A conformable covering comprises an outer portion with rigidity to resist movement on the cornea and an inner portion to contact the cornea and provide an environment for epithelial regeneration. The inner portion of the covering can be configured in many ways so as to conform at least partially to an ablated stromal surface so as to correct vision. The conformable inner portion may have at least some rigidity so as to smooth the epithelium such that the epithelium regenerates rapidly and is guided with the covering so as to form a smooth layer for vision. The inner portion may comprise an amount of rigidity within a range from about 1×10−4 Pa*m3 to about 5×10−4 Pa*m3 so as to deflect and conform at least partially to the ablated cornea and smooth an inner portion of the ablation with an amount of pressure when deflected.

A conformable covering comprises an outer portion with rigidity to resist movement on the cornea and an inner portion to contact the cornea and provide an environment for epithelial regeneration. The inner portion of the covering can be configured in many ways so as to conform at least partially to an ablated stromal surface so as to correct vision. The conformable inner portion may have at least some rigidity so as to smooth the epithelium such that the epithelium regenerates rapidly and is guided with the covering so as to form a smooth layer for vision. The inner portion may comprise an amount of rigidity within a range from about 1×10−4 Pa*m3 to about 5×10−4 Pa*m3 so as to deflect and conform at least partially to the ablated cornea and smooth an inner portion of the ablation with an amount of pressure when deflected.

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 contact lens for treating myopia of an eye of a patient comprises an anterior surface; and a posterior surface having a semi-meridian defining: a central compression zone to contact the pretreatment cornea, a volume control zone peripheral to the central compression zone, a secondary compression zone to contact the pretreatment cornea, wherein the secondary compression zone is peripheral to the volume control zone, a peripheral relief zone peripheral to the secondary compression zone, a landing zone to contact the pretreatment cornea, wherein the landing zone is peripheral to the peripheral relief zone, and an edge terminus peripheral to the landing zone.

A contact lens for treating myopia of an eye of a patient comprises an anterior surface; and a posterior surface having a semi-meridian defining: a central compression zone to contact the pretreatment cornea, a volume control zone peripheral to the central compression zone, a secondary compression zone to contact the pretreatment cornea, wherein the secondary compression zone is peripheral to the volume control zone, a peripheral relief zone peripheral to the secondary compression zone, a landing zone to contact the pretreatment cornea, wherein the landing zone is peripheral to the peripheral relief zone, and an edge terminus peripheral to the landing zone.

The present disclosure generally relates to surgical instruments having adjustable stiffness, and more particularly, surgical instruments having adjustable stiffness for ophthalmic surgical procedures. In one embodiment, a surgical instrument includes a probe, a slidable support sleeve, and a rotatable knob. A stiffness level of the probe may be adjusted by rotating the knob, thereby causing linear displacement of the support sleeve along a length of the probe. The knob may further include a dial depicting a series of settings representing different eye sizes and corresponding to preset positions of the support sleeve relative to the probe. Thus, a user may select an optimal stiffness of the probe for a particular eye size by rotating the knob to the corresponding setting.

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.

The disclosure provides an optical apparatus, comprising: a source of wavelength tunable laser light or a broad band partially coherent light source, a first beam splitter receiving the light and directing a part of the light to a sample arm as illumination light and another part of the light to a reference arm as reference light, the sample arm comprising: means for directing the illumination light via a first beam splitter as a light spot to a sample, wherein an image of the light spot is reflected from the sample, a focus tunable optics receiving the image of the light spot from the sample after being transmitted through the first beam splitter and focusing the image to a detection plane, wherein a photodetector unit is adapted for receiving the recombined light from the sample arm and the reference arm. Preferably, a computing unit is connected to the photodetector unit, wherein the computing unit is configured to digitize the signal and use digital techniques to calculate wavefront error at different planes, e.g. in the human eye.

The disclosure provides an optical apparatus, comprising: a source of wavelength tunable laser light or a broad band partially coherent light source, a first beam splitter receiving the light and directing a part of the light to a sample arm as illumination light and another part of the light to a reference arm as reference light, the sample arm comprising: means for directing the illumination light via a first beam splitter as a light spot to a sample, wherein an image of the light spot is reflected from the sample, a focus tunable optics receiving the image of the light spot from the sample after being transmitted through the first beam splitter and focusing the image to a detection plane, wherein a photodetector unit is adapted for receiving the recombined light from the sample arm and the reference arm. Preferably, a computing unit is connected to the photodetector unit, wherein the computing unit is configured to digitize the signal and use digital techniques to calculate wavefront error at different planes, e.g. in the human eye.

A method for performing a corneal transplantation comprising the steps of: inserting at least part of a corneal implant into the anterior chamber of the eye, the corneal implant comprising an implant portion and a manipulating portion, the manipulating portion comprising non-endothelial tissue; positioning the implant portion of the implant to adhere to the posterior surface of the cornea using the manipulating portion.