CA2361834A1 - Offset ablation profiles for treatment of irregular astigmatism - Google Patents
Offset ablation profiles for treatment of irregular astigmatism Download PDFInfo
- Publication number
- CA2361834A1 CA2361834A1 CA002361834A CA2361834A CA2361834A1 CA 2361834 A1 CA2361834 A1 CA 2361834A1 CA 002361834 A CA002361834 A CA 002361834A CA 2361834 A CA2361834 A CA 2361834A CA 2361834 A1 CA2361834 A1 CA 2361834A1
- Authority
- CA
- Canada
- Prior art keywords
- treatment
- corneal
- profiles
- astigmatism
- irregularities
- 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
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00802—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
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00804—Refractive treatments
- A61F9/00806—Correction of higher orders
-
- 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
- A61B2018/20359—Scanning mechanisms by movable mirrors, e.g. galvanometric
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00853—Laser thermal keratoplasty or radial keratotomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00878—Planning
- A61F2009/0088—Planning based on wavefront
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00878—Planning
- A61F2009/00882—Planning based on topography
-
- 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
- A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
- A61F2009/00893—Keratoconus
Abstract
The invention provides near-term customized ablation capabilities for treatment of corneal irregularities by ablating laterally offset refractive therapy profiles.
These treatment profiles may, when centered on the eye (E), be suitable for treatment of standard refractive errors such as myopia, hyperopia, and cylindrical astigmatism. By selectively offsetting one or more of these ablation profiles at selected points across the corneal surface (C), the laser system (14) can reduce refractive errors resulting from corneal irregularities such as irregular astigmatism, corneal steepening in one quadrant, asymmetrical astigmatism, irregularities inadvertently produced by a prior refractive treatment (such as radial keratotomy incisions, a de-centered ablation, or the like), granular dystrophy, diffuse, asymmetric warpage as a result of post-corneal transplants, bilateral keratoconus, penetrating keratoplasty, or the like.
These treatment profiles may, when centered on the eye (E), be suitable for treatment of standard refractive errors such as myopia, hyperopia, and cylindrical astigmatism. By selectively offsetting one or more of these ablation profiles at selected points across the corneal surface (C), the laser system (14) can reduce refractive errors resulting from corneal irregularities such as irregular astigmatism, corneal steepening in one quadrant, asymmetrical astigmatism, irregularities inadvertently produced by a prior refractive treatment (such as radial keratotomy incisions, a de-centered ablation, or the like), granular dystrophy, diffuse, asymmetric warpage as a result of post-corneal transplants, bilateral keratoconus, penetrating keratoplasty, or the like.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/287,322 | 1999-04-07 | ||
US09/287,322 US6245059B1 (en) | 1999-04-07 | 1999-04-07 | Offset ablation profiles for treatment of irregular astigmation |
PCT/US2000/005382 WO2000059395A1 (en) | 1999-04-07 | 2000-02-28 | Offset ablation profiles for treatment of irregular astigmatism |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2361834A1 true CA2361834A1 (en) | 2000-10-12 |
CA2361834C CA2361834C (en) | 2009-02-24 |
Family
ID=23102398
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002361834A Expired - Lifetime CA2361834C (en) | 1999-04-07 | 2000-02-28 | Offset ablation profiles for treatment of irregular astigmatism |
Country Status (7)
Country | Link |
---|---|
US (3) | US6245059B1 (en) |
EP (1) | EP1173104B1 (en) |
JP (1) | JP3615487B2 (en) |
AT (1) | ATE516785T1 (en) |
AU (1) | AU3613800A (en) |
CA (1) | CA2361834C (en) |
WO (1) | WO2000059395A1 (en) |
Families Citing this family (60)
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ES2277430T3 (en) * | 1998-03-04 | 2007-07-01 | Visx Incorporated | LASER PRESBORAGE TREATMENT SYSTEM. |
US6245059B1 (en) * | 1999-04-07 | 2001-06-12 | Visx, Incorporated | Offset ablation profiles for treatment of irregular astigmation |
US6488676B1 (en) * | 1999-09-24 | 2002-12-03 | Visx, Incorporated | Two-pivot scanning for laser eye surgery |
US6673062B2 (en) * | 2000-03-14 | 2004-01-06 | Visx, Inc. | Generating scanning spot locations for laser eye surgery |
US6584343B1 (en) * | 2000-03-15 | 2003-06-24 | Resolution Medical, Inc. | Multi-electrode panel system for sensing electrical activity of the heart |
US7044944B2 (en) * | 2000-03-22 | 2006-05-16 | Alcon Refractivehorizons, Inc. | Optimization of ablation correction of an optical system and associated methods |
EP1280471A4 (en) * | 2000-05-09 | 2009-05-06 | Memphis Eye & Cataract Associa | Method and system for control of high resolution high speed digital micromirror device for laser refractive eye surgery |
DE10022995C2 (en) * | 2000-05-11 | 2003-11-27 | Wavelight Laser Technologie Ag | Device for photorefractive corneal surgery |
IT1318699B1 (en) * | 2000-09-15 | 2003-08-27 | Ligi Tecnologie Medicali S R L | EQUIPMENT TO DETERMINE AND ABLATE THE VOLUME OF THE CORNEAL TISSUE NECESSARY TO CARRY OUT A CORNEA LAMELLAR TRANSPLANT. |
US6561648B2 (en) * | 2001-05-23 | 2003-05-13 | David E. Thomas | System and method for reconstruction of aberrated wavefronts |
US6827442B2 (en) * | 2001-09-12 | 2004-12-07 | Denwood F. Ross | Ophthalmic wavefront measuring devices |
WO2003032865A2 (en) * | 2001-10-18 | 2003-04-24 | The Cleveland Clinic Foundation | Systems and methods for analysis of corneal topography with convexity map |
JP4343699B2 (en) * | 2002-02-11 | 2009-10-14 | ヴィズイクス・インコーポレーテッド | Closed loop system and method for cutting a lens with aberration |
US20040106896A1 (en) * | 2002-11-29 | 2004-06-03 | The Regents Of The University Of California | System and method for forming a non-ablative cardiac conduction block |
CN1649641A (en) * | 2002-05-08 | 2005-08-03 | 加利福尼亚大学董事会 | System and method for forming a non-ablative cardiac conduction block |
US7077838B2 (en) * | 2002-05-30 | 2006-07-18 | Visx, Incorporated | Variable repetition rate firing scheme for refractive laser systems |
EP1516156B1 (en) | 2002-05-30 | 2019-10-23 | AMO Manufacturing USA, LLC | Tracking torsional eye orientation and position |
US6964659B2 (en) | 2002-05-30 | 2005-11-15 | Visx, Incorporated | Thermal modeling for reduction of refractive laser surgery times |
AU2003273559A1 (en) | 2002-05-31 | 2003-12-19 | Carl Zeiss Meditec Ag | Method for controlling a device for treating the human eye |
US7083609B2 (en) * | 2002-06-13 | 2006-08-01 | Visx, Incorporated | Corneal topography-based target warping |
US7317950B2 (en) * | 2002-11-16 | 2008-01-08 | The Regents Of The University Of California | Cardiac stimulation system with delivery of conductive agent |
US6932808B2 (en) * | 2002-11-19 | 2005-08-23 | Visx, Incorporated | Ablation shape for the correction of presbyopia |
US8968279B2 (en) * | 2003-03-06 | 2015-03-03 | Amo Manufacturing Usa, Llc | Systems and methods for qualifying and calibrating a beam delivery system |
WO2004093663A2 (en) * | 2003-04-09 | 2004-11-04 | Visx Incorporated | Wavefront calibration analyzer and methods |
CA2522787C (en) * | 2003-04-18 | 2012-09-18 | Visx, Incorporated | Systems and methods for correcting high order aberrations in laser refractive surgery |
US7458683B2 (en) * | 2003-06-16 | 2008-12-02 | Amo Manufacturing Usa, Llc | Methods and devices for registering optical measurement datasets of an optical system |
US7226443B1 (en) | 2003-11-07 | 2007-06-05 | Alcon Refractivehorizons, Inc. | Optimization of ablation correction of an optical system and associated methods |
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US7811280B2 (en) * | 2006-01-26 | 2010-10-12 | Amo Manufacturing Usa, Llc. | System and method for laser ablation calibration |
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EP3308756B1 (en) | 2007-03-13 | 2020-02-19 | Optimedica Corporation | Apparatus for creating incisions to improve intraocular lens placement |
AU2015200832B2 (en) * | 2007-03-13 | 2018-02-22 | Amo Development, Llc | Apparatus for creating ocular surgical and relaxing incisions |
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ES2810053T3 (en) * | 2012-04-20 | 2021-03-08 | Alcon Inc | Device to control a corneal ablation laser |
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US6245059B1 (en) * | 1999-04-07 | 2001-06-12 | Visx, Incorporated | Offset ablation profiles for treatment of irregular astigmation |
US6673062B2 (en) * | 2000-03-14 | 2004-01-06 | Visx, Inc. | Generating scanning spot locations for laser eye surgery |
DE10022995C2 (en) * | 2000-05-11 | 2003-11-27 | Wavelight Laser Technologie Ag | Device for photorefractive corneal surgery |
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-
1999
- 1999-04-07 US US09/287,322 patent/US6245059B1/en not_active Expired - Lifetime
-
2000
- 2000-02-28 JP JP2000608962A patent/JP3615487B2/en not_active Expired - Fee Related
- 2000-02-28 CA CA002361834A patent/CA2361834C/en not_active Expired - Lifetime
- 2000-02-28 WO PCT/US2000/005382 patent/WO2000059395A1/en active Application Filing
- 2000-02-28 AU AU36138/00A patent/AU3613800A/en not_active Abandoned
- 2000-02-28 AT AT00914794T patent/ATE516785T1/en not_active IP Right Cessation
- 2000-02-28 EP EP00914794A patent/EP1173104B1/en not_active Expired - Lifetime
-
2001
- 2001-03-29 US US09/823,416 patent/US6572607B2/en not_active Expired - Lifetime
-
2003
- 2003-03-27 US US10/402,478 patent/US7004935B2/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
ATE516785T1 (en) | 2011-08-15 |
JP3615487B2 (en) | 2005-02-02 |
US6572607B2 (en) | 2003-06-03 |
WO2000059395A1 (en) | 2000-10-12 |
WO2000059395A9 (en) | 2002-03-14 |
AU3613800A (en) | 2000-10-23 |
CA2361834C (en) | 2009-02-24 |
EP1173104A1 (en) | 2002-01-23 |
EP1173104A4 (en) | 2006-02-01 |
JP2002540837A (en) | 2002-12-03 |
US20030220631A1 (en) | 2003-11-27 |
US7004935B2 (en) | 2006-02-28 |
US20010020163A1 (en) | 2001-09-06 |
US6245059B1 (en) | 2001-06-12 |
EP1173104B1 (en) | 2011-07-20 |
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