Optical surface identification for laser eye surgery

• US 10,441,464 B2
• Filed: 12/12/2016
• Issued: 10/15/2019
• Est. Priority Date: 11/02/2012
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: OptiMedica Corporation (Johnson & Johnson)
• Inventors: Gonzalez, Javier G., Woodley, Bruce
• Primary Examiner(s): Hoffa, Angela M
• Application Number:
  US15/376,491
• Publication Number:
  US 20170087019A1
• Time in Patent Office: 1,037 Days
• CPC Class Codes: A61B 3/102 for optical coherence tomography [OCT]
• CPC Class Codes: A61B 3/107 for determining the shape or measuring the curvature of the cornea
• CPC Class Codes: A61B 3/117 for examining the anterior chamber or the anterior chamber angle, e.g. gonioscopes
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61F 2009/00851 Optical coherence topography [OCT]
• CPC Class Codes: A61F 2009/00882 based on topography
• CPC Class Codes: A61F 2009/00887 Cataract
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00825 for photodisruption
• CPC Class Codes: A61F 9/009 Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses apparatus for eye examination A61B3/0008

Abstract

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.

Claims

1. A laser eye surgery system, comprising:

a cutting laser subsystem configured to generate a pulsed laser beam;

an optical system, including at least an objective lens, configured to direct the pulsed laser beam to an eye of a patient;

an optical coherence tomography (OCT) imaging subsystem configured to generate an OCT sample beam and an OCT reference beam, the OCT imaging subsystem including an adjustable reference path length along which the OCT reference beam is propagated and wherein the optical system is further configured to direct the OCT sample beam to a target which includes the eye of the patient and direct reflected sample light from the target to return to the OCT subsystem, the OCT sample beam and the OCT reference beam having a plurality of wavelengths such that the OCT imaging subsystem generates an A-scan based on the reference beam and the returned sample beam, the A-scan representing measurement data within a detection window which spans a range of distances relative to the objective lens, a depth location of the detection window being dependent on the reference path length; and

control electronics operably connected to the cutting laser subsystem and the OCT imaging subsystem, the control electronics being programmed;

to cause the OCT imaging subsystem to adjust the reference path length to a plurality of values and to generate a corresponding plurality of A-scans, and to cause the optical system to deliver the OCT sample beam to the target at different transverse locations for the different A-scans, wherein the plurality of A-scans are arranged in one or more spiral patterns, and wherein the plurality of values of the reference path length are selected so that the plurality of A-scans span a depth range encompassing an expected variability of distance from the objective lens to a feature of the target;

to process the plurality of A-scans to locate, relative to the objective lens, the corneal anterior surface, the lens capsule anterior surface, or the lens capsule posterior surface; and

to control the cutting laser subsystem to generate the pulsed laser beam to be directed to the located corneal anterior surface, lens capsule anterior surface, or lens capsule posterior surface.

2. The system of claim 1, wherein the one or more spiral patterns include at least three different spiral patterns.

3. The system of claim 2, wherein the one or more spiral patterns include at least four different spiral patterns.

4. The system of claim 3, wherein:

the one or more spiral patterns include at least five spiral patterns; and

the five spiral patterns define four intervening separating distances between the spiral patterns of between 0.25 mm and 0.75 mm.

5. The system of claim 4, wherein at least one of the four intervening separating distances is between 0.4 mm and 0.6 mm.

6. The system of claim 1, wherein each spiral pattern has a maximum transverse dimension of less than 2.0 mm.

7. The system of claim 6, wherein each spiral pattern has a maximum transverse dimension of less than 1.2 mm.

8. The system of claim 1, wherein a boundary surface within the detection window divides the detection window into a real portion of the detection window and an imaginary portion of the detection window, the detection window imaginary portion being disposed between the objective lens and the detection window real portion.

9. The system of claim 8, further comprising:

an interface lens assembly removably mounted to the optical system so as to be disposed between the OCT imaging subsystem and the eye, the interface lens assembly including an interface lens having an anterior surface and a posterior surface,

wherein the control electronics are further programmed to set the reference path length to position the detection window boundary surface between the interface lens posterior surface and the corneal anterior surface such that the interface lens posterior surface is closer to the detection window boundary surface than the corneal anterior surface.

10. The system of claim 8, further comprising:

an interface lens assembly removably mounted to the optical system so as to be disposed between the OCT imaging subsystem and the eye, the interface lens assembly including an interface lens having an anterior surface and a posterior surface,

wherein the control electronics are further programmed to set the reference path length to position the detection window boundary surface between the interface lens posterior surface and the lens capsule anterior surface such that the interface lens posterior surface is further from the detection window boundary surface than the lens capsule anterior surface.

11. The system of claim 10, wherein the detection window boundary surface is positioned such that the cornea anterior surface is closer to the detection window boundary surface than the lens capsule anterior surface.

12. The system of claim 8, wherein the control electronics are programmed to set the reference path length to position the lens capsule posterior surface between the detection window boundary surface and the lens capsule anterior surface.

13. The system of claim 1, further comprising:

an interface lens assembly removably mounted to the optical system so as to be disposed between the OCT imaging subsystem and the eye, the interface lens assembly including an interface lens having an anterior surface and a posterior surface,

wherein the control electronics are further programmed to use the OCT imaging subsystem to locate the interface lens posterior surface.

14. The system of claim 13, wherein the control electronics are further programmed to use the OCT imaging subsystem to locate the interface lens anterior surface.

15. The system of claim 1, further comprising:

an interface assembly that is removably mounted to the optical system so as to be disposed between the OCT imaging subsystem and the eye, the interface assembly including two or more reference features,

wherein the control electronics are further programmed to;

use the OCT imaging subsystem to locate the reference features relative to the laser eye surgery system; and

compare the OCT based locations of the reference features relative to predetermined positions of the reference features to determine at least one of that the interface assembly is properly mounted to the laser eye surgery system, that the interface assembly is improperly mounted to the laser eye surgery system, that fluid is present in the interface assembly, that fluid is missing from the interface assembly, an angular orientation of the interface assembly relative to the laser eye surgery system, or whether the interface assembly is coupled with a left or a right eye of a patient.

16. The system of claim 15, wherein the interface assembly comprises:

a suction ring assembly that is configured to be coupled with the eye and includes the two or more reference features; and

an interface lens assembly that includes an interface lens and couples the suction ring assembly to the laser eye surgery system.

17. The system of claim 1, wherein the feature of the target includes a lens surface of a patient interface, a suction ring assembly of the patient interface, a corneal surface, a lens capsule surface, or a lens surface.