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.

Systems and methods automatically locate optical surfaces of an eye and automatically generate surface models of the optical surfaces. A method includes OCT scanning of an eye. Returning portions of a sample beam are processed to locate a point on the optical surface and first locations on the optical surface within a first radial distance of the point. A first surface model of the optical surface is generated based on the location of the point and the first locations. Returning portions of the sample beam are processed so as to detect second locations on the optical surface beyond the first radial distance and within a second radial distance from the point. A second surface model of the optical surface is generated based on the location of the point on the optical surface and the first and second locations on the optical surface.

In general, one aspect disclosed features a scleral contact lens for an eye of a patient, the scleral contact lens comprising: an anterior surface; and a posterior surface, the posterior surface comprising: a central optic zone defined by a base curve according to an apical radius of the cornea of the eye; a peripheral corneal zone peripheral to the central optic zone, a clearance control zone peripheral to the optic zone, and a scleral landing zone peripheral to the clearance control zone, the scleral landing zone having a single surface shape.

System and method of photoaltering a region of an eye using a high resolution digital image of the eye. The system includes a laser assembly for outputting a pulsed laser beam, an imaging system for capturing a real-time high resolution digital image of the eye and displaying the digital image of the eye, a user interface receiving at least one laser parameter input, and a controller coupled to the laser assembly, imaging system, and user interface. The controller directs the laser assembly to output the pulsed laser beam to the region of the eye based on the laser parameter input.

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.

A system for short pulse laser eye surgery and a short pulse laser system, in which a beam guidance device passes through a corresponding articulated arm, and through an applicator head and a microscope head of the system, which is movable in a three-dimensional volume both independently of one another as well as connected to each other. The system also includes, an easy-to-use patient interface with a one-piece contact element, a computer program product for methods of the incision guidance and sequentially operating referencing methods with patient interfaces containing markings.

An ophthalmic measurement and laser surgery system includes: a laser source; a corneal topography subsystem; an axis determining subsystem; a ranging subsystem comprising an Optical Coherence Tomographer (OCT); and a refractive index determining subsystem. All of the subsystems are under the operative control of a controller. The controller is configure to: operate the corneal topography subsystem to obtain corneal surface information; operate the axis determining subsystem to identify one or more ophthalmic axes of the eye; operate the OCT to sequentially scan the eye in a plurality of OCT scan patterns, the plurality of scan patterns configured to determine an axial length of the eye; operate the refractive index determining subsystem so to determine an index of refraction of one or more ophthalmic tissues, wherein at least one of the corneal surface information, ophthalmic axis information, and axial length is modified based on the determined index of refraction.

The invention relates to a method for controlling a laser (12) of a laser device (10) and/or to a method for performing a surgical procedure comprising at least the steps of: generating laser pulses (40) with a first energy density (42) below a photodisruption regime of a polymer material (26) of a region (16) of an optical element; irradiating a core region (30) with the laser pulses (40), wherein a refractive index of the polymer material (26) changes depending thereon; generating first irradiation lines (34) within the core region (30) and generating a first optical correction (44) in the core region (30); generating laser pulses (40) with a second energy density (46) below a photodisruption regime; irradiating an edge region (36) with the laser pulses (40), wherein the refractive index of the polymer material (26) changes depending thereon; and generating second irradiation lines (38) within the edge region (36) and generating a second optical correction (48) in the edge region (36). Further, the invention relates to a laser device (10), to a computer program as well as to a computer-readable medium.

In various embodiments, a laser is scanned across biological tissue to alter the characteristics of the tissue. To alter the optical characteristics of a cornea, the laser is scanned in an annular pattern over a region having a ratio of the outer diameter of the region to the inner diameter of the region. The laser may also be used to irradiate cartilage in joints to treat osteoarthritis.

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.