A method and system for correcting vision in an eye that uses a wavefront-customized phakic or pseudophakic Intraocular Lens (IOL), the method comprising: (1) measuring wavefront aberrations of the eye; (2) designing a wavefront-customized correction profile for an IOL; (3) creating a customized IOL with the customized correction profile; and (4) implanting the customized IOL in the eye, without having to remove the natural lens. Alternatively, an uncorrected IOL is implanted first, followed by scanning a femtosecond laser spot across the implanted IOL to locally change the Index of Refraction of the IOL material and create an in-situ customized IOL.

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.

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.

Systems and techniques for laser surgery are described. Scan data may be created by determining a coordinate of the object at a set of points along an arc by the imaging system, wherein the coordinate of the object is a Z coordinate of an object layer. An object shape parameter and position parameter may be determined based on the scan data by a system control module by extracting an amplitude and a phase of the scan data determining a center of the object layer based on the extracted amplitude and phase.

Methods and systems for planning and performing a corneal laser ablation procedure that may comprise a wavefront aberrometer and a corneal topography measuring device. Data from each of these devices may be compared for generating an astigmatism treatment to be incorporated into a laser ablation treatment map. Corrections derived from epithelial thickness measurements may also be incorporated into the treatment map.

Methods and systems for planning and performing a corneal laser ablation procedure that may comprise a wavefront aberrometer and a corneal topography measuring device. Data from each of these devices may be compared for generating an astigmatism treatment to be incorporated into a laser ablation treatment map. Corrections derived from epithelial thickness measurements may also be incorporated into the treatment map.

Techniques are described for generating and using an illumination pattern for corneal topography. In some examples, the illumination pattern is projected over a sequence of frames, including a first frame with a first pattern of dots arranged along a two-dimensional grid, and a second frame with a second pattern of dots arranged along the two-dimensional grid. The first pattern differs from the second pattern with respect to a wavelength of light used to project one or more dots, a position of one or more dots, or both. After the illumination pattern has been determined, it can be projected over the sequence of frames and onto an eye of a user. Reflections of the illumination pattern as projected over the sequence of frames can then be used to calculate an eye model characterizing a topography of a cornea of the eye of the user.

A planning device for generating control data, a treatment apparatus for refraction correction eye surgery and a method for generating control data for such a treatment apparatus which allows an improved subsequent refraction correction. The planning device includes a calculation processor for defining a cut surface of the cornea for post-treatment, wherein the calculation device is designed such that a change of thickness of the epithelium is taken into account in the calculation, which was caused essentially by a pretreatment.

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.

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.