A device includes a body configured to be placed on an eye and multiple tine assemblies configured to secure the body to and release the body from the eye. The body includes multiple corners and multiple sides. Each corner includes a passage through the corner. Each side connects an adjacent pair of corners. Each tine assembly includes a twist pick configured to be inserted through one of the passages. Bottom surfaces of the sides are raised relative to bottom surfaces of the corners such that the bottom surfaces of the sides are spaced apart from the eye when the bottom surfaces of the corners are resting on the eye. Each of at least one side includes multiple openings configured to allow manipulation of a position of the body and a groove configured to receive a projection from a surgical tool in order to position the surgical tool on the eye.

A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye. The patient interface may be a liquid-filled interface, with liquid used as a transmission medium for the laser. During a laser procedure various inputs are monitored to detect a leak. The inputs may include a video feed of the eye looking for air bubbles in the liquid medium, the force sensors on the patient interface that detect patient movement, and vacuum sensors directly sensing the level of suction between the patient interface and the eye. The method may include combining three monitoring activities with a Bayesian algorithm that computes the probabilities of an imminent vacuum loss event.

A patient interface for an ophthalmic system can include an attachment portion, configured to attach the patient interface to a distal end of the ophthalmic system; a contact portion, configured to dock the patient interface to an eye; and a contact element, coupled to the contact portion, configured to contact a surface of a cornea of the eye as part of the docking of the patient interface to the eye, and having a central portion with a central radius of curvature Rc and a peripheral portion with a peripheral radius of curvature Rp, wherein Rc is smaller than Rp.

An apparatus includes a body and a head. The head defines a fluid reservoir. The head includes a distal face and a needle. The distal face is configured to engage an exterior surface of a patient's eye at an anterior region of the patient's eye. The needle is configured to extend distally from the distal face. The needle has a length sufficient to extend through a sclera layer of the patient's eye and thereby position at least a portion of a distal tip of the needle in a suprachoroidal space of the patient's eye at an anterior region of the patient's eye. The needle is in fluid communication with the fluid reservoir such that the needle is operable to deliver fluid from the fluid reservoir into the suprachoroidal space of the patient's eye.

An intraocular shunt can be placed into the eye in an ab externo approach. A clinician may determine an entry area below a corneal limbus of an eye and a target outflow region. Thereafter, the clinician can insert a hollow shaft into the eye at the entry area toward an anterior chamber of the eye, the shaft carrying an intraocular shunt therein. The clinician can position an inflow end of the shunt within the anterior chamber of the eye and, while maintaining the shunt inflow end in the anterior chamber, can remove the shaft from the eye to release the shunt. Finally, the clinician can repositioning an outflow end of the shunt within the target outflow region and verify placement of the outflow end of the shunt within the target outflow region.

Techniques are described for generating and using an illumination pattern for corneal topography. The illumination pattern is projected onto an eye of a user wearing a head-mounted assembly. The illumination pattern is based on a reference pattern and corresponds to selective illumination of dots arranged along a two-dimensional grid. An image sensor captures a reflected image produced by reflection of the illumination pattern off the eye. A reflected pattern is identified based on glints in the reflected image and mapped to the reference pattern to generate an aligned reflected pattern. An eye model including a topography of a cornea is calculated by comparing the aligned reflected pattern to the reference pattern to determine a deviation in a shape of the cornea based on a difference between the aligned reflected pattern and the reference pattern. The eye model can be applied in various ways, including for eye tracking or biometric authentication.

The present disclosure provides a system and method for maintaining the position of a suction cone on an eye during laser ophthalmic surgery that includes determining a distance and direction the suction cone or a support must be adjusted to maintain the position of the suction cone within an optimal working range, based on a detected position of the suction cone. The disclosure further provides a method for maintaining the position of a suction cone by determining a distance and direction the suction cone or a support must be adjusted to maintain the position of the suction cone within an optimal working range, based on a detected position of the suction cone. In the system and the method, a control signal is generated to adjust the position of the suction cone and/or the support to maintain the suction cone within the optimal working range.

A laser eye surgery system produces a treatment beam that includes a plurality of laser pulses. An optical coherence tomography (OCT) subsystem produces a source beam used to locate one or more structures of an eye. The OCT subsystem is used to sense the distance between a camera objective on the underside of the laser eye surgery system and the patient's eye. Control electronics compare the sensed distance with a pre-determined target distance, and reposition a movable patient support toward or away the camera objective until the sensed distance is at the pre-determined target distance. A subsequent measurement dependent upon the spacing between the camera objective and the patient's eye is performed, such as determining the astigmatic axis by observing the reflection of a plurality of point source LEDs arranged in concentric rings off the eye.

A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye. The patient interface may be a liquid-filled interface, with liquid used as a transmission medium for the laser. During a laser procedure various inputs are monitored to detect a leak. The inputs may include a video feed of the eye looking for air bubbles in the liquid medium, the force sensors on the patient interface that detect patient movement, and vacuum sensors directly sensing the level of suction between the patient interface and the eye. The method may include combining three monitoring activities with a Bayesian algorithm that computes the probabilities of an imminent vacuum loss event.

An ophthalmic infusion support and associated methods are shown. Example infusion support devices include a base unit, a fixation device coupled to the bottom surface of the base unit, and an infusion tube holding device configured to hold a loop of an infusion tube an angle projecting upward from the patient.