A laser system including a laser source that generates a laser beam and an optical switch that receives the laser beam and selectively sends the laser beam to either a fast path or a slow path, wherein in the fast path the laser beam has a first F/# and in the slow path the laser beam has a second F/# that is higher in value that of the first F/#. The laser system further including an afocal optical system that is in the slow path and receives the laser beam from the optical switch and an x-y scanner that receives either a first laser beam from the slow path or a second laser beam from the fast path. The laser system including a scan lens system that receives a scanning laser beam from the x-y scanner and performs a z-scan for the scanning laser beam only in the case wherein the scanning laser beam is generated from the laser beam in the fast path. The laser system further including an aspheric patient interface device that receives a laser beam from the scan lens system.

Cataract surgery is in recent years more and more augmented and supported by the application of laser cuts in the eye tissue. Such laser systems are separate units from the phacoemulsification system units that are usually used for cataract extraction. The laser systems require the patient to be positioned under the laser unit and then being moved under the surgical microscope next to the phacoemulsification unit. The here described invention relates to systems combining several aspects of the laser system and the phacoemulsification system. In particular, this invention relates to combining at least some parts of the control system and the housing for both systems and thereby minimizing and optimizing setup time, operating room footprint, patient flow and cost. Furthermore the here disclosed invention relates to integrating the laser system under the surgical microscope and thereby significantly reducing the surgery setup and complexity.

An apparatus for cutting a tissue part of an eye by means of laser radiation includes a suction-ring unit (16) which is capable of being mounted onto the eye, with a ring axis (22), a mechanical interface unit (34) which is separate from the suction-ring unit (16), which is capable of being moved along the ring axis (22) in coupling contact with the latter, and which is capable of being mechanically coupled with optical means (70) which focus the laser radiation onto or into the tissue part (12) of the eye, and sealing means (44, 52) which upon movement of the interface unit (34) in coupling contact with the suction-ring unit (16) form a space (58) which is capable of being evacuated and which is delimited by sealing surfaces (46, 60) of the interface unit (34) and of the suction-ring unit (16) and of the sealing means (44, 52).

Method and apparatus for performing a laser-assisted posterior capsulotomy and for performing laser eye surgery on an eye having a penetrated cornea are provided. A method for performing a posterior capsulotomy includes injecting fluid between the lens posterior capsule and the anterior hyaloids membrane to separate the lens posterior capsule and the anterior hyaloids membrane. With the lens posterior capsule separated from the anterior hyaloids membrane, a posterior capsulotomy is performed on the lens posterior capsule by using a laser to incise the lens posterior capsule.

An apparatus, such as lenses, a system and a method for providing custom ocular aberrations that provide higher visual acuity. The apparatus, system and method include inducing rotationally symmetric aberrations along with an add power in one eye and inducing non-rotationally symmetric aberrations along with an add power in the other eye to provide improved visual acuity at an intermediate distance.

Rather than rely solely upon pupillary occlusion or tracking of eye movement to protect the fundus from accidental exposure to electromagnetic radiation, the present invention also utilizes an electromagnetic radiation pathway with a profile such that the energy density at the iris is greater than the energy density at the posterior portion of the eye. This disparity in energy density allows for efficacy at the anterior iris treatment site, without injury to the fundus.

A laser eye surgery system includes a laser to generate a laser beam. A spatial measurement system generates a measurement beam and measure a spatial disposition of an eye. A processor is coupled to the laser and the spatial measurement system, the processor comprising a tangible medium embodying instructions to determine a spatial model of the eye in an eye coordinate reference system based on the measurement beam. The spatial model is mapped from the eye coordinate reference system to a machine coordinate reference system. A laser fragmentation pattern is determined based on a plurality of laser fragmentation parameters. The laser fragmentation pattern and the spatial model is rotated by a first rotation angle such that the spatial model is aligned with the reference axis of the machine coordinate reference system and the rotated laser fragmentation pattern is aligned with the corneal incision.

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.

The present invention relates to a coupling interface between a laser source and a tissue (2) to be treated, characterized in that the coupling interface comprises —a ring (3) including: ⋅a side wall (31), ⋅a proximal end (311) intended to come into contact with the tissue (2) to be treated, and ⋅a distal end (312) intended to receive the end of the laser source; —a window (32) transparent to a laser beam generated by the laser source, said window being mounted in a sealed manner on the distal end (312) of the ring (3) in such a way as to close the distal end (312) of the ring (3).

A system for creating micro-channels through superficial corneal epithelium, the system including: a femtosecond laser having a pulse energy range of 1 to 20 microjoules (μJ) and a capability of generating a laser beam having a wavelength of 700-1100 nanometers (nm) and a repetition rate of 1 kilohertz to 1 megahertz, a laser delivery system comprising a beam expander, a scanning lens having a numerical aperture (NA) of 0.05 to 0.5 and a focusing objective, and control software that controls the delivery system such that the laser beam is scanned in a pattern. The system is used to noninvasively increase corneal epithelial permeability to therapeutic agents through micron-scale channels created through the corneal epithelium by the system or to induce wound healing in a cornea in a subject following creation of micron-scale channels in the cornea.