An incisional instrument and method of use for creating accurate, reproducible surgical incisions. An exemplary embodiment includes an incisional instrument configured for attachment to a patient's eye and for use performing arcuate limbal relaxing incisions (LRIs). The incisional instrument is made up of two coaxial, interconnecting pieces: a docking piece and a cutting piece. The docking piece includes a suction mechanism and is configured for being secured to a patient's eye just outside the corneal limbus. The cutting piece is configured to fit flush within the docking piece and includes cutting blades and one or more handles for rotating the cutting piece relative to the docking piece. When assembled, the cutting blades extend beyond the proximal end of the docking piece by a length equal to the desired depth of LRIs to be cut. The incisional instrument further includes measurement markings for properly positioning and measuring incisions.

There is provided a trephine blade (10) for use in the preparation of a corneal graft for endothelial keratoplasty. The blade comprises a circular cutting edge (16) incorporating a notch formation (18) for cutting a correspondingly shaped asymmetric notch in the circumferential perimeter of donor corneal tissue to indicate correct orientation of the tissue in said endothelial keratoplasty. The notch formation can be defined by an inwardly directed cutting edge (20) of the blade and a further cutting edge (22) extending from an inner end of the inwardly directed cutting edge to the outer circumferential perimeter of the blade. In embodiments, the asymmetric notch in the circumferential perimeter of the donor corneal tissue is shaped to indicate whether the endothelial layer of the corneal tissue is facing upwardly or downwardly, when the corneal tissue is viewed from above. The endothelial keratoplasty in which the corneal graft may be used can be selected from DSAEK, DMEK, DLEK and DSEK.

A vitrectomy apparatus is provided, including a disposable cutter that incorporates a linear voice coil motor to generate consistent and rapid guillotine action without the use of a rotary motor or traditional linear motor. The apparatus includes voice coil actuator to provide for a forward and backward reciprocating motion cutting blade.

A device for separating tissue in an eye includes a body configured to be positioned on the eye surface. The body receives air from one or more air supplies. The body includes one or more air supply channels. The separation device includes a plurality of needles extending from the body. Each needle includes a proximal opening, a distal opening, and a passageway extending between the proximal and distal openings. The proximal openings of the needles are coupled to the one or more air supply channels. The distal openings of the needles are spaced from the body to be positioned in eye tissue. The one or more air supply channels direct the air from the one or more air supplies into the proximal openings, through the passageways, and out the distal openings of the needles and into the eye tissue. The air applies a pressure to separate the eye tissue.

A selecting device, database server, lens designating server, and terminal device. Selecting device includes device for acquiring movement data of orthokeratology lens mounted on and moving on cornea, and assessing device which uses lens movement data to determine which orthokeratology lens is appropriate for patient. Correction data of the lens, patient data including data of cornea, and data that indicates which stage of a plurality of correction stages the lens is to be mounted on cornea, are output to server to build a database. Terminal device includes patient data acquiring device and patient stage data accepting means, and is capable of transmitting patient data and patient stage data to lens designating server configured to retrieve from database a lens having data that are the same, as or close to, the received patient data and patient stage data, and to designate retrieved lens as orthokeratology lens to be used for patient.

A microsurgical device and methods of its use can be used for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. A dual-blade device can be used for cutting the trabecular meshwork (TM) in the eye. The device tip provides entry into the Schlemm's canal via its size (i.e., for example, 0.2-0.3 mm width) and configuration where a ramp elevates the TM away from the outer wall of the Schlemm's canal and guides the TM to first and second lateral elements for creating first and second incisions through the TM. The dimensions and configuration of the blade is such that an entire strip of TM is removed without leaving TM leaflets behind and without causing collateral damage to adjacent tissues.

The present invention relates to an ophthalmic knife and methods of its use for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. The invention relates to a multi-blade device for cutting the tissues within the eye, for example, a trabecular meshwork (TM).

Methods are disclosed comprising measuring, with a first scanner, a central part of the visual image, measuring, with a second scanner, a peripheral part of the visual image, calculating, by a processor, a pan-retinal measure of image contrast for an extended area of the retina, and optimizing a pan-retinal visual quality. Methods further comprising optimizing a pan-retinal visual quality are also disclosed. Systems are also disclosed comprising either a scanner or a laser, a non-transitory memory having instructions that, in response to an execution by a processor, the processor receives a first measurement of the central part of the visual image, receives a second measurement of the peripheral part of the visual image, and calculates a pan-retinal measure of image contrast for an extended area of the retina. Methods of manufacturing lenses, including contact lenses are disclosed.

A method of sutureless intrascleral haptic-hook lens implantation which improves the fixation process of the lens haptics, allowing the lens haptics to be bent and folded back into the vitreous cavity to generate a better stability, avoiding the complication of intrascleral fixation haptic slippage, meanwhile forming a sclera lamellar groove between two adjacent scleral incisions to bury the lens haptics. The method may be adapted to patients in need of intraocular lens implantation without sufficient capsular support, such as aphakia, intraocular lens, lens dislocation, etc. This method enhances the stability and centrality of the lens, the surgical procedures are simple and easy to master, which reduces the operation time.

A method of sutureless intrascleral haptic-hook lens implantation which improves the fixation process of the lens haptics, allowing the lens haptics to be bent and folded back into the vitreous cavity to generate a better stability, avoiding the complication of intrascleral fixation haptic slippage, meanwhile forming a sclera lamellar groove between two adjacent scleral incisions to bury the lens haptics. The method may be adapted to patients in need of intraocular lens implantation without sufficient capsular support, such as aphakia, intraocular lens, lens dislocation, etc. This method enhances the stability and centrality of the lens, the surgical procedures are simple and easy to master, which reduces the operation time.