Example eye treatments detennine an area at a surface of a cornea for delivery of a cross-linking agent. The example treatments disrupt tissue at the area at the surface of the con1ea up to a depth corresponding to apical layers of superficial squamous cells of the cornea, e.g., no greater than approximately 10 μm to approximately 15 lm. The example treatments apply a cross-linking agent to the area at the surface of the cornea. The cross-linking agent is transmitted through the disrupted area at a greater rate relative to non disrupted areas of the cornea. The example treatments deliver photoactivating light to the cornea. The photoactivating light activates the cross-linking agent to generate cross-linking activity in the cornea.

A planning device that generates control data for a treatment apparatus which produces at least one cut surface in the cornea by application of a laser device. The invention further relates to a treatment apparatus having a planning device of the aforementioned type and a method for generating control data for this treatment apparatus, and also to a method for eye surgery, at least one cut surface being produced by application of a treatment apparatus with a laser device. The planning device includes a calculation application that defined corneal cut surfaces, which facilitates a largely free assignment to geometric variables of the eye. The method for generating control data includes generating a control data record for the corneal cut surface that controls the laser device, wherein the planning device, during the determination of the cut surfaces, facilitates a largely free assignment to geometric variables of the eye.

An ophthalmological device for refractive correction of a cornea comprises a laser source, a focusing optical module, a scanner system and an electronic circuit. The electronic circuit is configured to control the scanner system to move the focal spot of the pulsed laser beam generated by the laser source to generate a first part of a void volume ablating cornea tissue inside the first part of the void volume, and to generate a separated second part of the void volume by separating the second part of the void volume as piece of cornea tissue to be removed from the void volume through an incision in the cornea, whereby at least a part of the separated second part is separated from the cornea by the ablated first part.

The disclosure provides methods and apparatuses for determining a laser parameter set for corneal refractive surgery. The apparatus may include an autorefractor configured to obtain at least two ocular measurement parameters for an eye and to obtain a post-operative refraction of the eye. The apparatus may include a user interface configured to obtain a target refraction for the eye. The apparatus may include a memory and a processor communicatively coupled to the user interface, the autorefractor, and the memory. The processor may be configured to determine the laser parameter set based on an algorithm using the at least two ocular measurement parameters. The processor may be configured to correlate the at least two ocular measurement parameters, the laser parameter set, and the post-operative refraction as a training set.

In certain embodiments, a system for making an implant for an eye comprises a laser, a camera, and a computer. The laser emits a laser beam to shape a material. The camera generates one or more images to monitor shaping of the material. The computer stores a pattern for the implant, which is designed to provide refractive treatment for the eye; sends instructions to the laser to control the laser beam to shape the material according to the pattern; assesses the images from the camera according to the pattern; and adjusts the instructions in response to the images.

A vibrating tissue separator suitable for use in separating a lenticule established by a femtosecond laser during a smile procedure may include a surgical implement such as a blunt spatula mounted on a handle that carries a haptic actuator for applying vibratory motion to the surgical implement. A damping arrangement may be provided to isolate the surgeons hand from the vibrations which would otherwise be transmitted through the handle. The actuator may apply a linear vibration along the axis of the handle which applies a lifting and chopping motion to the tip of a surgical implement having a bend. The tip may be suitable to the tissue being separated. For example, for SMILE lenticule separation, a blunt or semi-sharp spatula, blunted wire or loop may be used. The direction of vibration at the tip may be changed by rotating the implement in a plane other than the plane of the bend or by rotating an actuator such as an LRA with respect to the handle.

The invention relates to a device for measuring an optical penetration that is triggered in a tissue underneath the tissue surface by means of therapeutic laser radiation which a laser-surgical device concentrates in a treatment focus located in said tissue. The inventive device is provided with a detection beam path comprising a lens system which couples radiation emanating from the tissue underneath the tissue surface into the detection beam path. A detector device generating a detection signal which indicates the spatial dimension and/or position of the optical penetration in the tissue is arranged downstream of the detection beam path.

The disclosure provides a system that may acquire, via an image sensor, an image of an eye of a person; may determine a location of an iris of the eye from the image; may determine a position of a suction ring from the image; may display, via a display, the image; may display, via the display, a first graphic overlay on the image that indicates the location of the iris of the eye;

may display, via the display, a second graphic overlay on the image that indicates the position of the suction ring; may determine multiple iris structures from the image; may determine an orientation of the eye based at least on the multiple iris structures from the image; and may display, via the display, information that indicates the orientation of the eye.

A focusing optical system for a UVL-LVC system with a UV laser source and a scanning system that focuses a laser in a focal field and a lens assembly with a convergent focal field. The invention further includes a planning unit that generates planning data for a UVL-LNC system with a UV laser source, a scanning system, a focusing optical system, and a control unit for controlling the UVL-LVC system while taking into consideration planning data, wherein the planning unit takes into consideration geometry losses, Fresnel losses, and/or a spatial extension of laser radiation on a working surface while calculating the planning data, and the planning unit has an interface that provides the planning data. Finally, the invention includes a UVL-LVC system with a UV laser source, a scanning system, a focusing optical system according to the invention, a planning unit according to the invention, and a control unit.

A method for aligning a system for laser-based ametropia correction relative to a patient's eye to be treated is disclosed. Predefined pre-operative measurement data which characterize at least predetermined structures of the patient's eye is provided. The predetermined structures include a part of the patient's eye to be treated. In addition, the method includes measuring at least one part of the predetermined structures of the patient's eye using an OCT system immediately before and/or during treatment for ametropia correction of the patient's eye and providing OCT measurement data, and comparing the OCT measurement data and the predefined pre-operative measurement data and preparing comparative data. The method also includes ascertaining a position and/or orientation of the part of the patient's eye to be treated relative to the system and aligning the system relative to the patient's eye using the ascertained position and/or orientation of the part of the patient's eye.