JP2012521228A - レーシック用装置 - Google Patents
レーシック用装置 Download PDFInfo
- Publication number
- JP2012521228A JP2012521228A JP2012501134A JP2012501134A JP2012521228A JP 2012521228 A JP2012521228 A JP 2012521228A JP 2012501134 A JP2012501134 A JP 2012501134A JP 2012501134 A JP2012501134 A JP 2012501134A JP 2012521228 A JP2012521228 A JP 2012521228A
- Authority
- JP
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- Prior art keywords
- laser radiation
- cornea
- radiation pulse
- treatment program
- treatment
- 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.)
- Granted
Links
- 230000005855 radiation Effects 0.000 claims abstract description 57
- 210000004087 cornea Anatomy 0.000 claims abstract description 54
- 238000003384 imaging method Methods 0.000 claims abstract description 13
- 230000004313 glare Effects 0.000 claims abstract description 10
- 238000007493 shaping process Methods 0.000 claims abstract description 10
- 230000009471 action Effects 0.000 claims abstract description 7
- 230000002093 peripheral effect Effects 0.000 claims description 15
- 238000009499 grossing Methods 0.000 claims description 9
- 230000006378 damage Effects 0.000 claims description 8
- 230000004379 myopia Effects 0.000 claims description 8
- 208000001491 myopia Diseases 0.000 claims description 8
- 206010020675 Hypermetropia Diseases 0.000 claims description 6
- 230000004305 hyperopia Effects 0.000 claims description 6
- 201000006318 hyperopia Diseases 0.000 claims description 6
- 238000002271 resection Methods 0.000 claims description 4
- 230000008859 change Effects 0.000 claims description 3
- 238000011065 in-situ storage Methods 0.000 claims description 2
- 238000002679 ablation Methods 0.000 description 27
- 238000000034 method Methods 0.000 description 23
- 210000001519 tissue Anatomy 0.000 description 19
- 230000003287 optical effect Effects 0.000 description 17
- 230000008569 process Effects 0.000 description 17
- 230000000694 effects Effects 0.000 description 8
- 230000006870 function Effects 0.000 description 4
- 230000007246 mechanism Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000015556 catabolic process Effects 0.000 description 2
- 210000003683 corneal stroma Anatomy 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 206010035148 Plague Diseases 0.000 description 1
- 241000607479 Yersinia pestis Species 0.000 description 1
- 238000004590 computer program Methods 0.000 description 1
- 230000001066 destructive effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 210000001525 retina Anatomy 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 230000004304 visual acuity Effects 0.000 description 1
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
- 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
-
- 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
- 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
- A61F9/00836—Flap cutting
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Laser Surgery Devices (AREA)
- Electromagnetism (AREA)
- Otolaryngology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Radiation-Therapy Devices (AREA)
Abstract
Description
角膜組織内に破壊を生じさせるパワー密度を有する第1のレーザ放射パルスを発生させる第1のレーザ放射源と、
角膜組織に入射する第1のレーザ放射パルスを誘導し、成形する第1の手段と、
角膜組織の切除が行えるパワー密度を有する第2のレーザ放射パルスを発生させる第2のレーザ放射源と、
角膜に対して第2のレーザ放射パルスを誘導し、成形する第2の手段と、
角膜に切開を行うために第1の手段および第1のレーザ放射パルスを制御する第1の処置プログラム、ならびに
角膜を再成形し、その角膜の結像特性を変えるために、第2の手段および第2のレーザ放射パルスを制御する第2の処置プログラムを有する制御部と
を備え、
第1の処置プログラムが、角膜の結像特性に併せてレインボー・グレア作用を生じさせる規則的な角膜表面構造を発生させる、装置であって
前記規則的構造を除去するために第2の手段および第2のレーザ放射パルスを制御する第3の処置プログラム
によって特徴付けられる。
Claims (3)
- 角膜組織内に破壊を生じさせるパワー密度を有する第1のレーザ放射パルス(14)を発生させる第1のレーザ放射源(12)と、
前記角膜組織に入射する前記第1のレーザ放射パルス(14)を誘導し、成形する第1の手段(24、44、K)と、
角膜組織の切除が行えるパワー密度を有する第2のレーザ放射パルス(48)を発生させる第2のレーザ放射源(46)と、
前記角膜に対して前記第2のレーザ放射パルス(48)を誘導し、成形する第2の手段(40、42、44、24)と、
前記角膜(60)に切開を行うために前記第1の手段および前記第1のレーザ放射パルス(14)を制御する第1の処置プログラム(56a)、ならびに
前記角膜を再成形し、その角膜の結像特性を変えるために、前記第2の手段および前記第2のレーザ放射パルス(48)を制御する第2の処置プログラム(56b)を有する制御部(50)と
を備え、
前記第1の処置プログラム(56a)が、前記角膜の前記結像特性に併せてレインボー・グレア作用を生じさせる規則的な角膜表面構造(68)を発生させる
レーザ原位置角膜曲率形成術(レーシック)用の装置において、
前記規則的構造(68)を除去するために前記第2の手段(40、42、44、24)および前記第2のレーザ放射パルス(48)を制御する第3の処置プログラム(56c)を特徴とする装置。 - 前記第3の処置プログラム(56c)が、ある体積(78’)の屈折率矯正切除に加えて、特に前記角膜(60)の周縁領域(80)において平滑化切除を行うことを特徴とする、近視のレーシック治療用の請求項1に記載の装置。
- 前記第3の処置プログラム(56c)が、ある体積(78’)の屈折率矯正切除に加えて、特に前記角膜(60)の中央領域(82)において平滑化切除を行うことを特徴とする、遠視のレーシック治療用の請求項1に記載の装置。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/EP2009/002123 WO2010108501A1 (de) | 2009-03-23 | 2009-03-23 | Vorrichtung für die lasik |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2012521228A true JP2012521228A (ja) | 2012-09-13 |
JP5513602B2 JP5513602B2 (ja) | 2014-06-04 |
Family
ID=41057756
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012501134A Active JP5513602B2 (ja) | 2009-03-23 | 2009-03-23 | レーシック用装置 |
Country Status (12)
Country | Link |
---|---|
EP (1) | EP2410960B1 (ja) |
JP (1) | JP5513602B2 (ja) |
KR (1) | KR101457619B1 (ja) |
CN (1) | CN102361607B (ja) |
AU (1) | AU2009342801B8 (ja) |
BR (1) | BRPI0924406A2 (ja) |
CA (1) | CA2756584A1 (ja) |
ES (1) | ES2535405T3 (ja) |
IN (1) | IN2011KN03877A (ja) |
MX (1) | MX2011009931A (ja) |
RU (1) | RU2505273C2 (ja) |
WO (1) | WO2010108501A1 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2018521705A (ja) * | 2015-05-08 | 2018-08-09 | 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 | フラップ形状を画定するための装置 |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10945884B2 (en) * | 2015-10-13 | 2021-03-16 | Alcon Inc. | System and method for reducing post-surgical rainbow effect |
DE102019122167A1 (de) * | 2019-08-19 | 2021-02-25 | Schwind Eye-Tech-Solutions Gmbh | Verfahren zur Steuerung eines augenchirurgischen Lasers und Behandlungsvorrichtung |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000513986A (ja) * | 1997-04-25 | 2000-10-24 | ストロマックス テクノロジー,エル.エル.シー. | 角膜のひずみを修正するための万能の注入用空白体およびそれを用いた角膜ひずみの修正方法 |
JP2000300596A (ja) * | 1999-03-10 | 2000-10-31 | Antonio Louiz Louis | 眼再整形データを提供するインタフェース装置及び眼再整形装置で後で使用するデータを発生するインタフェース装置を動作する方法 |
EP1792593A1 (de) * | 2005-12-01 | 2007-06-06 | Wavelight Laser Technologie AG | Lasereinrichtung für die refraktive Augenbehandlung |
WO2008122405A1 (de) * | 2007-04-04 | 2008-10-16 | Wavelight Ag | Vorrichtung für die materialbearbeitung, insbesondere die refraktive augenchirurgie |
Family Cites Families (7)
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US6010497A (en) * | 1998-01-07 | 2000-01-04 | Lasersight Technologies, Inc. | Method and apparatus for controlling scanning of an ablating laser beam |
CA2331223C (en) * | 2000-03-27 | 2011-08-16 | Intralase Corp. | A method of corneal surgery by laser incising a contoured corneal flap |
CA2454662A1 (en) * | 2001-07-23 | 2003-02-06 | Fos Holding S.A. | Device for separating the epithelium layer from the surface of the cornea of an eye |
AU2002322746A1 (en) * | 2001-07-30 | 2003-02-17 | Lasersight Technologies, Inc. | Technique for removal of material to achieve a desired shape with a laser |
WO2003057100A2 (en) * | 2002-01-10 | 2003-07-17 | Katana Technologies Gmbh | Device and procedure for refractive laser surgery |
WO2007016033A1 (en) * | 2005-07-29 | 2007-02-08 | Alcon Refractivehorizons, Inc. | Laser corneal flap cutting system and associated methods |
EP1981454B1 (en) * | 2006-01-20 | 2020-05-06 | LENSAR, Inc. | Apparatus for improving the accommodative amplitude and increasing the refractive power of the human lens with a laser |
-
2009
- 2009-03-23 EP EP09776465.8A patent/EP2410960B1/de active Active
- 2009-03-23 ES ES09776465.8T patent/ES2535405T3/es active Active
- 2009-03-23 RU RU2011139568/14A patent/RU2505273C2/ru not_active IP Right Cessation
- 2009-03-23 KR KR1020117025026A patent/KR101457619B1/ko active IP Right Grant
- 2009-03-23 CN CN200980158320.7A patent/CN102361607B/zh not_active Expired - Fee Related
- 2009-03-23 IN IN3877KON2011 patent/IN2011KN03877A/en unknown
- 2009-03-23 JP JP2012501134A patent/JP5513602B2/ja active Active
- 2009-03-23 CA CA2756584A patent/CA2756584A1/en not_active Abandoned
- 2009-03-23 AU AU2009342801A patent/AU2009342801B8/en not_active Ceased
- 2009-03-23 BR BRPI0924406A patent/BRPI0924406A2/pt not_active Application Discontinuation
- 2009-03-23 WO PCT/EP2009/002123 patent/WO2010108501A1/de active Application Filing
- 2009-03-23 MX MX2011009931A patent/MX2011009931A/es active IP Right Grant
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2000513986A (ja) * | 1997-04-25 | 2000-10-24 | ストロマックス テクノロジー,エル.エル.シー. | 角膜のひずみを修正するための万能の注入用空白体およびそれを用いた角膜ひずみの修正方法 |
JP2000300596A (ja) * | 1999-03-10 | 2000-10-31 | Antonio Louiz Louis | 眼再整形データを提供するインタフェース装置及び眼再整形装置で後で使用するデータを発生するインタフェース装置を動作する方法 |
JP4906993B2 (ja) * | 1999-03-10 | 2012-03-28 | アントニオ ルイズ ルイス | 眼再整形データを提供するインタフェース装置及び眼再整形装置で後で使用するデータを発生するインタフェース装置を動作する方法 |
EP1792593A1 (de) * | 2005-12-01 | 2007-06-06 | Wavelight Laser Technologie AG | Lasereinrichtung für die refraktive Augenbehandlung |
WO2008122405A1 (de) * | 2007-04-04 | 2008-10-16 | Wavelight Ag | Vorrichtung für die materialbearbeitung, insbesondere die refraktive augenchirurgie |
JP5276651B2 (ja) * | 2007-04-04 | 2013-08-28 | ウェーブライト アーゲー | 材料加工、特に屈折異常眼科外科手術のための装置 |
Non-Patent Citations (1)
Title |
---|
KRUEGER R R ET AL: "Rainbow Glare as an Optical side Effect of IntraLASIK", OPHTHALMOLOGY, vol. 115, no. 7, JPN6013030196, 1 July 2008 (2008-07-01), US, pages 1187 - 1195, ISSN: 0002561068 * |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2018521705A (ja) * | 2015-05-08 | 2018-08-09 | 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 | フラップ形状を画定するための装置 |
US11173066B2 (en) | 2015-05-08 | 2021-11-16 | Alcon Inc. | Device for defining a flap geometry |
Also Published As
Publication number | Publication date |
---|---|
ES2535405T3 (es) | 2015-05-11 |
IN2011KN03877A (ja) | 2015-07-10 |
JP5513602B2 (ja) | 2014-06-04 |
AU2009342801A1 (en) | 2011-10-13 |
CN102361607B (zh) | 2015-12-09 |
RU2011139568A (ru) | 2013-04-27 |
CN102361607A (zh) | 2012-02-22 |
MX2011009931A (es) | 2012-01-20 |
KR101457619B1 (ko) | 2014-11-04 |
RU2505273C2 (ru) | 2014-01-27 |
CA2756584A1 (en) | 2010-09-30 |
EP2410960B1 (de) | 2015-03-11 |
AU2009342801B2 (en) | 2013-12-05 |
EP2410960A1 (de) | 2012-02-01 |
AU2009342801B8 (en) | 2013-12-19 |
KR20120028861A (ko) | 2012-03-23 |
BRPI0924406A2 (pt) | 2016-01-26 |
WO2010108501A1 (de) | 2010-09-30 |
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