WO2003041609A3 - System and method for perfoming optical corrective procedure with real-time feedback - Google Patents

System and method for perfoming optical corrective procedure with real-time feedback Download PDF

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Publication number
WO2003041609A3
WO2003041609A3 PCT/US2002/035076 US0235076W WO03041609A3 WO 2003041609 A3 WO2003041609 A3 WO 2003041609A3 US 0235076 W US0235076 W US 0235076W WO 03041609 A3 WO03041609 A3 WO 03041609A3
Authority
WO
WIPO (PCT)
Prior art keywords
refraction
eye
real
procedure
perfoming
Prior art date
Application number
PCT/US2002/035076
Other languages
French (fr)
Other versions
WO2003041609A2 (en
Inventor
Satish Herekar
Richard James Copland
Davis Neal
Daniel R Neal
Original Assignee
Wavefront Sciences Inc
Satish Herekar
Richard James Copland
Davis Neal
Daniel R Neal
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Wavefront Sciences Inc, Satish Herekar, Richard James Copland, Davis Neal, Daniel R Neal filed Critical Wavefront Sciences Inc
Priority to AU2002353960A priority Critical patent/AU2002353960A1/en
Priority to US10/369,513 priority patent/US6908196B2/en
Publication of WO2003041609A2 publication Critical patent/WO2003041609A2/en
Publication of WO2003041609A3 publication Critical patent/WO2003041609A3/en

Links

Classifications

    • 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
    • A61F9/00821Methods or devices for eye surgery using laser for coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • 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
    • A61F2009/00844Feedback systems
    • A61F2009/00848Feedback systems based on wavefront
    • 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
    • A61F2009/00853Laser thermal keratoplasty or radial keratotomy
    • 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
    • A61F2009/00855Calibration of the laser system
    • A61F2009/00859Calibration of the laser system considering nomograms
    • 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
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00872Cornea
    • 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
    • A61F2009/00878Planning
    • A61F2009/0088Planning based on wavefront

Abstract

A real-time refractory control system includes a laser refractive surgery instrument (100) for modifying the refraction of the eye, an objective diagnostic apparatus (110) for measuring the refraction and aberrations of the eye, and an aperture-sharing element (120) to inject a refractive surgery beam and a monitoring diagnostic beam. An associated method of adjusting a refraction of an eye, includes: performing a procedure to modify the refraction of the eye; while the procedure is being performed, measuring the refraction an/or an aberration of the eye; and terminating the procedure when a change in the measured refraction and/or the measured aberration reaches a desired value.
PCT/US2002/035076 2000-10-20 2002-11-01 System and method for perfoming optical corrective procedure with real-time feedback WO2003041609A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2002353960A AU2002353960A1 (en) 2001-11-09 2002-11-01 System and method for perfoming optical corrective procedure with real-time feedback
US10/369,513 US6908196B2 (en) 2000-10-20 2003-02-21 System and method for performing optical corrective procedures with real-time feedback

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US33119601P 2001-11-09 2001-11-09
US60/331,196 2001-11-09

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/692,483 Continuation-In-Part US6550917B1 (en) 2000-02-11 2000-10-20 Dynamic range extension techniques for a wavefront sensor including use in ophthalmic measurement

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US10/369,513 Continuation US6908196B2 (en) 2000-02-11 2003-02-21 System and method for performing optical corrective procedures with real-time feedback

Publications (2)

Publication Number Publication Date
WO2003041609A2 WO2003041609A2 (en) 2003-05-22
WO2003041609A3 true WO2003041609A3 (en) 2004-02-26

Family

ID=23292973

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/035076 WO2003041609A2 (en) 2000-10-20 2002-11-01 System and method for perfoming optical corrective procedure with real-time feedback

Country Status (3)

Country Link
US (1) US6908196B2 (en)
AU (1) AU2002353960A1 (en)
WO (1) WO2003041609A2 (en)

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US7377917B2 (en) 2002-12-09 2008-05-27 The Trustees Of Dartmouth College Feedback control of thermokeratoplasty treatments
US8348936B2 (en) 2002-12-09 2013-01-08 The Trustees Of Dartmouth College Thermal treatment systems with acoustic monitoring, and associated methods
US7556378B1 (en) 2003-04-10 2009-07-07 Tsontcho Ianchulev Intraoperative estimation of intraocular lens power
US8596787B2 (en) 2003-06-20 2013-12-03 Amo Manufacturing Usa, Llc Systems and methods for prediction of objective visual acuity based on wavefront measurements
DE10329165A1 (en) * 2003-06-27 2005-01-13 Carl Zeiss Meditec Ag Device for determining the refractive error of an optical system
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US7207983B2 (en) * 2005-04-29 2007-04-24 University Of Florida Research Foundation, Inc. System and method for real-time feedback of ablation rate during laser refractive surgery
WO2007016033A1 (en) 2005-07-29 2007-02-08 Alcon Refractivehorizons, Inc. Laser corneal flap cutting system and associated methods
US9107608B2 (en) 2006-01-20 2015-08-18 Clarity Medical Systems, Inc. Apparatus and method for operating a real time large diopter range sequential wavefront sensor
US8356900B2 (en) 2006-01-20 2013-01-22 Clarity Medical Systems, Inc. Large diopter range real time sequential wavefront sensor
US9101292B2 (en) 2006-01-20 2015-08-11 Clarity Medical Systems, Inc. Apparatus and method for operating a real time large dipoter range sequential wavefront sensor
US8777413B2 (en) 2006-01-20 2014-07-15 Clarity Medical Systems, Inc. Ophthalmic wavefront sensor operating in parallel sampling and lock-in detection mode
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Also Published As

Publication number Publication date
US20030174281A1 (en) 2003-09-18
WO2003041609A2 (en) 2003-05-22
US6908196B2 (en) 2005-06-21
AU2002353960A1 (en) 2003-05-26

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