Provided are a controllably self-deformable optical fiber, a multifunctional laser scalpel and a laser processing device including the same. The controllably self-deformable optical fiber drives the protective layer and the optical fiber to deform through controllable deformation of a deformation portion on an outer surface of the protective layer. In addition, the optical fiber also has multiple functions, and can be applied in the treatment of complex lacunae in medical and other related fields.

Intraocular pressure in an eye is reduced by delivering a high resolution optical coherence tomography (OCT) beam and a high resolution laser beam through the cornea, and the anterior chamber into the irido-corneal angle along an angled beam path. The OCT beam provides OCT imaging for surgery planning and monitoring, while the laser beam is configured to modify tissue or affect ocular fluid by photo-disruptive interaction. In one implementation, a volume of ocular tissue within an outflow pathway in the irido-corneal angle is modified to create a channel opening in one or more layers of the trabecular meshwork. In another implementation, a volume of fluid in the Schlemm's canal is affected by the laser to bring about a pneumatic expansion of the canal. In either implementation, resistance to aqueous flow through the eye is reduced.

A motor position compensation method for an ophthalmic surgical laser system employs a deep artificial neural network to characterize motor following errors of the motors of the system. The artificial neural network is trained using a large number of commanded motor positions and corresponding measured actual motor positions (measured by encoders associated with the motors) as training data, to obtain a trained artificial neural network that can predict the actual motor position for any commanded motor position. Before executing a treatment scan, the original commanded motor positions calculated from the intended scan pattern are inputted to the trained artificial neural network to predict the actual motor positions, and the predicted actual motor positions are used to adjust the original commanded motor positions. The adjusted commanded motor positions are then used to perform the treatment scan, which produces an actual scan pattern that more closely match the intended scan pattern.

An ophthalmic surgical laser system includes a laser beam delivery system having multiple moving components for scanning a laser focal spot in a target eye tissue, where the motors that actuate some of the moving components are equipped with respective digital encoders that measure actual motor positions. A controller controls the laser beam delivery system to perform a treatment scan, while recording the actual motor positions from the encoders. Using the actual motor positions and a calibration relationship between actual motor positions and delivered laser focal spot positions in a target tissue, a laser cutting pattern is digitally reconstructed, which represents the incisions actually achieved by the treatment scan. The reconstructed laser cutting pattern may be visually inspected and further analyzed, e.g. to compare it to the intended laser cutting pattern used to execute the treatment scan, to calculate the achieved refractive correction, or to simulate tissue resetting.

A method is disclosed for determining a current position of a patient interface of an eye surgical laser for an eye relative to an optical axis of a laser beam of a treatment apparatus. The method includes determining a target position of the patient interface relative to the optical axis, positioning the patient interface in a preset area in front of the optical axis, illuminating the patient interface by means of an illumination device, capturing a Purkinje image by means of the optical capturing device, comparing the captured Purkinje image to the optical axis and determining the current position of the patient interface depending thereon, comparing the current position to the target position and with a deviation, and outputting a control signal to a control device of the treatment apparatus. A treatment apparatus, a computer program and a computer-readable medium are disclosed for carrying out the method.

A method for controlling an eye surgical laser is disclosed for the separation of a volume body. The method includes determining a target position of a pupil relative to a laser beam and determining an optical zone with a treatment center on interfaces relative to an optical axis of the laser beam, determining a transition zone at the volume body as an extension of the interface, capturing a current actual position of the pupil, determining a deviation between the target position and the actual position, and decentering the determined optical zone relative to the optical axis depending on the determined deviation such that the edge of the volume body is generated concentrically to the optical axis and the optical zone is generated concentrically to the determined treatment center and within the transition zone. Further disclosed are a treatment apparatus, a computer program and computer-readable medium capable of performing the method.

Systems and methods for performing laser and phacoemulsification operations. Systems that provide full position and usage around a patient. An integrated laser-ultrasound, including femto-phaco, system having a safety interlock preventing operation of laser during phacoemulsification procedure. An integrated laser-ultrasound, including femto-phaco, system having a movable and repositionable laser arm and laser head. A laser system and an integrated laser-ultrasound, including femto-phaco, system that provides for 330 degrees of clocking positioning around an eye of the patient. Non-handed integrated laser-ultrasound, including femto-phaco, systems.

Integrated systems and methods for performing laser and phacoemulsification operations. A reconfigurable system for performing a laser procedure in a laser configuration, and then being reconfigured into a phaco configuration, to perform a phacoemulsification, and then being reconfigured back to the laser configuration. Non-handed systems that provide full position and usage around a patient. Integrated imaging, cataract grading and determination of combination laser-ultrasound therapies, including femto-phaco, therapies. Integrated control and determining systems for recommending and delivering predetermined laser shot patterns and predetermined phacoemulsification procedures to address conditions of the eye, including cataracts.

A system for a surgical system is disclosed, comprising a system for distributing fluid in a surgical cassette, comprising a first pump head operable by a first drive shaft and a second pump head operable by a second drive shaft, wherein the second drive shaft is at least partially enclosed by the first drive shaft.

A structure in an irido-corneal angle of an eye is located by directing a laser beam toward the irido-corneal angle of the eye, and advancing a focus of the laser beam to a location in the irido-corneal angle, which location is at or near the target structure. The focus is determined to be at or near the structure based on changes in an intensity of a spot of second harmonic light generated by an encounter between the focus and tissue.