Embodiments generally relate to ophthalmic laser procedures and, more particularly, to systems and methods for lenticular laser incision. In an embodiment, an ophthalmic surgical laser system comprises a laser delivery system for delivering a pulsed laser beam to a target in a subject's eye, an XY-scan device to deflect the pulsed laser beam, a Z-scan device to modify a depth of a focus of the pulsed laser beam, and a controller configured to form a top lenticular incision and a bottom lenticular incision of a lens in a corneal stroma.

Systems and methods for modifying an eye including a light source with light elements, a photodetector producing a signal representing images of the light elements and corresponding to locations on an ocular surface, an optical system directing light from the light elements reflected by the ocular surface onto the photodetector, a memory including code for processing the signal, and a processor for executing the code and outputting shape data for use in calculating a treatment plan for the eye. The code includes instructions for determining the shape data based on a combination of zonal reconstruction and polynomial fitting using the plurality of images.

An apparatus for treatment of an eye comprises a source of pulsed laser radiation, and a control device for controlling a focus of the laser radiation to generate an incision figure. The incision figure defines a corneal flap, a first auxiliary channel and a second auxiliary channel. The corneal flap is connected to adjoining corneal tissue in a hinge region, and has a flap underside parted-off from adjoining corneal tissue by a bed incision. The first auxiliary channel extends from the hinge region to an outer surface of the eye and is adapted to remove gases that develop during the generation of the bed incision. The second auxiliary channel extends along an edge of the bed incision, is connected to the first auxiliary channel, and extends beyond the hinge region. The control device is configured to generate the second auxiliary channel prior to the bed incision.

An optical interface device having an opening for an optical path that can be non-circular and having engagement members having gradually varying angles of engagement. An embodiment of the interface device can be a one size fits all device, providing a configuration that fits in all typical eye openings, including narrow palpebral fissures and small eyes, while providing optical path access to features and structures of the eye. An embodiment of the interface device engages the limbus, cornea and sclera.

A treatment method and apparatus for surgical correction of defective-eyesight in an eye of a patient, wherein a laser device is controlled by a control device, said laser device separating corneal tissue by irradiation of laser radiation to isolate a volume located within a cornea, wherein the control device controls the laser device to focus the laser radiation, by providing target points located within the cornea, into the cornea, wherein the control device, when providing the target points, allows for focus position errors which lead to a deviation between the predetermined position and the actual position of the target points when focusing the laser radiation, by pre-offsets depending on the positions of the respective target points to compensate for said focus position errors.

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.

Systems and methods for monitoring properties of the cornea and controlling the crosslinking treatment. The thickness of the cornea during crosslinking may be measured by using ultrasonic reflections to determine an anterior distance (D.sub.1′) between a reference location (37) on a device resting on the eye and an anterior surface (66) of the cornea and to determine a posterior distance (D.sub.3′) between a posterior surface (63) of the cornea and an element of the eye such as an anterior surface (72) of the lens of the eye. These distances are subtracted from a reference distance (D.sub.0) between the reference location and the element of the eye. The reference distance (D.sub.0) may be determined using ultrasonic reflections to determine the corresponding anterior and posterior distances and the thickness (D.sub.2) of the cornea prior to crosslinking. The speed of sound in the cornea during crosslinking may be derived using the thickness (D2′) and time of flight of ultrasound through the cornea. The position of the cornea relative to a reference location may be determined. In still other embodiments, location of a surface of demarcation (86) within the cornea formed as a result of crosslinking may be determined. Still other embodiments provide for determination of one or more resonant frequencies of the cornea, and for measurement of responses of the cornea to applied forces, such as displacement and rebound velocity. The properties of the cornea may be used as proxies for the extent of crosslinking, and a light source (48, 348) used to induce crosslinking may be controlled in response to such proxies.

A planning system for generating control data for a treatment apparatus which creates at least one cut surface in the cornea using a laser device, and a treatment apparatus which comprises a planning system of the aforementioned type. The invention also relates to a method of generating control data for a treatment apparatus which creates at least one cut surface in the cornea using a laser device, and to a corresponding method of eye surgery. The planning system comprises a calculation means for defining the cut surfaces of the cornea, wherein the calculation means determines the cornea cuts so that the cut surfaces isolate a lenticule, which is treated according to the planned refraction correction after removal from the cornea, so that the planned refraction correction occurs after the insertion into the cornea of the recipient.

An ophthalmic laser treatment system and method providing for a liquid optical interface (LOI) with a patient eye surface (PES) using an elliptical ocular suction ring (OSR) is disclosed. A disposable ocular patient interface (OPI) provides for simultaneous differential vacuum mating of the PES, OSR, OPI, and an optical window retainer (OWR). The PES, OSR, OPI, and OWR form an enclosed volume in which liquid may be interjected to cover the PES during laser treatment. A vacuum suction pump (VSP) provides controlled vacuum to the OPI ensuring proper differential vacuum mating (DVM) between the PES, OSR, OPI, and OWR during laser treatment. The OWR connects to a laser objective bracket (LOB) via an ocular force sensor (OFS) and an optical separator bracket (OSB). The OFS senses applied pressure to the PES and provides data to a computerized control device (CCD) that limits applied pressure to the PES during laser treatment.

A method and apparatus for making improved surgical incisions in corrective eye surgery are provided. It was observed that a uniform elongated AK (or LRI) incision provides a non-uniform corrective effect due to non-uniform post-surgical relaxation of ophthalmic tissue. The method and apparatus leverage this observation to provide for creation of a surgical incision that is structured to be non-uniform along its length in such a manner as to at least partially counteract an expected variation in ophthalmic tissue relaxation to provide overall increased uniformity of corrective effect. An automated laser surgery system includes a laser control system configured to control laser delivery to cause selective ablation of ophthalmic tissue to provide an elongated structured incision that varies along its length in at least one of a depth, a profile, a width, and an angle of attack relative to a surface of the ophthalmic tissue.