System for ophthalmic laser surgery

• US 20070173791A1
• Filed: 01/20/2006
• Published: 07/26/2007
• Est. Priority Date: 01/20/2006
• Status: Abandoned Application

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: Intralase Corp (Johnson & Johnson)
• Inventors: Raksi, Ferenc
• Application Number:
  US11/336,660
• Publication Number:
  US 20070173791A1
• Time in Patent Office: Days
• US Class Current: 606/4
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61F 2009/00844 Feedback systems
• CPC Class Codes: A61F 2009/00872 Cornea
• 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

A system for ophthalmic laser surgery is disclosed. A laser source is adapted for performing ophthalmic laser surgery. A surgical tip is adapted to transmit light from the laser source toward an eye. A reference window is affixed to the surgical tip at a fixed position relative to the laser source. A patient interface is adapted to couple to the eye and to the surgical tip. An applanation lens is coupled to the patient interface. An optical sensor is adapted to detect interference generated between light reflected off the reference window and light reflected off the applanation lens during a coupling procedure between the surgical tip and the patient interface.

Claims

1. A system for ophthalmic laser surgery, the system comprising:

a laser source adapted for ophthalmic laser surgery;

a surgical tip adapted to transmit light from the laser source;

a reference window affixed to the surgical tip at a fixed position relative to the laser source;

a patient interface adapted to couple between an eye and the surgical tip;

an applanation lens coupled to the patient interface; and

an optical sensor adapted to detect interference generated between light reflected off the reference window and light reflected off the applanation lens during a coupling procedure between the surgical tip and the patient interface.

2. The system of claim 1, wherein the optical sensor is further adapted to determine a distance between the reference window and the applanation lens based on the detection signal.

3. The system of claim 2, wherein the distance is measured at a point along an optical axis of light from the laser source.

4. The system of claim 2, wherein the distance is measured at multiple points about the reference window.

5. The system of claim 1, wherein the optical sensor is further adapted to determine a tilt of the reference window relative to the applanation lens.

6. The system of claim 1, wherein the optical sensor comprises:

a light source adapted to direct light toward the reference window;

a photo detector adapted to detect the interference and output a detection signal in response to the detected interference; and

a processor adapted to analyze the detection signal.

7. The system of claim 5, wherein the processor is further adapted to perform a Fourier transform on the detection signal.

8. The system of claim 1, wherein the optical sensor is adapted to provide closed-loop feedback for positioning the surgical tip relative to the applanation lens.

9. The system of claim 1, wherein the interference is generated from light having a spectrum outside of a visible spectrum.

10. The system of claim 1, wherein the interference is generated from light having a spectrum above approximately 750 nm.

11. The system of claim 1, wherein the interference is generated from light having a coherence length approximately equal to a position tolerance between the reference window and the applanation lens.

12. The system of claim 1, wherein the interference is generated from light having a first spectrum which does not include light within a second spectrum.

13. The system of claim 12, wherein the laser source emits light in the second spectrum.

14. A system for ophthalmic laser surgery, the system comprising:

a laser source adapted for ophthalmic laser surgery;

a surgical tip adapted to transmit light from the laser source;

a reference window affixed to the surgical tip at a fixed position relative to the laser source;

a patient interface adapted to couple between an eye and the surgical tip;

an applanation lens coupled to the patient interface;

a light source adapted to direct light toward the reference window;

a photo detector adapted to detect interference generated between light reflected off the reference window and light reflected off the applanation lens during a coupling procedure between the surgical tip and the patient interface, wherein the photo detector outputs a detection signal in response to the detected interference; and

a processor adapted to analyze the detection signal.

15. The system of claim 14, wherein the processor is further adapted to determine a distance between the reference window and the applanation lens based on the detection signal.

16. The system of claim 15, wherein the distance is measured at a point along an optical axis of light from the laser source.

17. The system of claim 15, wherein the distance is measured at multiple points about the reference window.

18. The system of claim 14, wherein the processor is further adapted to provide closed-loop feedback for positioning the surgical tip relative to the applanation lens.

19. The system of claim 14, wherein the processor is further adapted to perform a Fourier transform on the detection signal.

20. The system of claim 14, wherein the processor is further adapted to determine a tilt of the reference window relative to the applanation lens.

21. The system of claim 14, wherein the interference is generated from light having a spectrum outside of a visible spectrum.

22. The system of claim 14, wherein the interference is generated from light having a spectrum above approximately 750 nm.

23. The system of claim 14, wherein the interference is generated from light having a coherence length approximately equal to a position tolerance between the reference window and the applanation lens.

24. The system of claim 14, wherein the interference is generated from light having a first spectrum which does not include light within a second spectrum.

25. The system of claim 24, wherein the laser source emits light within the second spectrum.

26. A system for ophthalmic laser surgery, the system comprising:

a laser source adapted for ophthalmic laser surgery;

a surgical tip adapted to transmit light from the laser source;

a reference window affixed to the surgical tip at a fixed position relative to the laser source;

a patient interface adapted to couple between an eye and the surgical tip;

an applanation lens coupled to the patient interface; and

means to detect interference generated between light reflected off the reference window and light reflected off the applanation lens during a coupling procedure between the surgical tip and the patient interface.

27. The system of claim 26, wherein the means to detect the interference outputs a detection signal in response to detected interference.

28. The system of claim 27 further comprising a processor adapted to analyze the detection signal.

29. The system of claim 28, wherein the processor is further adapted to determine a distance between the reference window and the applanation lens based on the detection signal.

30. The system of claim 29, wherein the distance is measured at a point along an optical axis of light from the laser source.

31. The system of claim 29, wherein the distance is measured at multiple points about the reference window.

32. The system of claim 28, wherein the processor is further adapted to provide closed-loop feedback for positioning the surgical tip relative to the applanation lens.

33. The system of claim 28, wherein the processor is further adapted to perform a Fourier transform on the detection signal.

34. The system of claim 28, wherein the processor is further adapted to determine a tilt of the reference window relative to the applanation lens.

35. The system of claim 26, wherein the interference is generated from light outside of a visible spectrum.

36. The system of claim 26, wherein the interference is generated from light having a wavelength above approximately 750 nm.

37. The system of claim 26, wherein the interference is generated from light having a coherence length approximately equal to a position tolerance between the reference window and the applanation lens.

38. The system of claim 26, wherein the interference is generated from light having a first spectrum which does not include light within a second spectrum.

39. The system of claim 38, wherein the laser source emits light within the second spectrum.

40. A method of ophthalmic surgery, the method comprising:

placing a laser source at a fixed position relative to a reference window, wherein the reference window is affixed to a surgical tip and light from the laser source is transmitted through the surgical tip;

coupling a patient interface to a cornea, wherein the patient interface is adapted to couple with the surgical tip and is coupled to an applanation lens;

moving the surgical tip into position for coupling with the patient interface; and

detecting interference as the surgical tip is moved into position for coupling with the patient interface, wherein the interference is generated between light reflected off the reference window and light reflected off the applanation lens.

41. The method of claim 40 further comprising providing closed-loop feedback information for moving the surgical tip into position for coupling with the patient interface.

42. The method of claim 40, wherein detecting the interference includes:

directing light from a light source toward the reference window;

outputting a detection signal in response to the detected interference; and

analyzing the detection signal.

43. The method of claim 42, wherein directing light from a light source includes selecting a bandwidth of light having a coherence length approximately equal to a position tolerance between the reference window and the applanation lens.

44. The method of claim 42, wherein analyzing the detection signal includes performing a Fourier transform on the detection signal.

45. The method of claim 40 further comprising determining a distance between the reference window and the applanation lens based on the interference.

46. The method of claim 45, wherein determining the distance includes determining the distance at a point along an optical axis of light from the laser source.

47. The method of claim 45, wherein determining the distance includes determining the distance at multiple points about the reference window.

48. The method of claim 40 further comprising determining a tilt of the reference window relative to the applanation lens using the interference.

49. The method of claim 40, wherein detecting the interference includes detecting the interference in light having a spectrum outside of a visible spectrum.

50. The method of claim 40, wherein detecting the interference includes detecting the interference in light having a wavelength above approximately 750 nm.

51. The method of claim 40, wherein detecting the interference includes detecting the interference in light having a first spectrum which does not include light within a second spectrum.

52. The method of claim 51, wherein the laser source emits light within the second spectrum.

53. A method of ophthalmic surgery, the method comprising:

placing a laser source at a fixed position relative to a reference window, wherein the reference window is affixed to a surgical tip and light from the laser source is transmitted through the surgical tip;

coupling a patient interface to a cornea, wherein the patient interface is adapted to couple with the surgical tip and is coupled to an applanation lens;

moving the surgical tip into position for coupling with the patient interface; and

directing light from a light source toward the reference window as the surgical tip is moved into position for coupling with the patient interface;

detecting interference generated between light reflected off the reference window and light reflected off the applanation lens;

outputting a detection signal in response to the detected interference; and

analyzing the detection signal.

54. The method of claim 53 further comprising providing closed-loop feedback information for moving the surgical tip into position for coupling with the patient interface.

55. The method of claim 53, wherein directing light from a light source includes selecting a bandwidth of light having a coherence length approximately equal to a position tolerance between the reference window and the applanation lens.

56. The method of claim 53, wherein analyzing the detection signal includes performing a Fourier transform on the detection signal.

57. The method of claim 53, wherein analyzing the detection signal includes determining a distance between the reference window and the applanation lens based on the interference.

58. The method of claim 57, wherein determining the distance includes determining the distance at a point along an optical axis of light from the laser source.

59. The method of claim 57, wherein determining the distance includes determining the distance at multiple points about the reference window.

60. The method of claim 53, wherein analyzing the detection signal includes determining a tilt of the reference window relative to the applanation lens using the interference.

61. The method of claim 53, wherein detecting the interference includes detecting the interference in light having a spectrum outside of a visible spectrum.

62. The method of claim 53, wherein detecting the interference includes detecting the interference in light having a wavelength above approximately 750 nm.

63. The method of claim 53, wherein detecting the interference includes detecting the interference in light having a first spectrum which does not include light within a second spectrum.

64. The method of claim 63, wherein the laser source emits light within the second spectrum.