An ophthalmic surgical microscope includes an observation optical system configured to guide observation luminous fluxes for a right eye and a left eye from an observation object to an imaging device, an actuator configured to move a position of the observation optical system in at least a direction intersecting with the observation luminous fluxes, a processor, and a memory storing computer-readable instructions. The computer readable instructions, when executed by the processor, cause the ophthalmic surgical microscope to cause a stereoscopic image display to display an observation image to be observed with a right eye of a user and an observation image to be observed with a left eye of the user, detect a position of the observation object with respect to the observation optical system, and correct a deviation in a relative position of the observation optical system with respect to the observation object.

An ophthalmic surgical microscope includes a beam coupler positioned along an optical path of the surgical microscope between a first eyepiece and magnifying/focusing optics, the beam coupler operable to direct the OCT imaging beam along a first portion of the optical path of the surgical microscope between the beam coupler and a patient's eye (an OCT image being generated based on a reflected portion of the OCT imaging beam). The surgical microscope additionally includes a real-time data projection unit operable to project the OCT image generated by the OCT system and a beam splitter positioned along the optical path of the surgical microscope between a second eyepiece and the magnifying/focusing optics. The beam splitter is operable to direct the projected OCT image along a second portion of the optical path of the surgical microscope between the beam splitter and the second eyepiece such that the projected OCT image is viewable through the second eyepiece.

A surgical microscope may support intraoperative viewing of optical and digital images of a surgical site during surgery. The optical images may be viewed using an optical beam path from an objective lens of the surgical microscope. The digital images may be generated by redirecting or splitting the optical beam path to an imaging system that outputs digital data representing the digital image to a display for output to the user, such as through an ocular of the surgical microscope.

An ophthalmic surgical microscope includes a beam coupler positioned along an optical path of the surgical microscope between a first eyepiece and magnifying/focusing optics, the beam coupler operable to direct the OCT imaging beam along a first portion of the optical path of the surgical microscope between the beam coupler and a patient's eye (an OCT image being generated based on a reflected portion of the OCT imaging beam). The surgical microscope additionally includes a real-time data projection unit operable to project the OCT image generated by the OCT system and a beam splitter positioned along the optical path of the surgical microscope between a second eyepiece and the magnifying/focusing optics. The beam splitter is operable to direct the projected OCT image along a second portion of the optical path of the surgical microscope between the beam splitter and the second eyepiece such that the projected OCT image is viewable through the second eyepiece.

A surgical microscope for imaging structures of an eye includes: a front optical unit, an illumination device which has an illumination-radiation-emitting illumination source and which illuminates the retina of the eye with an illumination spot via an illumination beam path which extends through the front optical unit, a camera and an adjustable camera optical unit disposed upstream thereof, an imaging beam path which extends through the front optical unit and the camera optical unit, and a control device which controls the camera optical unit and sets the latter in such a way that the retina of the eye in the region of the illumination spot is imaged on the camera. The control device varies a focusing state of the camera optical unit and, as a result thereof, records a plurality of images of the retina in the region of the illumination spot, the images being focused in different depth planes, and establishes a refractive value of the eye from these images.

A microscope insert includes a camera, a display device, a beam splitter, and a processing unit. The camera is configured to receive a first portion of first light through a microscope from an object and generate a signal representing an image of the object. The display device is configured to generate a graphical representation of information relevant to the object and project second light representing the graphical representation. The beam splitter is configured to direct a second portion of the first light from the object and a first portion of the second light to a viewing device for simultaneously viewing the object and the information by a user. The processing unit is configured to track motions of the object based on the image of the object and control the display device to adjust the graphical representation according to the motions of the object.

Examples relate to a system (110), method, and computer program for an ophthalmic microscope system, and to a corresponding ophthalmic microscope system. The system is configured to obtain imaging sensor data from an optical imaging sensor (122) of a microscope of the ophthalmic microscope system. The system is configured to determine information on an anatomical feature of an eye shown in the imaging sensor data. The system is configured to control an illumination system (130) of the ophthalmic microscope system to adjust a property of a light beam used for red reflex illumination of the eye based on the information on the anatomical feature.

According to one embodiment, an ophthalmic microscope includes an illumination system, a pair of light-receiving systems, and a first mechanism. The illumination system is configured to irradiate a subject's eye with illumination light. Each of the light-receiving systems includes a first objective lens and a first imaging device, and is configured to guide return light of the illumination light returning from the subject's eye to the first imaging device through the first objective lens. The objective optical axes of the light-receiving systems are not parallel to each other. The first mechanism is configured to move the light-receiving systems relative to each other to change an angle formed by the objective optical axes of the light-receiving systems.

Binocular en face OCT imaging during ophthalmic surgery may be performed with an OCT scanning controller that interfaces to an OCT scanner used with a surgical microscope. The OCT scanner may generate left and right sample beams, and receive left and right measurement beams, respectively, to generate left and right scan data. The OCT scanning controller may process the left and right scan data to generate left and right en face images for respective viewing from binoculars in the surgical microscope to obtain an intraoperative stereoscopic en face view of interior portions of the eye.

An ophthalmic visualization system can include an imaging device configured to acquire images of a surgical field; a computing device configured to determine an area of interest based on the images; and a display device in communication with the computing device and a surgical microscope, wherein the display device is configured to provide a graphical overlay onto at least a portion of a field of view of the surgical microscope, and wherein the graphical overlay includes a magnified image of the area of interest. A method of visualizing an ophthalmic procedure can include receiving images of a surgical field acquired by an imaging device; identifying an area of interest; generating a graphical overlay including a magnified image of the area of the interest; and outputting the graphical overlay to a display device such that the graphical overlay is positioned over a field of view of a surgical microscope.