CA2368228A1 - Method and system for ablating surfaces with partially overlapping craters having consistent curvature - Google Patents
Method and system for ablating surfaces with partially overlapping craters having consistent curvature Download PDFInfo
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- CA2368228A1 CA2368228A1 CA002368228A CA2368228A CA2368228A1 CA 2368228 A1 CA2368228 A1 CA 2368228A1 CA 002368228 A CA002368228 A CA 002368228A CA 2368228 A CA2368228 A CA 2368228A CA 2368228 A1 CA2368228 A1 CA 2368228A1
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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
- 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
- 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
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2035—Beam shaping or redirecting; Optical components therefor
- A61B2018/20351—Scanning mechanisms
-
- 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
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2035—Beam shaping or redirecting; Optical components therefor
- A61B2018/20351—Scanning mechanisms
- A61B2018/20355—Special scanning path or conditions, e.g. spiral, raster or providing spot overlap
-
- 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
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B2018/2065—Multiwave; Wavelength mixing, e.g. using four or more wavelengths
- A61B2018/207—Multiwave; Wavelength mixing, e.g. using four or more wavelengths mixing two wavelengths
-
- 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
-
- 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
Abstract
This invention is a technique for laser sculpting a predetermined shape on a n exposed corneal surface (6) by ablating a sequence of consistently curved craters (16a, 16b, 16c, 16d) with individual pulses of a laser beam (10). An initial laser beam energy pattern (14) is shaped by a laser beam shaping element (22) to make a consistently curved laser beam (12) energy pattern. T he consistently curved laser beam (12) ablates a consistently curved crater (16 ) in the surface (6) with a single pulse of the laser beam (10). A computer (2 6) controls the position of the laser beam (10), and scans the laser beam over the surface (6) to sculpt the predetermined shape in an ablation zone (18) o n the exposed surface. A sequence of partially overlapping craters (16a, 16b, 16c, 16d) are distributed over the ablation zone (18). In some embodiments diffractive optics (50) are used as a beam shaping element (33). In addition al embodiments, the consistently curved crater (16) is a uniformly curved spherical crater.
Claims (36)
1. A method of sculpting a region on a surface of a tissue with a pulsed energy beam to effect a predetermined change in shape, the method comprising:
directing a pulsed beam of an ablative energy toward the tissue surface;
ablating a plurality of craters in the tissue, each crater having a consistent curvature in the tissue and ablated with a single pulse of the beam; and, scanning the beam over the region to effect the predetermined change in shape in the region by partially overlapping the plurality of consistently curved craters.
directing a pulsed beam of an ablative energy toward the tissue surface;
ablating a plurality of craters in the tissue, each crater having a consistent curvature in the tissue and ablated with a single pulse of the beam; and, scanning the beam over the region to effect the predetermined change in shape in the region by partially overlapping the plurality of consistently curved craters.
2. The method of claim 1 wherein ablating step is performed so that a dimension across a crater is about 5 to 80% of a dimension across the region.
3. The method of claim 2 wherein the ablating step is performed so that the consistent curvature of the crater is substantially uniform and spherical, and the dimension across the craters is substantially uniform.
4. The method of claim 1 wherein the beam is a laser beam, the method further comprising shaping an energy distribution profile of the laser beam with a beam shaping element.
5. The method of claim 4 wherein the shaping step further comprises diffracting the laser beam with a diffracting element.
6. The method of claim 5 wherein the diffracting step further comprises changing an amplitude of the beam with the diffracting element.
7. The method of claim 6 wherein the diffracting step further comprises changing a phase of the beam with the diffracting element.
8. The methods of claim 6 and claim 7 wherein the diffracting step further comprises transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element.
9. The methods of claim 6 and claim 7 wherein the diffracting step further comprises reflecting the beam off a surface of the diffracting element to form the shaped beam with a portion of the beam reflected off the element.
10. The method of claim 4 wherein the shaping step further comprises reflecting the beam with an angle varying reflecting element.
11. The method of claim 4 wherein the shaping step further comprises refracting the beam with an angle varying refracting element.
12. The method of claim 4 wherein the shaping step further comprises transmitting the beam through a material that variably transmits the laser beam.
13. The method of claim 4 wherein the shaping step further comprises reflecting the beam off a surface that variably reflects the laser beam.
14. The method of claim 4 further comprising deflecting the beam with an optical element selected from the group consisting of lenses, prisms and mirrors.
15. The method of claim 4 further comprising restricting a cross sectional area of the beam by transmitting the beam through an aperture formed of a non-transmitting material that blocks a portion of the beam.
16. The method of claim 15 further comprising forming an image of the restricted beam near the region.
17. The method of claim 4 further comprising rotating the laser beam shaping element between pulses of the laser beam.
18. A method of sculpting a region on a tissue surface with a pulsed laser beam to shape the region to a predetermined shape, the method comprising:
making a pulsed beam of an ablative energy;
shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;
restricting a cross sectional area of the beam;
forming an image of the restricted beam near the region;
ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam, a dimension across the crater being about 5 to 80%
of a dimension across the region;
deflecting the beam;
rotating the laser beam shaping element between pulses of the laser beam;
and, scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the sequence of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.
making a pulsed beam of an ablative energy;
shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;
restricting a cross sectional area of the beam;
forming an image of the restricted beam near the region;
ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam, a dimension across the crater being about 5 to 80%
of a dimension across the region;
deflecting the beam;
rotating the laser beam shaping element between pulses of the laser beam;
and, scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the sequence of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.
19. A method of sculpting an ablated region on an exposed corneal surface with a pulsed energy beam to shape the region to a predetermined shape, the method comprising:
making a pulsed beam of an ablative energy, the beam having an energy distribution profile;
ablating a crater having a consistent curvature in the tissue with a single pulse of the beam, the crater having a dimension across the crater; and, scanning the beam over the region to form the shape in the region by partially overlapping a plurality of consistently curved craters, the plurality of craters being distributed over the region to cover a dimension across the region.
making a pulsed beam of an ablative energy, the beam having an energy distribution profile;
ablating a crater having a consistent curvature in the tissue with a single pulse of the beam, the crater having a dimension across the crater; and, scanning the beam over the region to form the shape in the region by partially overlapping a plurality of consistently curved craters, the plurality of craters being distributed over the region to cover a dimension across the region.
20. A method of sculpting an ablated region on an exposed corneal surface with a pulsed laser beam to shape the region to a predetermined curved shape, the method comprising:
making a pulsed beam of an ablative energy, the beam having an energy distribution profile;
shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;
restricting a cross sectional area of the beam by transmitting the beam through an aperture formed in a non-transmitting material that blocks a portion of the beam;
forming an image of the restricted beam near the region;
ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam, a dimension across the crater being about 5 to 80%
of a dimension across the region;
deflecting the beam with an optical element selected from the group consisting of lenses, prisms and mirrors;
rotating the laser beam shaping element between pulses of the laser beam to average the shaped beam; and, scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the plurality of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.
making a pulsed beam of an ablative energy, the beam having an energy distribution profile;
shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;
restricting a cross sectional area of the beam by transmitting the beam through an aperture formed in a non-transmitting material that blocks a portion of the beam;
forming an image of the restricted beam near the region;
ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam, a dimension across the crater being about 5 to 80%
of a dimension across the region;
deflecting the beam with an optical element selected from the group consisting of lenses, prisms and mirrors;
rotating the laser beam shaping element between pulses of the laser beam to average the shaped beam; and, scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the plurality of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.
21. A method for sculpting a treatment region on a surface, the method comprising:
directing a beam toward the region;
ablating a plurality of rounded axissymetric craters in the surface with pulses of the beam; and scanning the beam over the region to effect a predetermined change in shape of the surface by partially overlapping the craters.
directing a beam toward the region;
ablating a plurality of rounded axissymetric craters in the surface with pulses of the beam; and scanning the beam over the region to effect a predetermined change in shape of the surface by partially overlapping the craters.
22. A laser system for sculpting an ablated region on a surface of a tissue, the tissue having a threshold of ablation, the system comprising:
a laser for making a pulsed beam of an ablative laser energy;
a beam energy shaping element disposed in a path of the pulsed beam, the shaping element changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a consistently curved laser beam energy pattern above the threshold of ablation; and, a scanning element for moving the shaped beam over the region to sculpt the region with a plurality of partially overlapping pulses of the ablative energy.
a laser for making a pulsed beam of an ablative laser energy;
a beam energy shaping element disposed in a path of the pulsed beam, the shaping element changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a consistently curved laser beam energy pattern above the threshold of ablation; and, a scanning element for moving the shaped beam over the region to sculpt the region with a plurality of partially overlapping pulses of the ablative energy.
23. The laser system of claim 22 wherein the shaped beam further comprises a boundary enclosing the consistently curved pattern, an intensity of the beam adjacent the boundary is in a range from about 100 to about 150% of the threshold of ablation.
24. The laser system of claim 23 wherein the intensity of the beam adjacent the boundary is less than about 125% of the threshold of ablation.
25. The laser system of claim 24 wherein the intensity of the beam adjacent the boundary is less than about 110% of the threshold of ablation.
26. The laser system of claim 22 wherein the consistently curved beam pattern is a substantially spherical pattern.
27. The laser system of claim 22 wherein the consistently curved beam pattern is an aspheric pattern.
28. The laser system of claim 22 wherein a central portion of the consistently curved beam pattern has a higher intensity than a spherical pattern.
29. The laser system of claim 22 further comprising a computer coupled to the scanning element so as to control a position of the beam over the region according to a coordinate reference stored in the computer.
30. The laser system of claim 29 wherein the coordinate reference partially overlaps the consistently curved pattern among the pulses of the plurality.
31. The laser system of claim 23 further comprising an aperture formed in a non-transmitting material for restricting a cross sectional area of the beam by passing the beam through the aperture.
32. The laser system of claim 31 further comprising an imaging lens for forming an image of the beam passing through the aperture, the image being formed near the ablated region.
33. The laser system of claim 22 wherein the scanning element comprises an optical element selected from the group consisting of lenses, prisms and mirrors.
34. The laser system of claim 22 wherein the beam shaping element comprises an element selected from the group consisting of phase modulating transmitting diffractive optics, amplitude modulating transmitting diffractive optics, phase modulating reflecting diffractive optics, amplitude modulating reflecting diffractive optics, lenses, prisms, aspheric optics, mirrors, intensity grading transmitting optics and intensity grading reflecting optics.
35. The laser system of claim 22 wherein the beam shaping element comprises a partially absorbing material.
36. A laser system for sculpting an ablated region on an exposed surface of a cornea to a predetermined curved shape, the cornea having a threshold of ablation, the system comprising:
a pulsed laser for making a pulsed beam of an ablative laser energy;
a laser beam shaping element for changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a substantially spherical laser beam energy pattern with a region of the substantially spherical pattern above the threshold of ablation;
a boundary enclosing the above threshold region and an intensity of the beam around the boundary being a proportion of the threshold of ablation, the proportion being in a range of 100 to 110%;
an aperture formed in a non-transmitting material for restricting a cross sectional area of the beam by passing the beam through the aperture;
an imaging lens for forming an image of the beam passing through the aperture, the image being formed near the ablated region;
a scanning element for moving the shaped beam over the region to sculpt the region to the shape with a sequence of partially overlapping pulses of the ablative energy wherein the scanning element comprises an optical element selected from the group consisting of lenses prisms and mirrors; and, a computer for controlling a position of the beam over the region according to a coordinate reference stored in the computer, the coordinate reference partially overlapping the consistently curved pattern among the pulses of the sequence.
a pulsed laser for making a pulsed beam of an ablative laser energy;
a laser beam shaping element for changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a substantially spherical laser beam energy pattern with a region of the substantially spherical pattern above the threshold of ablation;
a boundary enclosing the above threshold region and an intensity of the beam around the boundary being a proportion of the threshold of ablation, the proportion being in a range of 100 to 110%;
an aperture formed in a non-transmitting material for restricting a cross sectional area of the beam by passing the beam through the aperture;
an imaging lens for forming an image of the beam passing through the aperture, the image being formed near the ablated region;
a scanning element for moving the shaped beam over the region to sculpt the region to the shape with a sequence of partially overlapping pulses of the ablative energy wherein the scanning element comprises an optical element selected from the group consisting of lenses prisms and mirrors; and, a computer for controlling a position of the beam over the region according to a coordinate reference stored in the computer, the coordinate reference partially overlapping the consistently curved pattern among the pulses of the sequence.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/303,810 US6497701B2 (en) | 1999-04-30 | 1999-04-30 | Method and system for ablating surfaces with partially overlapping craters having consistent curvature |
US09/303,810 | 1999-04-30 | ||
PCT/US2000/005276 WO2000066022A1 (en) | 1999-04-30 | 2000-02-28 | Method and system for ablating surfaces with partially overlapping craters having consistent curvature |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2368228A1 true CA2368228A1 (en) | 2000-11-09 |
CA2368228C CA2368228C (en) | 2011-06-07 |
Family
ID=23173810
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2368228A Expired - Lifetime CA2368228C (en) | 1999-04-30 | 2000-02-28 | Method and system for ablating surfaces with partially overlapping craters having consistent curvature |
Country Status (9)
Country | Link |
---|---|
US (1) | US6497701B2 (en) |
EP (1) | EP1180981B1 (en) |
JP (1) | JP4615735B2 (en) |
AT (1) | ATE463218T1 (en) |
AU (1) | AU3612300A (en) |
CA (1) | CA2368228C (en) |
DE (1) | DE60044126D1 (en) |
MX (1) | MXPA01010867A (en) |
WO (1) | WO2000066022A1 (en) |
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DE60044126D1 (en) | 2010-05-20 |
EP1180981A1 (en) | 2002-02-27 |
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EP1180981A4 (en) | 2005-09-28 |
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US6497701B2 (en) | 2002-12-24 |
CA2368228C (en) | 2011-06-07 |
WO2000066022A1 (en) | 2000-11-09 |
MXPA01010867A (en) | 2002-05-06 |
AU3612300A (en) | 2000-11-17 |
US20020151878A1 (en) | 2002-10-17 |
JP2002542877A (en) | 2002-12-17 |
ATE463218T1 (en) | 2010-04-15 |
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