In a laser cataract procedure that also corrects for astigmatism, an iris registration method compares an iris image of a patient's eye taken when the eye is not docked to a patient interface device with an iris image of the same eye that is docked to the patient interface, to calculate a rotation angle between the two images. The astigmatism axis of the eye is measured when the eye is not docked, and the measured axis is rotated by the calculated rotation angle to obtain a rotated astigmatism axis relative to the iris image of the docked eye. The laser cataract procedure is performed based on the rotated astigmatism axis. The rotation angle is calculated by optimizing a transformation that transforms the undocked iris image to match the docked iris image, where the transformation includes a dilation factor that accounts for different pupil dilation of the two iris images.

A vacuum device comprises a vacuum generator and a vacuum interface for fluidically coupling the vacuum generator to a vacuum cavity for affixing an ophthalmological patient interface on a patient's eye. The vacuum device comprises a movement detector which is configured to detect movements of the patient's eye and a control unit that is configured to detect a faulty fluidic coupling of the vacuum cavity on the basis of a pressure that is ascertained by a coupled pressure sensor and to produce a control signal for interrupting an ophthalmological treatment that is carried out by an ophthalmological treatment device if an eye movement is detected by the movement detector at the same time as the detected faulty fluidic coupling of the vacuum cavity.

A photo detector is selectively coupled to a first integrator or a second integrator with switching circuitry when the laser pulses. An integration time of the signal from the photo detector can be substantially greater than an amount of time between successive laser beam pulses in order to provide an accurate measurement of each laser beam pulse of a high repetition rate pulsed laser. The laser may comprise a clock coupled to an optical switch of the laser system, and control circuitry can control switching and coupling of the detector to the first integrator or the second integrator in response to the clock signal. The first integrator and the second integrator can be selectively coupled to an output such that the first integrator or the second integrator is coupled to the output of the energy detection circuitry when the other integrator is coupled to the detector.

The present disclosure provides a system for femtosecond ophthalmic surgery in which a measuring device and a camera generate data that is processed and used to create an enhanced pictorial representation based on the actual positions of the suction ring and the eye. The pictorial representation may include a graphic relating to ophthalmic surgery, such as for a flap or an incision. The disclosure further provides a method for docking a suction ring in femtosecond laser ophthalmic surgery, which includes observing and generating data relating to the position of the suction ring, generating data relating to a pictorial representation of the suction ring and the eye, processing the data relating to the observed position and the pictorial representation to generate an enhanced pictorial representation, and presenting it during surgery. The pictorial representation may include a graphic relating to ophthalmic surgery, such as for a flap or an incision.

A method for modifying a refractive property of ocular tissue in an eye by creating at least one optically-modified gradient index (GRIN) layer in the corneal stroma and/or the crystalline by continuously scanning a continuous stream of laser pulses having a focal volume from a laser having a known average power along a continuous line having a smoothly changing refractive index within the tissue, and varying either or both of the scan speed and the laser average power during the scan. The method may further involve determining a desired vision correction adjustment, and determining a position, number, and design parameters of gradient index (GRIN) layers to be created within the ocular tissue to provide the desired vision correction.

A method that includes illuminating an eye with light at a first time and a second time and generating a first image of the eye based on the light that illuminates the eye at the first time. The method includes generating a second image of the eye based on the light that illuminates the eye at the second time. The method further includes positioning a laser source relative to the eye, wherein the laser source generates a therapeutic laser beam to be directed to the eye, wherein the first time is just prior to the therapeutic laser beam being directed to the eye and the second time is prior to the first time. The method further includes correcting orientation of the laser source relative to the eye based on a correlation function that is defined for the first and second images of the eye.

A planning device for generating control data for a treatment apparatus which produces at least one cut surface in the cornea by operation of a laser device, and to a treatment apparatus including a planning device of the specified type. Also, a method for generating control data for such a treatment apparatus, and a method of eye surgery. In this case, a rotation of the cut surface about an axis running substantially parallel to the ocular axis is facilitated during the determination of the cut surfaces.

Embodiments of this invention 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 the subject's eye, or just a bottom lenticular incision.

Systems, methods and software for scanning an ocular structure of an eye are provided. A method includes projecting a light onto the ocular structure, and scanning, by natural movements of the living eye, the light in a region of the living eye. Applicable ocular structures can include an ocular surface, a cornea, a sclera, an iris, a crystalline lens, an ocular fundus, a retina, a choroid, and a vitreous humor. A system includes a light source to create light, and optics to focus the light from the light source onto the ocular structure and to collect secondary light coming from the eye towards a detector. The system also includes a tracking system to register positions of the eye at different times, and a computer system to receive signals coupled from the tracking system representative of eye positions at different times and associate the signals with the tracking position.

Projection of visible, non-treatment light onto an eye to illuminate specific areas of the surgical field is disclosed herein. A surgical system may include a surgical console; a microscope communicatively coupled to the surgical console; a camera communicatively coupled to the surgical console; and a projector operable to project light onto an eye. The projector may be communicatively coupled to the surgical console. A method for light projection may include collecting information from an eye using a camera; determining the light projection based, at least in part, on the collected information; and projecting visible, non-treatment light onto the eye using a projector.