下切面之間設置一補償厚度,以增加角膜透鏡的邊緣部分之強度。然而,如圖5A及5B所示,在上切面與下切面之間設置補償厚度DH的方法會導致被移除(取出)的角膜透鏡的厚度增加,使得剩下的角膜的總厚度在手術後會變得較薄,較不利於角膜對抗眼壓的強度。US Patent No. 10682256 discloses a technique for a method of removing a corneal lens, wherein, in order to avoid breakage of the corneal lens (especially the edge portion of the corneal lens) during removal from the corneal tissue, the upper cut surface of the corneal lens must be A compensation thickness is set between the lower section and the lower section to increase the strength of the edge portion of the corneal lens. However, as shown in Figures 5A and 5B, the method of compensating for the thickness DH between the upper and lower planes results in an increase in the thickness of the removed (removed) corneal lens, so that the total thickness of the remaining cornea after surgery It will become thinner and less conducive to the strength of the cornea against intraocular pressure.

本發明的目的在於提出一種處理眼部組織的方法及設備,其可有利地克服前述先前技術中的問題,同時達到維持眼部組織的強度且避免被移除(取出)的眼部組織的部分破裂的有利技術效果。The object of the present invention is to propose a method and apparatus for treating ocular tissue, which advantageously overcomes the aforementioned problems of the prior art, while maintaining the strength of the ocular tissue and avoiding the portion of the ocular tissue being removed (removed). Favorable technical effect of rupture.

根據本發明所提供之處理眼部組織的方法包括從雷射光源產生飛秒雷射束;引導飛秒雷射束朝向眼部組織;藉由飛秒雷射束在眼部組織中產生目標處理區域,其中,目標處理區域包括銳邊部分及待移除部分,銳邊部分可具有漸縮至數值為零的最小厚度,且其中,銳邊部分在目標處理區域的產生過程中藉由飛秒雷射束被燒蝕;以及從眼部組織中移除目標處理區域的待移除部分。A method of treating ocular tissue provided in accordance with the present invention includes generating a femtosecond laser beam from a laser light source; directing the femtosecond laser beam toward the ocular tissue; generating targeted treatment in the ocular tissue by the femtosecond laser beam area, wherein the target treatment area includes a sharp-edged portion and a portion to be removed, the sharp-edged portion may have a minimum thickness that tapers to a value of zero, and wherein the sharp-edged portion is generated during the target treatment area by femtosecond The laser beam is ablated; and the to-be-removed portion of the targeted treatment area is removed from the eye tissue.

藉由本發明所提供之處理眼部組織的方法,由於在移除目標處理區域的待移除部分之前,已先藉由飛秒雷射束燒蝕目標處理區域的銳邊部分,使得目標處理區域僅剩下待移除部分需要被從眼部組織中移除,且此待移除部分不會在被從眼部組織中移除的過程中破裂,故,可避免發生眼部組織中的被移除(取出)的部分破裂的問題。With the method for treating eye tissue provided by the present invention, before removing the part to be removed in the target treatment area, the sharp edge portion of the target treatment area is ablated by the femtosecond laser beam, so that the target treatment area is Only the part to be removed needs to be removed from the eye tissue, and the part to be removed will not be broken during the process of being removed from the eye tissue, so the occurrence of damage in the eye tissue can be avoided. The removed (taken out) part is broken.

此外,藉由本發明所提供之處理眼部組織的方法,由於不需要藉由設置額外的補償厚度來避免發生眼部組織中的被移除(取出)的部分破裂的問題,依據處理眼部組織的實際需求,本發明的處理眼部組織的方法可使所產生的目標處理區域具有相應的厚度,且此厚度的最小值可能為零。換言之,本發明的處理眼部組織的方法可避免額外地增加處理(例如,矯正)眼部組織所需的目標處理區域的厚度以外的厚度,進而達到最大程度地維持眼部組織的強度的目的。In addition, with the method for treating ocular tissue provided by the present invention, since there is no need to set an additional compensation thickness to avoid the problem of rupture of the removed (removed) part of the ocular tissue, according to the method for treating ocular tissue According to the actual requirements, the method for treating ocular tissue of the present invention can make the target treatment area generated have a corresponding thickness, and the minimum value of this thickness may be zero. In other words, the method for treating eye tissue of the present invention can avoid additionally increasing the thickness of the target treatment area required for treating (eg, correcting) the eye tissue, thereby achieving the purpose of maintaining the strength of the eye tissue to the greatest extent. .

另一方面,根據本發明所提供之處理眼部組織的設備包括雷射光源,配置為產生飛秒雷射束;光學系統,配置為引導由雷射光源所產生的飛秒雷射束;光學掃描移動裝置,配置為將來自光學系統的飛秒雷射束透過聚光鏡施加到眼部組織;控制器,與雷射光源、光學系統及光學掃描移動裝置連接,且配置為控制雷射光源產生飛秒雷射束;控制光學系統將飛秒雷射束引導到光學掃描移動裝置;及控制光學掃描移動裝置以飛秒雷射束在眼部組織中產生目標處理區域,其中,目標處理區域包括銳邊部分及待移除部分,銳邊部分可具有漸縮至數值為零的最小厚度,且其中,銳邊部分在目標處理區域的產生過程中藉由飛秒雷射束被燒蝕;以及移除裝置,配置為在使用者的操作下從眼部組織中移除目標處理區域的待移除部分。In another aspect, an apparatus for treating ocular tissue provided according to the present invention includes a laser light source configured to generate a femtosecond laser beam; an optical system configured to guide the femtosecond laser beam generated by the laser light source; an optical system The scanning moving device is configured to apply the femtosecond laser beam from the optical system to the eye tissue through the condenser; the controller is connected with the laser light source, the optical system and the optical scanning moving device, and is configured to control the laser light source to generate the femtosecond laser beam. second laser beam; controlling the optical system to direct the femtosecond laser beam to the optical scanning moving device; and controlling the optical scanning moving device to generate a target treatment area in the eye tissue with the femtosecond laser beam, wherein the target treatment area includes a sharp an edge portion and a portion to be removed, the sharp edge portion may have a minimum thickness tapered to a value of zero, and wherein the sharp edge portion is ablated by the femtosecond laser beam during the creation of the target treatment area; and A removal device configured to remove the portion of the target treatment area to be removed from the ocular tissue under operation by the user.

藉由本發明所提供之處理眼部組織的設備,由於在移除裝置移除目標處理區域的待移除部分之前,控制器已先控制光學掃描移動裝置藉由飛秒雷射束燒蝕目標處理區域的銳邊部分,使得目標處理區域僅剩下待移除部分需要被從眼部組織中移除,且此待移除部分不會在被從眼部組織中移除的過程中破裂,故,可避免發生眼部組織中的被移除(取出)的部分破裂的問題。With the device for treating eye tissue provided by the present invention, before the removing device removes the part to be removed from the target treatment area, the controller controls the optical scanning moving device to ablate the target by femtosecond laser beam. The sharp-edged part of the area, so that only the part to be removed in the target treatment area needs to be removed from the eye tissue, and this part to be removed will not be broken during the process of being removed from the eye tissue, so , the problem of rupture of the removed (removed) part of the eye tissue can be avoided.

此外,藉由本發明所提供之處理眼部組織的設備,由於不需要藉由控制光學掃描移動裝置對目標處理區域設置額外的補償厚度來避免移除裝置在移除眼部組織的被移除(取出)的部分的過程中發生破裂的問題,依據處理眼部組織的實際需求,本發明的處理眼部組織的設備的控制器可藉由控制光學掃描移動裝置使所產生的目標處理區域具有相應的厚度,且此厚度的最小值可能為零。換言之,本發明的處理眼部組織的設備可避免額外地增加處理(例如,矯正)眼部組織所需的目標處理區域的厚度以外的厚度,進而達到最大程度地維持眼部組織的強度的目的。In addition, with the device for treating eye tissue provided by the present invention, it is unnecessary to control the optical scanning moving device to set an additional compensation thickness on the target treatment area, so as to avoid the removal of the removing device when removing eye tissue ( The problem of rupture occurs during the process of taking out the part of the ocular tissue, according to the actual needs of treating ocular tissue, the controller of the device for treating ocular tissue of the present invention can control the optical scanning moving device so that the generated target treatment area has a corresponding value. thickness, and the minimum value of this thickness may be zero. In other words, the device for treating ocular tissue of the present invention can avoid additionally increasing the thickness of the target treatment area required for treating (eg, correcting) the ocular tissue, thereby achieving the purpose of maintaining the strength of the ocular tissue to the greatest extent. .

將在下文中參照所附圖式描述本發明的實施例。在下面的描述中,具有實質上相同的功能和佈置的組成元件由相同的標號表示,且只有在必要時才做成重複的描述。Embodiments of the present invention will hereinafter be described with reference to the accompanying drawings. In the following description, constituent elements having substantially the same function and arrangement are denoted by the same reference numerals, and repeated description is made only when necessary.

首先,參照圖1說明根據本發明的實施例之處理眼部組織的方法。在以下關於本發明的實施例的說明中,以角膜作為眼部組織的範例進行說明,然而,本發明的處理眼部組織的方法可適用的眼部組織並不以此為限。例如,根據本發明之處理眼部組織的方法亦可適用於像是水晶體的眼部組織。First, a method for treating ocular tissue according to an embodiment of the present invention will be described with reference to FIG. 1 . In the following description of the embodiments of the present invention, the cornea is used as an example of eye tissue for description. However, the eye tissue to which the method for treating eye tissue of the present invention is applicable is not limited thereto. For example, the method of treating ocular tissue according to the present invention can also be applied to ocular tissue such as a lens.

如圖1所示,根據本發明的實施例之處理眼部組織的方法包括步驟S101到S104。首先,在步驟S101中,從雷射光源產生飛秒雷射束。接著,在步驟S102中,引導飛秒雷射束朝向眼部組織。接下來,在步驟S103中,藉由飛秒雷射束在眼部組織E中產生目標處理區域T1、T2(參見圖2A至3B),目標處理區域T1、T2包括銳邊部分TE及待移除部分TR,銳邊部分TE可具有漸縮至數值為零的最小厚度。關於目標處理區域T1、T2的更多細節,稍後將參照圖2A至3B做出詳細的說明。最後,在步驟S104中,從眼部組織E中移除目標處理區域T1、T2的待移除部分TR。As shown in FIG. 1 , the method for treating eye tissue according to an embodiment of the present invention includes steps S101 to S104. First, in step S101, a femtosecond laser beam is generated from a laser light source. Next, in step S102, the femtosecond laser beam is directed toward the eye tissue. Next, in step S103 , target treatment areas T1 and T2 (see FIGS. 2A to 3B ) are generated in the eye tissue E by means of a femtosecond laser beam. The target treatment areas T1 and T2 include the sharp-edged portion TE and the portion to be moved. In addition to the portion TR, the sharp-edged portion TE may have a minimum thickness that tapers to a value of zero. More details about the target processing regions T1, T2 will be described later with reference to FIGS. 2A to 3B. Finally, in step S104, the to-be-removed portions TR of the target treatment regions T1, T2 are removed from the eye tissue E.

下面將參照圖2A至3B說明根據本發明的實施例之處理眼部組織的方法在眼部組織E中所產生的兩種目標處理區域T1、T2的範例。Examples of two target treatment regions T1 and T2 generated in the eye tissue E by the method for treating eye tissue according to an embodiment of the present invention will be described below with reference to FIGS. 2A to 3B .

圖2A及2B顯示根據本發明的實施例之處理眼部組織的方法在眼部組織E中所產生的一種目標處理區域T1的範例。2A and 2B show an example of a target treatment area T1 generated in the ocular tissue E by the method for treating ocular tissue according to an embodiment of the present invention.

參照圖2A及2B,在眼部組織E中所產生的目標處理區域T1包括:首先藉由飛秒雷射束在眼部組織E中產生下切面1、接著藉由飛秒雷射束燒蝕目標處理區域T1的銳邊部分TE、以及最後藉由飛秒雷射束在眼部組織E中產生與下切面1相連接的上切面2。目標處理區域T1在經過這樣的處理之後,其銳邊部分TE已被飛秒雷射束燒蝕而氣泡化,而僅剩下待移除部分TR。Referring to FIGS. 2A and 2B , the target treatment area T1 generated in the ocular tissue E includes: firstly generating an undercut 1 in the ocular tissue E by a femtosecond laser beam, followed by ablation by the femtosecond laser beam The sharp-edged portion TE of the target treatment area T1 and finally the upper slice 2 connected to the lower slice 1 are generated in the eye tissue E by a femtosecond laser beam. After the target processing region T1 is processed in this way, the sharp-edged portion TE of the target processing region T1 has been ablated by the femtosecond laser beam to form bubbles, and only the to-be-removed portion TR remains.

在圖2A及2B所顯示的範例中,藉由飛秒雷射束所產生的上切面2及下切面1在下切面1的外周緣相互連接,且因此,目標處理區域T1的銳邊部分TE包括上切面2與下切面1之在下切面1的外周緣之相互連接之處。In the example shown in FIGS. 2A and 2B , the upper tangent plane 2 and the lower tangent plane 1 generated by the femtosecond laser beam are connected to each other at the outer periphery of the lower tangent plane 1 , and thus, the sharp-edged portion TE of the target treatment area T1 includes The upper cut surface 2 and the lower cut surface 1 are connected to each other at the outer periphery of the lower cut surface 1 .

此外,為了從眼部組織E中移除目標處理區域T1的待移除部分TR,根據本發明的實施例之處理眼部組織的方法還包括藉由飛秒雷射束在眼部組織E中製造出移除切口4,此移除切口4位在上切面2的外周緣處且從眼部組織E的外表面連接到上切面2,且因此,移除切口4亦與目標處理區域T1相連接。如此一來,可經由移除切口4從眼部組織E中移除目標處理區域T1的待移除部分TR。In addition, in order to remove the to-be-removed portion TR of the target treatment region T1 from the ocular tissue E, the method for treating ocular tissue according to an embodiment of the present invention further comprises using a femtosecond laser beam in the ocular tissue E The removal incision 4 is made, which is located at the outer periphery of the upper section 2 and is connected to the upper section 2 from the outer surface of the ocular tissue E, and therefore, the removal incision 4 also corresponds to the target treatment area T1 connect. In this way, the to-be-removed portion TR of the target treatment region T1 can be removed from the eye tissue E via the removal incision 4 .

在從眼部組織E中移除圖2A及2B所顯示的目標處理區域T1的待移除部分TR之後,眼部組織E(亦即,本實施例中的角膜)的外曲率會被改變(例如,變得較為平緩),因而達到改變角膜的弧度以矯正視力的目的。換言之,圖2A及2B所顯示之目標處理區域T1是為了矯正近視而需要從角膜中被移除的目標處理區域的範例。After the to-be-removed portion TR of the target treatment region T1 shown in FIGS. 2A and 2B is removed from the ocular tissue E, the outer curvature of the ocular tissue E (ie, the cornea in this embodiment) is changed ( For example, it becomes more flat), thus achieving the purpose of changing the curvature of the cornea to correct vision. In other words, the target treatment area T1 shown in FIGS. 2A and 2B is an example of a target treatment area that needs to be removed from the cornea in order to correct myopia.

圖3A及3B係顯示根據本發明的實施例之處理眼部組織的方法在眼部組織E中所產生的另一種目標處理區域T2的範例。3A and 3B illustrate another example of a target treatment area T2 generated in the ocular tissue E by the method for treating ocular tissue according to an embodiment of the present invention.

參照圖3A及3B,目標處理區域T2是採用與圖2A及2B所示之目標處理區域T1類似的方式被產生於眼部組織E中,兩者之間的不同之處在於,在圖3A及3B所顯示的範例中,首先藉由飛秒雷射束所產生的下切面1具有類似於W的形狀,且因此,藉由飛秒雷射束所產生的上切面2與下切面1除了在下切面1的外周緣之外,還在靠近中心軸O的部分相互連接(參照圖3B),且因此,目標處理區域T2的銳邊部分TE包括上切面2與下切面1之在下切面1的外周緣、以及靠近中心軸O的部分之相互連接之處。更進一步言之,目標處理區域T2的銳邊部分TE還包括位在W形狀之下切面1的兩側之轉折之處。目標處理區域T2的這些銳邊部分TE均藉由飛秒雷射束被燒蝕而氣泡化。3A and 3B, the target treatment area T2 is generated in the eye tissue E in a similar manner to the target treatment area T1 shown in FIGS. 2A and 2B, the difference between the two is that in FIGS. 3A and 2B In the example shown in 3B, the lower section 1 generated by the femtosecond laser beam first has a shape similar to W, and therefore, the upper section 2 and the lower section 1 generated by the femtosecond laser beam are in addition to the lower section. In addition to the outer peripheral edge of the cutting plane 1, the parts close to the central axis O are also connected to each other (refer to FIG. 3B ), and therefore, the sharp edge portion TE of the target treatment area T2 includes the upper cutting plane 2 and the lower cutting plane 1 at the outer circumference of the lower cutting plane 1 The edge, and the interconnection of the parts close to the central axis O. More specifically, the sharp-edged portion TE of the target processing area T2 also includes the turning points on both sides of the cut plane 1 under the W shape. These sharp-edged portions TE of the target processing region T2 are all ablated by the femtosecond laser beam to be bubbled.

此外,為了從眼部組織E中移除目標處理區域T2的待移除部分TR,類似於上面所說明之從眼部組織E中移除目標處理區域T1的待移除部分TR,根據本發明的實施例之處理眼部組織的方法還包括藉由飛秒雷射束在眼部組織E中製造出移除切口4,此移除切口4位在上切面2的外周緣處且從眼部組織E的外表面連接到上切面2,且因此,移除切口4亦與目標處理區域T2相連接。如此一來,目標處理區域T2的待移除部分TR可經由移除切口4而從眼部組織E中被移除。Furthermore, in order to remove the to-be-removed portion TR of the target treatment region T2 from the eye tissue E, similar to the above-explained removal of the to-be-removed portion TR of the target treatment region T1 from the eye tissue E, according to the present invention The method of treating eye tissue according to the embodiment further comprises making a removal incision 4 in the eye tissue E by means of a femtosecond laser beam, the removal incision 4 being located at the outer periphery of the upper cut plane 2 and extending from the eye. The outer surface of the tissue E is connected to the upper cut plane 2, and therefore, the removal incision 4 is also connected to the target treatment area T2. In this way, the to-be-removed portion TR of the target treatment area T2 can be removed from the eye tissue E via the removal incision 4 .

然而,在圖3A及3B所顯示的範例中,由於目標處理區域T2的上切面2與下切面1除了在下切面1的外周緣之外,還在靠近中心軸O的部分相互連接(參照圖3B),當從圖3A的正視示意圖之方向觀看時,此目標處理區域T2具有類似甜甜圈的形狀。在這種情況下,若欲經由移除切口4移除目標處理區域T2的待移除部分TR,還需要額外藉由飛秒雷射束在眼部組織E中燒蝕出切斷面8(參見圖3A),此切斷面8連接目標處理區域T2的上切面2與下切面1之在下切面1的外周緣和靠近中心軸O的部分之相互連接之處,並貫穿目標處理區域T2,以使得目標處理區域T2被切斷面8分開,進而使得目標處理區域T2的待移除部分TR可容易地從移除切口4被移除。However, in the example shown in FIGS. 3A and 3B , since the upper cut surface 2 and the lower cut surface 1 of the target treatment area T2 are connected to each other at a portion close to the central axis O except at the outer periphery of the lower cut surface 1 (refer to FIG. 3B ) ), when viewed from the direction of the front view schematic diagram of FIG. 3A , the target treatment area T2 has a doughnut-like shape. In this case, if the to-be-removed portion TR of the target treatment region T2 is to be removed through the removal incision 4, it is necessary to additionally ablate the cut surface 8 in the eye tissue E by a femtosecond laser beam ( 3A), this cut surface 8 connects the upper cut surface 2 of the target treatment area T2 and the lower cut surface 1 at the outer periphery of the lower cut surface 1 and the part close to the central axis O. Connect to each other, and run through the target treatment area T2, So that the target treatment area T2 is divided by the cut surface 8 , so that the to-be-removed portion TR of the target treatment area T2 can be easily removed from the removal cut 4 .

為了更進一步地有利於從移除切口4移除目標處理區域T2的待移除部分TR,較佳的是使移除切口4與切斷面8相對於目標處理區域T2的中心軸O位在相反側上,使得可從移除切口4均勻地移除目標處理區域T2的待移除部分TR。In order to further facilitate the removal of the to-be-removed portion TR of the target treatment area T2 from the removal incision 4, it is preferable that the removal incision 4 and the cut surface 8 are located at the center axis O relative to the target treatment area T2. On the opposite side, so that the to-be-removed portion TR of the target processing region T2 can be uniformly removed from the removal cut 4 .

在從眼部組織E中移除圖3A及3B所顯示的目標處理區域T2的待移除部分TR之後,眼部組織E(亦即,本實施例中的角膜)的外曲率會被改變(例如,變得較為隆起),因而達到改變角膜的弧度以矯正視力的目的。換言之,圖3A及3B所顯示之目標處理區域T2是為了矯正遠視而需要從角膜中被移除的目標處理區域的範例。After the to-be-removed portion TR of the target treatment region T2 shown in FIGS. 3A and 3B is removed from the ocular tissue E, the outer curvature of the ocular tissue E (ie, the cornea in this embodiment) is changed ( For example, it becomes more bulging), thus achieving the purpose of changing the curvature of the cornea to correct vision. In other words, the target treatment area T2 shown in FIGS. 3A and 3B is an example of a target treatment area that needs to be removed from the cornea in order to correct hyperopia.

從上面參照圖2A至3B對於根據本發明的實施例之處理眼部組織的方法在眼部組織E中所產生的目標處理區域T1、T2的範例之說明可清楚地了解到的是,由於在移除目標處理區域T1、T2的待移除部分TR之前,已先藉由飛秒雷射束燒蝕目標處理區域T1、T2的銳邊部分TE,僅剩下目標處理區域T1、T2的待移除部分TR,且在移除眼部組織E的目標處理區域T1、T2的過程中,此待移除部分TR較不容易發生破裂。因此,根據本發明的處理眼部組織的方法確實可有效地避免被移除的眼部組織(例如,角膜)的部分(亦即,目標處理區域T1、T2)在移除的過程中破裂的問題發生。It can be clearly understood from the above descriptions with reference to FIGS. 2A to 3B for examples of target treatment regions T1, T2 generated in the ocular tissue E by the method for treating ocular tissue according to the embodiment of the present invention. Before removing the to-be-removed parts TR of the target processing areas T1 and T2, the sharp-edged parts TE of the target processing areas T1 and T2 have been ablated by a femtosecond laser beam, leaving only the to-be-removed parts of the target processing areas T1 and T2. The part TR is removed, and in the process of removing the target treatment areas T1 and T2 of the ocular tissue E, the part TR to be removed is less likely to be broken. Therefore, the method of treating ocular tissue according to the present invention can indeed effectively avoid rupture of the portion of the removed ocular tissue (eg, cornea) (ie, the target treatment area T1, T2) during the removal process. problem occurs.

除此之外,由於在根據本發明的處理眼部組織的方法中,被移除的眼部組織(例如,角膜)的部分在移除的過程中不會發生破裂的問題,相較於先前技術藉由對目標處理區域設置額外的補償厚度來避免在移除的過程中發生破裂的問題,本發明的處理眼部組織的方法不需要對目標處理區域設置額外的補償厚度,故,依據處理眼部組織的實際需求,本發明的處理眼部組織的方法可使所產生的目標處理區域具有相應的厚度,且此厚度的最小值可能為零。換言之,本發明的處理眼部組織的方法可避免額外地增加處理(例如,矯正)眼部組織所必須的目標處理區域的厚度以外的厚度(例如,先前技術中的補償厚度),進而最大程度地達到維持眼部組織的強度的目的。In addition, since in the method for treating ocular tissue according to the present invention, the part of the ocular tissue (eg, the cornea) to be removed does not rupture during the removal process, compared to the previous Technology By setting an additional compensation thickness for the target treatment area to avoid the problem of rupture during removal, the method for treating eye tissue of the present invention does not require additional compensation thickness for the target treatment area. Therefore, according to the treatment According to the actual needs of eye tissue, the method for treating eye tissue of the present invention can generate a target treatment area with a corresponding thickness, and the minimum value of the thickness may be zero. In other words, the method for treating ocular tissue of the present invention can avoid additionally increasing the thickness of the target treatment area (eg, the compensation thickness in the prior art) necessary to treat (eg, correct) the ocular tissue, thereby maximizing the thickness of the target treatment area. To achieve the purpose of maintaining the strength of the eye tissue.

另一方面,由於根據本發明的處理眼部組織的方法可使所產生的目標處理區域具有相應的厚度而無需設置補償厚度,其可更精確地決定處理(例如,矯正)眼部組織所必須的目標處理區域的範圍,使得其可處理的範圍(例如,可矯正的視力度數)更加廣泛。例如,針對視力的矯正,若角膜所能承受之移除的目標處理區域的最大厚度為DA,由於先前技術必須對移除的目標處理區域額外設置補償厚度DH,其所能矯正的視力範圍為最大厚度相當於DA-DH(角膜所能承受之移除的目標處理區域的最大厚度減去補償厚度)的範圍,相較之下,由於根據本發明的處理眼部組織的方法不須設置任何的補償厚度,其所能矯正的視力範圍為最大厚度相當於DA(角膜所能承受之移除的目標處理區域的最大厚度)的範圍。On the other hand, since the method for treating ocular tissue according to the present invention can generate a target treatment area with a corresponding thickness without setting a compensation thickness, it can more accurately determine what is necessary to treat (eg, correct) the ocular tissue The range of the target processing area makes its processable range (for example, correctable visual acuity) wider. For example, for vision correction, if the maximum thickness of the removed target treatment area that the cornea can bear is DA, since the prior art must additionally set a compensation thickness DH for the removed target treatment area, the range of visual acuity that can be corrected is: The maximum thickness corresponds to the range of DA-DH (the maximum thickness of the target treatment area that the cornea can withstand for removal minus the compensation thickness). It can correct the visual acuity range of the maximum thickness equivalent to DA (the maximum thickness of the target treatment area that the cornea can bear to remove).

圖4顯示根據本發明的實施例之處理眼部組織的設備100的示意圖。FIG. 4 shows a schematic diagram of an apparatus 100 for treating ocular tissue according to an embodiment of the present invention.

根據本發明的實施例之處理眼部組織的設備100包括雷射光源101,配置為產生飛秒雷射束;光學系統102,配置為引導由雷射光源101所產生的飛秒雷射束;光學掃描移動裝置103,配置為將來自光學系統102的飛秒雷射束透過聚光鏡104施加到眼部組織E;以及控制器105,與雷射光源101、光學系統102及光學掃描移動裝置103連接,且配置為控制雷射光源101、光學系統102及光學掃描移動裝置103,以在眼部組織E中產生目標處理區域T1、T2(參見圖2A至3B)。根據本發明的實施例之處理眼部組織的設備100還包括移除裝置(圖中未示),其配置為在使用者的操作下從眼部組織E中移除目標處理區域T1、T2的待移除部分TR(參見圖2A至3B)。The apparatus 100 for treating eye tissue according to an embodiment of the present invention includes a laser light source 101 configured to generate a femtosecond laser beam; an optical system 102 configured to guide the femtosecond laser beam generated by the laser light source 101; The optical scanning moving device 103 is configured to apply the femtosecond laser beam from the optical system 102 to the eye tissue E through the condenser 104 ; and the controller 105 is connected with the laser light source 101 , the optical system 102 and the optical scanning moving device 103 , and is configured to control the laser light source 101 , the optical system 102 and the optical scanning moving device 103 to generate target treatment areas T1 , T2 in the eye tissue E (see FIGS. 2A to 3B ). The apparatus 100 for treating eye tissue according to an embodiment of the present invention further includes a removing device (not shown in the figure), which is configured to remove the target treatment area T1, T2 from the eye tissue E under the operation of the user. The portion TR to be removed (see FIGS. 2A to 3B ).

具體而言,控制器105配置為控制雷射光源101產生飛秒雷射束、控制光學系統102將飛秒雷射束引導到光學掃描移動裝置103、以及控制光學掃描移動裝置103藉由飛秒雷射束透過聚光鏡104在眼部組織E中產生目標處理區域T1、T2,目標處理區域T1、T2包括銳邊部分TE及待移除部分TR,銳邊部分TE可具有漸縮至數值為零的最小厚度,且銳邊部分TE在目標處理區域T1、T2的產生過程中藉由飛秒雷射束被燒蝕。Specifically, the controller 105 is configured to control the laser light source 101 to generate a femtosecond laser beam, control the optical system 102 to direct the femtosecond laser beam to the optical scanning moving device 103 , and control the optical scanning moving device 103 to use the femtosecond laser beam The laser beam passes through the condenser 104 to generate target treatment areas T1 and T2 in the eye tissue E. The target treatment areas T1 and T2 include a sharp edge portion TE and a to-be-removed portion TR. The sharp edge portion TE may have a taper to a value of zero. , and the sharp-edged portion TE is ablated by the femtosecond laser beam during the generation of the target processing regions T1, T2.

關於控制器105如何在眼部組織E中產生目標處理區域T1、T2的更多細節,可參照前文中對於圖2A至3B的說明,此處不再贅述。For more details on how the controller 105 generates the target treatment regions T1 and T2 in the eye tissue E, reference may be made to the foregoing descriptions of FIGS. 2A to 3B , which will not be repeated here.

同樣地,在根據本發明的處理眼部組織的設備100中,由於在移除裝置(圖中未示)移除目標處理區域T1、T2的待移除部分TR之前,控制器105已先控制光學掃描移動裝置103藉由飛秒雷射束燒蝕目標處理區域T1、T2的銳邊部分TE,使得目標處理區域T1、T2中只剩下待移除部分TR,且此待移除部分TR在移除眼部組織E的目標處理區域T1、T2的過程中較不容易發生破裂。因此,根據本發明的處理眼部組織的設備確實可有效地避免被移除的眼部組織(例如,角膜)的部分(亦即,目標處理區域T1、T2)在移除的過程中破裂的問題發生。Likewise, in the apparatus 100 for treating eye tissue according to the present invention, since the removal device (not shown in the figure) removes the to-be-removed portion TR of the target treatment area T1, T2, the controller 105 controls the The optical scanning moving device 103 ablates the sharp edge portions TE of the target processing regions T1 and T2 by a femtosecond laser beam, so that only the to-be-removed portion TR remains in the target processing regions T1 and T2, and this to-be-removed portion TR Ruptures are less likely to occur during the removal of the target treatment areas T1 , T2 of the ocular tissue E. Therefore, the device for treating ocular tissue according to the present invention can indeed effectively avoid rupture of the portion of the removed ocular tissue (eg, the cornea) (ie, the target treatment area T1, T2) during the removal process. problem occurs.

此外,由於在根據本發明的處理眼部組織的設備100中,被移除的眼部組織E(例如,角膜)的部分在被移除裝置移除的過程中不會發生破裂的問題,相較於先前技術藉由對目標處理區域設置額外的補償厚度來避免在移除的過程中發生破裂的問題,本發明的處理眼部組織的設備不需要對目標處理區域設置額外的補償厚度,故,依據處理眼部組織的實際需求,本發明的處理眼部組織的設備的控制器可控制光學掃描移動裝置使得所產生的目標處理區域具有相應的厚度,且此厚度的最小值可能為零。換言之,本發明的處理眼部組織的設備可避免額外地增加處理(例如,矯正)眼部組織所必須的目標處理區域的厚度以外的厚度(例如,先前技術中的補償厚度),進而最大程度地達到維持眼部組織的強度的目的。In addition, since in the apparatus 100 for treating ocular tissue according to the present invention, the removed part of the ocular tissue E (eg, the cornea) does not have the problem of rupture during the removal by the removing device, the Compared with the prior art by setting an additional compensation thickness for the target treatment area to avoid the problem of rupture during removal, the device for treating ocular tissue of the present invention does not need to set an additional compensation thickness for the target treatment area, so , according to the actual needs of treating eye tissue, the controller of the device for treating eye tissue of the present invention can control the optical scanning moving device so that the generated target treatment area has a corresponding thickness, and the minimum value of the thickness may be zero. In other words, the device for treating ocular tissue of the present invention can avoid additionally increasing the thickness of the target treatment area (eg, the compensation thickness in the prior art) necessary for treating (eg, correcting) the ocular tissue, thereby maximizing the thickness To achieve the purpose of maintaining the strength of the eye tissue.

另一方面,同樣地,由於根據本發明的處理眼部組織的設備100可使所產生的目標處理區域具有相應的厚度而無需設置補償厚度,其可更精確地決定處理(例如,矯正)眼部組織所必須的目標處理區域的範圍,使得其可處理的範圍(例如,可矯正的視力度數)更加廣泛。此優點已於前文中詳細說明,此處不再贅述。On the other hand, also, since the device 100 for treating ocular tissue according to the present invention can generate a target treatment area with a corresponding thickness without setting a compensation thickness, it can more accurately decide to treat (eg, correct) the eye The scope of the target treatment area necessary for the external tissue makes the scope of its treatment (eg, the corrective power of vision) wider. This advantage has been described in detail above, and will not be repeated here.

在本文中所描述的實施例的圖式旨在提供對於本發明的理解。換言之,圖式僅為代表性的且可能未按比例繪製。圖式中的某些比例可能被放大,而其他比例可能被縮小。據此,圖式應被視為示意性的而非限制性的。The drawings of the embodiments described herein are intended to provide an understanding of the invention. In other words, the drawings are representative only and may not be drawn to scale. Some scales in the drawings may be exaggerated while other scales may be reduced. Accordingly, the drawings are to be regarded as illustrative rather than restrictive.

雖然已於上述實施例中參照附圖說明本發明的各種實施例,但上述實施例僅為本發明的較佳實施例,並非意圖用來將本發明侷限於上文中所描述及附圖中所示的特徵及結構。應理解的是,在不偏離本發明的範疇的情況下,熟知本領域的技術人士所能夠設想到各種其它的省略、置換、變化和修改亦被包含在本發明的範疇內。Although various embodiments of the present invention have been described in the above-mentioned embodiments with reference to the accompanying drawings, the above-mentioned embodiments are only preferred embodiments of the present invention, and are not intended to limit the present invention to the above-mentioned descriptions and those shown in the accompanying drawings. features and structure shown. It should be understood that various other omissions, substitutions, changes and modifications that can be conceived by those skilled in the art without departing from the scope of the invention are also included within the scope of the invention.

1:下切面 2:上切面 4:移除切口 8:切斷面 100:處理眼部組織的設備 101:雷射光源 102:光學系統 103:光學掃描移動裝置 104:聚光鏡 105:控制器 DH:補償厚度 E:眼部組織 O:中心軸 S101~S104:步驟 T1、T2:目標處理區域 TE:銳邊部分 TR:待移除部分1: lower section 2: top section 4: Remove the incision 8: cut surface 100: Devices for Treating Eye Tissue 101: Laser light source 102: Optical system 103: Optical scanning mobile device 104: Condenser 105: Controller DH: compensated thickness E: eye tissue O: center axis S101~S104: Steps T1, T2: target processing area TE: Sharp edge part TR: section to be removed

參照以下詳細說明,特別是當結合所附圖式來考量時,本發明之更完整的理解及其許多附帶的優點將變得容易理解,其中:A more complete understanding of the present invention and its many attendant advantages will become readily understood with reference to the following detailed description, especially when considered in conjunction with the accompanying drawings, wherein:

圖1為根據本發明的實施例之處理眼部組織的方法的流程圖;1 is a flowchart of a method for treating ocular tissue according to an embodiment of the present invention;

圖2A為根據本發明的實施例之處理眼部組織的方法在眼部組織中所產生的目標處理區域的正視示意圖;2A is a schematic front view of a target treatment area generated in the eye tissue by the method for treating eye tissue according to an embodiment of the present invention;

圖2B為沿著圖2A的線II-II所截取之截面示意圖;2B is a schematic cross-sectional view taken along line II-II of FIG. 2A;

圖3A為根據本發明的實施例之處理眼部組織的方法在眼部組織中所產生的另一種目標處理區域的正視示意圖;3A is a schematic front view of another target treatment area generated in the eye tissue by the method for treating eye tissue according to an embodiment of the present invention;

圖3B為沿著圖3A的線III-III所截取之截面示意圖;3B is a schematic cross-sectional view taken along line III-III of FIG. 3A;

圖4為根據本發明的實施例之處理眼部組織的設備的示意圖;以及4 is a schematic diagram of an apparatus for treating ocular tissue according to an embodiment of the present invention; and

圖5A及5B為根據先前技術在角膜中產生角膜透鏡的截面示意圖。5A and 5B are schematic cross-sectional views of the creation of a corneal lens in the cornea according to the prior art.

S101~S104:步驟S101~S104: Steps

Claims (18)

一種處理眼部組織的方法,包括: 從雷射光源產生飛秒雷射束; 引導該飛秒雷射束朝向眼部組織; 藉由該飛秒雷射束在該眼部組織中產生目標處理區域,其中,該目標處理區域包括銳邊部分及待移除部分,該銳邊部分可具有漸縮至數值為零的最小厚度,且其中,該銳邊部分在該目標處理區域的產生過程中藉由該飛秒雷射束被燒蝕;以及從該眼部組織中移除該目標處理區域的該待移除部分。A method of treating eye tissue, comprising: Generate a femtosecond laser beam from a laser light source; directing the femtosecond laser beam towards the eye tissue; generating a target treatment area in the eye tissue by the femtosecond laser beam, wherein the target treatment area includes a sharp-edged portion and a portion to be removed, the sharp-edged portion may have a minimum thickness tapered to a value of zero , and wherein the sharp-edged portion is ablated by the femtosecond laser beam during the generation of the target treatment area; and the to-be-removed portion of the target treatment area is removed from the eye tissue. 如請求項1所述之處理眼部組織的方法,還包括:在從該眼部組織移除該目標處理區域的該待移除部分之前,藉由該飛秒雷射束在該眼部組織中製造出移除切口, 其中,該移除切口從該眼部組織的外表面連接到該目標處理區域,並且 其中,該目標處理區域的該待移除部分經由該移除切口從該眼部組織中被移除。The method of treating ocular tissue of claim 1, further comprising: prior to removing the portion to be removed of the target treatment region from the ocular tissue, applying the femtosecond laser beam to the ocular tissue The removal incision is made in the wherein the removal incision is connected to the target treatment area from the outer surface of the ocular tissue, and Wherein, the to-be-removed portion of the target treatment area is removed from the ocular tissue via the removal incision. 如請求項1所述之處理眼部組織的方法,其中,藉由該飛秒雷射束在該眼部組織中產生該目標處理區域包括: 在該眼部組織中產生下切面; 藉由該飛秒雷射束燒蝕該目標處理區域的該銳邊部分;以及 在該眼部組織中產生與該下切面相連接的上切面。The method for treating eye tissue as claimed in claim 1, wherein generating the target treatment area in the eye tissue by the femtosecond laser beam comprises: producing a lower section in the ocular tissue; ablating the sharp-edged portion of the target treatment area by the femtosecond laser beam; and An upper section connected to the lower section is created in the ocular tissue. 如請求項3所述之處理眼部組織的方法,其中,該上切面與該下切面在該下切面的外周緣相互連接;並且 其中,該目標處理區域的該銳邊部分包括該上切面與該下切面之在該下切面的該外周緣之相互連接之處。The method for treating eye tissue as claimed in claim 3, wherein the upper cut surface and the lower cut surface are connected to each other at the outer periphery of the lower cut surface; and Wherein, the sharp-edged portion of the target treatment area includes the interconnection of the upper cut surface and the lower cut surface at the outer periphery of the lower cut surface. 如請求項4所述之處理眼部組織的方法,還包括: 在從該眼部組織移除該目標處理區域的該待移除部分之前,藉由該飛秒雷射束在該眼部組織中製造出移除切口, 其中,該移除切口從該眼部組織的外表面連接到該目標處理區域,並且 其中,該目標處理區域的該待移除部分經由該移除切口從該眼部組織中被移除。The method of treating eye tissue as described in claim 4, further comprising: making a removal incision in the ocular tissue by the femtosecond laser beam before removing the portion to be removed of the target treatment area from the ocular tissue, wherein the removal incision is connected to the target treatment area from the outer surface of the ocular tissue, and Wherein, the to-be-removed portion of the target treatment area is removed from the ocular tissue via the removal incision. 如請求項3所述之處理眼部組織的方法,其中,該上切面與該下切面在該下切面的外周緣及靠近中心軸的部分相互連接; 其中,該目標處理區域的該銳邊部分包括位在該上切面與該下切面之在該下切面的該外周緣、及該靠近中心軸的部分之相互連接之處;並且 其中,藉由該飛秒雷射束在該眼部組織中產生該目標處理區域還包括燒蝕出切斷面,該切斷面連接該上切面與該下切面之在該下切面的該外周緣、及該靠近中心軸的部分之間之相互連接之處,並貫穿該目標處理區域。The method for treating eye tissue according to claim 3, wherein the upper cut surface and the lower cut surface are connected to each other at the outer periphery of the lower cut surface and a portion close to the central axis; Wherein, the sharp-edged portion of the target treatment area includes the connection between the outer peripheral edge of the upper cut surface and the lower cut surface at the lower cut surface, and the portion close to the central axis; and Wherein, generating the target treatment area in the eye tissue by the femtosecond laser beam further includes ablating a cut surface, the cut surface connecting the upper cut surface and the lower cut surface at the outer periphery of the lower cut surface The edge and the interconnection between the portion near the central axis and through the target treatment area. 如請求項6所述之處理眼部組織的方法,還包括: 在從該眼部組織移除該目標處理區域的該待移除部分之前,藉由該飛秒雷射束在該眼部組織中製造出移除切口, 其中,該移除切口從該眼部組織的外表面連接到該目標處理區域,並且 其中,該目標處理區域的該待移除部分經由該移除切口從該眼部組織中被移除。The method of treating eye tissue as described in claim 6, further comprising: making a removal incision in the ocular tissue by the femtosecond laser beam before removing the portion to be removed of the target treatment area from the ocular tissue, wherein the removal incision is connected to the target treatment area from the outer surface of the ocular tissue, and Wherein, the to-be-removed portion of the target treatment area is removed from the ocular tissue via the removal incision. 如請求項7所述之處理眼部組織的方法,其中,該切斷面相對於該目標處理區域的中心軸位在該移除切口的相反側。The method for treating ocular tissue as claimed in claim 7, wherein the cut surface is located on the opposite side of the removal incision with respect to the central axis of the target treatment area. 如請求項1所述之處理眼部組織的方法,其中,該眼部組織為角膜或水晶體。The method for treating ocular tissue according to claim 1, wherein the ocular tissue is the cornea or the lens. 一種處理眼部組織的設備,包含: 雷射光源,配置為產生飛秒雷射束; 光學系統,配置為引導由該雷射光源所產生的該飛秒雷射束; 光學掃描移動裝置,配置為將來自該光學系統的該飛秒雷射束透過聚光鏡施加到眼部組織; 控制器,與該雷射光源、該光學系統及該光學掃描移動裝置連接,且配置為 控制該雷射光源產生該飛秒雷射束; 控制該光學系統將該飛秒雷射束引導到該光學掃描移動裝置;及 控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中產生目標處理區域,其中,該目標處理區域包括銳邊部分及待移除部分,該銳邊部分可具有漸縮至數值為零的最小厚度,且其中,該銳邊部分在該目標處理區域的產生過程中藉由該飛秒雷射束被燒蝕;以及 移除裝置,配置為在使用者的操作下從該眼部組織中移除該目標處理區域的該待移除部分。A device for treating ocular tissue, comprising: a laser light source, configured to generate a femtosecond laser beam; an optical system configured to guide the femtosecond laser beam generated by the laser light source; an optical scanning movement device configured to apply the femtosecond laser beam from the optical system to ocular tissue through a condenser; a controller, connected with the laser light source, the optical system and the optical scanning moving device, and configured to controlling the laser light source to generate the femtosecond laser beam; controlling the optical system to direct the femtosecond laser beam to the optical scanning moving device; and Controlling the optical scanning moving device to generate a target treatment area in the eye tissue with the femtosecond laser beam, wherein the target treatment area includes a sharp edge portion and a to-be-removed portion, and the sharp edge portion may have a tapered value a minimum thickness of zero, and wherein the sharp-edged portion is ablated by the femtosecond laser beam during creation of the target treatment region; and A removal device configured to remove the portion to be removed of the target treatment area from the ocular tissue under user operation. 如請求項10所述之處理眼部組織的設備,其中,在該移除裝置從該眼部組織中移除該目標處理區域的該待移除部分之前,該控制器還配置為控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中製造出從該眼部組織的外表面連接到該目標處理區域的移除切口,並且 其中,該移除裝置配置為在使用者的操作下從該眼部組織中經由該移除切口移除該目標處理區域的該待移除部分。The apparatus for treating ocular tissue of claim 10, wherein the controller is further configured to control the optics before the removal device removes the portion to be removed of the target treatment area from the ocular tissue a scanning movement device makes a removal incision in the ocular tissue with the femtosecond laser beam connecting from the outer surface of the ocular tissue to the target treatment area, and Wherein, the removal device is configured to remove the to-be-removed portion of the target treatment area from the ocular tissue through the removal incision under the operation of the user. 如請求項10所述之處理眼部組織的設備,其中,該控制器控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中產生該目標處理區域包括: 在該眼部組織中產生下切面; 燒蝕該目標處理區域的該銳邊部分;以及 在該眼部組織中產生與該下切面相連接的上切面。The apparatus for treating eye tissue as claimed in claim 10, wherein the controller controls the optical scanning moving device to generate the target treatment area in the eye tissue with the femtosecond laser beam comprising: producing a lower section in the ocular tissue; ablating the sharp-edged portion of the target treatment area; and An upper section connected to the lower section is created in the ocular tissue. 如請求項12所述之處理眼部組織的設備,其中,該上切面與該下切面在該下切面的外周緣相互連接;並且 其中,該目標處理區域的該銳邊部分包括該上切面與該下切面之在該下切面的該外周緣相互連接之處。The apparatus for treating ocular tissue of claim 12, wherein the upper cut surface and the lower cut surface are connected to each other at the outer periphery of the lower cut surface; and Wherein, the sharp-edged portion of the target treatment area includes a place where the upper cut surface and the lower cut surface are connected to each other at the outer peripheral edge of the lower cut surface. 如請求項13所述之處理眼部組織的設備,其中,在該移除裝置從該眼部組織中移除該目標處理區域的該待移除部分之前,該控制器還配置為控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中製造出從該眼部組織的外表面連接到該目標處理區域的移除切口,並且 其中,該移除裝置配置為在使用者的操作下從該眼部組織中經由該移除切口移除該目標處理區域的該待移除部分。The apparatus for treating ocular tissue of claim 13, wherein the controller is further configured to control the optics before the removal device removes the portion to be removed of the target treatment area from the ocular tissue a scanning movement device makes a removal incision in the ocular tissue with the femtosecond laser beam connecting from the outer surface of the ocular tissue to the target treatment area, and Wherein, the removal device is configured to remove the to-be-removed portion of the target treatment area from the ocular tissue through the removal incision under the operation of the user. 如請求項12所述之處理眼部組織的設備,其中,該上切面與該下切面在該下切面的外周緣及靠近中心軸的部分相互連接; 其中,該目標處理區域的該銳邊部分包括位在該上切面與該下切面之在該下切面的該外周緣、及該靠近中心軸的部分之相互連接之處;並且 其中,該控制器控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中產生該目標處理區域還包括燒蝕出切斷面,該切斷面連接該上切面與該下切面之在該下切面的該外周緣、及該靠近中心軸的部分之間之相互連接之處,並貫穿該目標處理區域。The device for treating eye tissue as claimed in claim 12, wherein the upper cut surface and the lower cut surface are connected to each other at the outer periphery of the lower cut surface and a portion close to the central axis; Wherein, the sharp-edged portion of the target treatment area includes the connection between the outer peripheral edge of the upper cut surface and the lower cut surface at the lower cut surface, and the portion close to the central axis; and Wherein, the controller controls the optical scanning moving device to generate the target treatment area in the eye tissue with the femtosecond laser beam, and further includes ablating a cut surface, and the cut surface connects the upper cut surface and the lower cut surface It is at the interconnection between the outer peripheral edge of the lower cut surface and the portion close to the central axis, and runs through the target treatment area. 如請求項15所述之處理眼部組織的設備,其中,在該移除裝置從該眼部組織中移除該目標處理區域的該待移除部分之前,該控制器還配置為控制該光學掃描移動裝置以該飛秒雷射束在該眼部組織中製造出從該眼部組織的外表面連接到該目標處理區域的移除切口,並且 其中,該移除裝置配置為在使用者的操作下從該眼部組織中經由該移除切口移除該目標處理區域的該待移除部分。The apparatus for treating ocular tissue of claim 15, wherein the controller is further configured to control the optics before the removal device removes the portion to be removed of the target treatment area from the ocular tissue a scanning movement device makes a removal incision in the ocular tissue with the femtosecond laser beam connecting from the outer surface of the ocular tissue to the target treatment area, and Wherein, the removal device is configured to remove the to-be-removed portion of the target treatment area from the ocular tissue through the removal incision under the operation of the user. 如請求項16所述之處理眼部組織的設備,其中,該切斷面相對於該目標處理區域的中心軸位在該移除切口的相反側。The apparatus for treating ocular tissue of claim 16, wherein the cut surface is located on the opposite side of the removal incision relative to the central axis of the target treatment area. 如請求項10所述之處理眼部組織的設備,其中,該眼部組織為角膜或水晶體。The device for treating ocular tissue as claimed in claim 10, wherein the ocular tissue is a cornea or a lens.
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