An ophthalmological laser therapy device having a pulsed laser, a positioning system and a control system that produce incisions in a tissue of an eye, in particular for producing corneal access incisions and a corresponding method. The invention produces corneal access incisions having increased leak tightness under external influences. Compressive strength, and complex incision geometries can be realized. An ophthalmological laser therapy device has a control system which is programmed to vary the operating parameters of the laser system and/or of the positioning system on the basis of a local position of the focal volume of a laser beam in the corneal tissue such that the access incision in the corneal tissue is varied and/or interrupted in the width of the access incision. The invention further includes a corresponding computer program product and a method for performing a corneal access incision in a corneal tissue of an eye.

A method for generating cut surfaces in the cornea of an eye in order to correct ametropia using an apparatus. The method includes providing the apparatus including a laser unit, which focuses pulsed laser radiation into the cornea and moves the focused radiation in the cornea to generate cut surfaces, and a control unit, which controls the laser unit for generating cut surfaces. The method includes forming at least two mutually spaced apart cut surfaces as opening cuts by application of the pulsed laser radiation from the laser unit, each opening cut extending from an anterior corneal surface into the cornea and forming a further cut surface as a relieving cut by application of the pulsed laser radiation from the laser unit, which relieving cut extends from the anterior corneal surface into the cornea. The position and shape of the relieving cut is selected such that the relieving cut contributes to the correction of the ametropia of the eye.

A treatment device for the surgical correction of hyperopia in the eye comprising a laser device controlled by a control device. The laser device separating corneal tissue by applying laser radiation. The control device controls the laser device for emitting the laser radiation into the cornea such that a lenticule-shaped volume is isolated. Removal thereof effects the desired correction. The control device predefines the volume such that a posterior surface and an anterior surface are connected via an edge surface that has a width in projection along the visual axis that is wider than the one which a straight line in the same projection, that is perpendicular at the edge of the posterior or the anterior surface would have relative to the associated surface and connects the anterior surface to the posterior surface or to the perceived extension thereof.

An ophthalmological laser system for photodisruptive irradiation of ocular tissue, including a crystalline lens or a cornea. The system includes an ultra-short pulse laser, the radiation of which is focusable as illumination light via an illumination beam path including a scanner unit and focusing optics. A control unit is programmed to execute determining irradiation control data for photodisruptions at irradiation points in an interior of the ocular tissue distributed three-dimensionally and non-equidistantly to create at least one predetermined target incision. The laser system then irradiates the ocular tissue according to the determined irradiation control data.

A system and apparatus for increasing the amplitude of accommodation and/or changing the refractive power and/or enabling the removal of the clear or cataractous lens material of a natural crystalline lens is provided. Generally, the system comprises a laser, optics for delivering the laser beam and a control system for delivering the laser beam to the lens in a particular pattern. There is further provided a range determining system for determining the shape and position of the lens with respect to the laser. There is yet further provided a method and system for delivering a laser beam in the lens of the eye in a predetermined shot pattern.

A device and a method for controlling a laser system for the treatment of the eye lens by means of laser-induced disruptions. The laser system includes a femtosecond laser and a deflection unit for directing the laser beam and a detection device for detecting a value characteristic of the occurrence of disruptions being provided. The detection device is connected to the control device and the control device is adapted to determine a pulse energy for the laser system from the characteristic value and to actuate the laser accordingly.

Methods and systems wherein laser induced refractive index changes by focused femtosecond laser pulses in optical tissues is performed in combination with corneal lenticular surgery to achieve overall desired vision corrections.

A system for ophthalmic surgery on an eye includes: a pulsed laser which produces a treatment beam; an OCT imaging assembly capable of creating a continuous depth profile of the eye; an optical scanning system configured to position a focal zone of the treatment beam to a targeted location in three dimensions in one or more floaters in the posterior pole. The system also includes one or more controllers programmed to automatically scan tissues of the patient's eye with the imaging assembly; identify one or more boundaries of the one or more floaters based at least in part on the image data; iii. identify one or more treatment regions based upon the boundaries; and operate the optical scanning system with the pulsed laser to produce a treatment beam directed in a pattern based on the one or more treatment regions.

In certain embodiments, an ophthalmic surgical system for adjusting a dimension of an eye includes a camera and a computer. The camera generates a surgical image of the eye in contact with a patient interface, which distorts the cornea. The surgical image includes the pupil with a real pupil diameter. The computer accesses a diagnostic image of the eye with the cornea having a natural curvature. The natural curvature affects the real pupil diameter to yield a diagnostic pupil diameter of the diagnostic image that is different from the real pupil diameter of the surgical image. The computer adjusts the real pupil diameter of the surgical image using an eye model to yield a refracted pupil diameter that takes into account the curvature of the cornea and uses the refracted pupil diameter to compensate for the difference between the diagnostic and real pupil diameters.

A device that produces control data for a laser device for surgical correction of vision produces control data such that the laser emits the laser radiation to isolate a volume in the cornea. The device calculates radius of curvature R.sub.CV* to determine the control data, the cornea reduced by the volume having the radius of curvature R.sub.CV* and the radius of curvature being site-specific and satisfying the equation: R.sub.CV*(r,)=1/((1/R.sub.CV(r,))+B.sub.COR(r,)/(n.sub.C1))+F, wherein R.sub.CV(r,) is the local radius of curvature of the cornea before the volume is removed, n.sub.C is the refractive index of the material of the cornea, F is a coefficient, and B.sub.COR(r,) is the local change in refraction required for the desired correction of vision in a plane lying in the vertex of the cornea, and at least two radii r1 and r2 satisfy the equation B.sub.COR(r=r1,)B.sub.COR(r=r2,).