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 fiducial is generated on an internal anatomical structure of the eye of a patient with a surgical laser. A toric artificial intraocular lens (IOL) is positioned so that a marker of the toric IOL is in a predetermined positional relationship relative to the fiducial. This positioning aligns the toric IOL with the astigmatic or other axis of the eye. The toric IOL is then implanted in the eye of the patient with high accuracy.

A surgical blade (10) for being combined with an elongate handle (50) to form a cutting instrument for ophthalmic surgery includes a proximal portion (12) for being attached to the handle (12), an operative, distal portion (14), and a central portion (20) extending therebetween. The central portion (20) having a trapezoidal configuration that tapers radially inwardly from the proximal portion (12) to the distal portion and having a pair of sharpened lateral edges (21, 22). The distal portion (14) includes a first tapered section (23) defining a pair of sharpened lateral edges (24, 25) and extending from the central portion (20) to a substantially straight section (26) having a pair of sharpened lateral edges (27, 28). The substantially straight section (26) extends from the first tapered section (23) to a second tapered section (30) having a pair of sharpened lateral edges (32, 33) and terminating at a pointed tip (36).

A system and method for inserting an intraocular lens in a patient's eye includes a light source for generating a light beam, a scanner for deflecting the light beam to form an enclosed treatment pattern that includes a registration feature, and a delivery system for delivering the enclosed treatment pattern to target tissue in the patient's eye to form an enclosed incision therein having the registration feature. An intraocular lens is placed within the enclosed incision, wherein the intraocular lens has a registration feature that engages with the registration feature of the enclosed incision. Alternately, the scanner can make a separate registration incision for a post that is connected to the intraocular lens via a strut member.

Provided are embodiments of systems, devices and methods to aid in or perform the capsulotomy procedure via access into an eye through a small incision. Embodiments of the present disclosure may employ the unique characteristics of shape-memory materials to enable device access into the eye through the requisite small incision size, and via simple mechanical means either to create a template for surgeons to follow in order to create an appropriately-sized capsulotomy, or to create such a capsulotomy via cutting, tearing, or abrading the lens capsule.

An ophthalmic surgical instrument for cataract removal surgery includes a helical coil structure including a wire or elongated structure coiled in a plurality essentially similar diameter coils of 360-degree turns in a corkscrew having a coil diameter sufficiently small to fit within an incision of a human ocular lens capsule for entering the human ocular lens capsule during a cataract removal surgery. A pointed sharp end pierces and grasps a human ocular lens under the control of a surgeon upon being inserted in a human ocular lens capsule within said ocular lens capsule during a cataract removal surgery. The corkscrew structure firmly holds the human ocular lens and controls the position and movement of the human ocular lens during said cataract removal surgery.

Apparatus and methods are described including a robotic unit configured to move the tool through six degrees-of-freedom, and a control component that comprises at least one control-component arm configured to be moved by a user, The control-component arm includes three rotary encoders, each of the three rotary encoders coupled to a respective joint and configured to detect movement of the respective joint and to generate rotary-encoder data indicative of an XYZ location of a tip of the control-component tool, in response thereto, and an inertial measurement unit comprising at least one of a three-axis accelerometer, a three-axis gyroscope, and a three-axis magnetometer, the inertial measurement unit being configured to generate inertial-measurement-unit data indicative of an orientation of the tip of control-component tool. Other applications are also described.

In some embodiments, a vitrectomy probe may include an inner cutting tube reciprocating in an outer tube. The outer tube includes a side port and the inner tube includes a distal cutting port, and, in some embodiments, an additional side port. In some embodiments, the inner tube may also include a flat upper edge that cuts across the outer tube side port. In some embodiments, a diaphragm drives the inner tube and may have an open-stroke side with a lower hardness material than a closed-stroke side. In some embodiments, an aspiration tube coupled to the vitrectomy probe may include a first aspiration tubing and a second aspiration tubing with a lower hardness than the first aspiration tubing. In some embodiments, the vitrectomy probe may be coupled to pneumatic tubing that is stepped or tapered.

Trypan Blue ophthalmic solutions are used to create and identify a landmark on the anterior capsule of an eye and thus identify a preferred location for an anterior capsulotomy during cataract surgery.

An image-guided tool and method for ophthalmic surgical procedures is disclosed comprising a processor, a display, an imaging system, and a memory communicatively coupled to the processor. The memory stores instructions executable by the processor and includes an artificial intelligence (AI) model. The processor is arranged to receive from the imaging system visual images in real-time of a surgical field during the ophthalmic surgical procedure and using the AI model to extract regions of interest in the surgical field. Upon selection of a region of interest by the AI model, the AI model develops operating image features based on the surgical instruments used in the region of interest and the phase of the surgical procedure being performed. Augmented visual images are then constructed that include the real-time visual image and the image features and surgical phase information. The augmented image is displayed on the display.