A surgical system for performing a capsulotomy of a lens capsule of an eye includes an elastic ring, a suction cup, an interface, a converter, and a control console. The elastic ring includes a conductive surface. The interface may be coupled to an air port and/or a fluid line of a phacomachine. The converter detects a pulse of air from the phacomachine via the interface, and produce an electrical signal in response. Fluid received from the phacomachine is delivered into the suction cup. The system is configured to remove the fluid from the suction cup and between the suction cup and a surface of the eye to form a suction seal. The control console is configured to, in response to receiving the electrical signal, drive a series of electrical pulses through the conductive surface of the elastic ring, causing the elastic ring to perform a tissue cutting operation.

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.

A system (20) includes a radiation source (48) and a controller (44). The controller is configured to define a treatment zone (88) on a capsule (86) of an eye (25) of a subject (22), and to form an opening (96) in the capsule, subsequently to defining the treatment zone, by irradiating multiple target regions (94) within the treatment zone in an iterative process that includes, during each one of multiple iterations of the process, acquiring an image (98) of at least part of the capsule, designating one of the target regions based on the acquired image, and causing the radiation source to irradiate the designated target region. Other embodiments are also described.

A laser instrument for therapy on the human eye, designed for surgery of the cornea, the sclera, the vitreous body or the crystalline lens, especially suitable for use in immediate succession with other instruments for eye diagnosis or eye therapy, in such a way that during the alternating use of the various instruments, the eye or at least the patient preferably remains in a predetermined position and alignment within one and the same treatment area.

A method for laser eye surgery that accommodates patient movement includes: generating a first and a second electromagnetic radiation beam, the second beam configured to modify eye tissue; propagating the first beam to a scanner along a an optical path length that changes in response to eye movement; focusing the first beam to a first focal point within the eye; scanning the first focal point at different locations within the eye; propagating a portion of the first beam reflected from the first focal point location back along the variable optical path to a sensor; generating an intensity signal indicative of the intensity of the portion of the reflected first beam; propagating the second beam to the scanner along the variable optical path; focusing the second beam to a second focal point and scanning the second focal point to create an incision in the cornea of the eye.

Methods and systems for performing laser-assisted surgery on an eye form one or more small anchoring capsulotomies in the lens capsule of the eye. The one or more anchoring capsulotomies are configured to accommodate corresponding anchoring features of an intraocular lens and/or to accommodate one or more drug-eluting members. A method for performing laser-assisted eye surgery on an eye having a lens capsule includes forming an anchoring capsulotomy in the lens capsule and coupling an anchoring feature of the intraocular lens with the anchoring capsulotomy. The anchoring capsulotomy is formed by using a laser to incise the lens capsule. The anchoring feature can protrude transverse to a surface of the intraocular lens that interfaces with the lens capsule adjacent to the anchoring capsulotomy.

A laser system that includes a laser source emitting a laser beam along an axis and a keratometer. The keratometer includes a first set of individual light sources that are equally spaced from one another along a first ring and that direct a first light toward an eye and a second set of individual light sources that are equally spaced from another along a second ring and direct a second light toward the eye, wherein the first ring and said second ring are co-planar and concentric with one another about the axis. The laser system includes a telecentric lens that receives the first light and second light reflected off of the eye and a detector that receives light from the telecentric lens and forms an image. The laser system also includes a processor that receives signals from said detector representative of the image and determines an astigmatism axis of the eye based on the signals.

A surgical system for performing a capsulotomy of a lens capsule of an eye includes an elastic ring, a suction cup, an interface, a converter, and a control console. The elastic ring includes a conductive surface. The interface may be coupled to an air port and/or a fluid line of a phacomachine. The converter detects a pulse of air from the phacomachine via the interface, and produce an electrical signal in response. Fluid received from the phacomachine is delivered into the suction cup. The system is configured to remove the fluid from the suction cup and between the suction cup and a surface of the eye to form a suction seal. The control console is configured to, in response to receiving the electrical signal, drive a series of electrical pulses through the conductive surface of the elastic ring, causing the elastic ring to perform a tissue cutting operation.

Embodiments of the invention provide hydrodissection and/or PCO prevention or reduction in a patient undergoing eye surgery. In one embodiment, the invention is a surgical device for cutting and excising a portion of tissue, for example in performing a lens capsulotomy. A capsulotomy tip is inserted into an eye through an incision in the surface of the eye. The capsulotomy tip includes a suction cup to provide suction to the lens capsule. Then suction is applied via the suction cup to secure the capsulotomy tip to the eye. In some embodiments, after the capsulotomy tip is secured to the lens capsule, a cutting element of the capsulotomy tip is used to cut a tissue of the eye. Fluid is pushed through the capsulotomy tip and the capsulotomy tip is removed from the eye. Moreover, disclosed is an intraocular lens (IOL) to be used in conjunction with the surgical device.

As shown in the drawings for purposes of illustration, a method and system for making physical modifications to intraocular targets is disclosed. In varying embodiments, the method and system disclosed herein provide many advantages over the current standard of care. Specifically, linear absorption facilitated photodecomposition and linear absorption facilitated plasma generation to modify intraocular tissues and synthetic intraocular lenses.