Photocoagulation apparatus

• US 4,917,486 A
• Filed: 05/20/1988
• Issued: 04/17/1990
• Est. Priority Date: 05/20/1987
• Status: Expired due to Fees

• Current Assignee: Keeler Company Incorporated
• Original Assignee: Scientific Generics Limited (Science Group Plc)
• Inventors: Marshall, John, Raven, Anthony
• Primary Examiner(s): Dzierzynski, P. M.
• Application Number:
  US07/196,320
• Time in Patent Office: 697 Days
• Field of Search: 351/221, 351/208, 351/214, 128/303.1, 128/395
• US Class Current: 351/221
• CPC Class Codes: A61B 2018/2025 with a pilot laser
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00821 for coagulation

Abstract

The invention provides a photocoagulator using an infrared laser diode source (70). A dichroic beam splitter (68) is used to combine the optical path of the laser system with the viewing system. Such an arrangement affords the clinician an uninterupted, uncolor view of the patient'"'"'s eye during treatment, without any risk of damage to the clinician'"'"'s eye. There is also provided an alignment system using a visible laser diode (80). The alignment system may include a number of mutually non parallel beams which pass through different portions of the pupil and provide information on aim, focus and vignetting.

Claims

1. A laser photocoagulator including a laser system and a viewing system, characterized in that the laser system includes a first solid state laser diode and at least one further solid state laser diode, said laser diodes operating in the infrared range, said laser system further including means for combining the infrared light produced by said laser diodes, and wherein said viewing system and said laser system have in common a dichroic beam splitter which, in use, separates infrared light from visible light, said viewing system and said laser system sharing a substantially common light path between said dichroic beam splitter and the eye of a patient, whereby the clinician may view a patient'"'"'s eye through the beam splitter substantially without risk of exposure to the infrared light used for treatment, the photocoagulator further including an alignment system incorporating a visible light source, the visible light source comprising a solid state laser diode which provides coherent light having a wavelength in the visible range.

2. A photocoagulator as claimed in claim 1 wherein said infrared laser system diodes emit light with a wavelength of approximately 800 nm.

3. A photocoagulator as claimed in claim 1 wherein said dichroic beam splitter reflects infrared light and transmits visible light.

4. A photocoagulator as claimed in claim 1 wherein said laser system further includes means for reducing the magnification in one direction of the image which is produced on the retina of the eye of a patient by the infrared light.

5. A photocoagulator as claimed in claim 4 wherein said magnification reducing means comprises an anamorphic prism pair arranged so as to reduce the magnification of the image in its longest direction.

6. A photocoagulator as claimed in claim 1 wherein said laser system further includes optical means for providing an optimum beam diameter of the combined infrared light produced by said laser diodes which, in use, passes through the pupil of the patient'"'"'s eye.

7. A photocoagulator as claimed in claim 6 wherein said optical means comprises a telescope.

8. A photocoagulator as claimed in claim 1, wherein said laser system additionally includes a beam combiner for causing the visible light from said alignment system to share the same optical path with the infrared laser light between said beam combiner and the eye of the patient.

9. A photocoagulator as claimed in claim 1 wherein said alignment system provides a plurality of beams of visible light incident on the retina, said beams being arranged to pass through different portions of the pupil such that if said photocoagulator is misaligned with the iris at least one of the beams will be at least partly blocked by the iris, and the pattern produced by the visible light on the retina also providing an indication of whether or not the infrared laser light is focused on the retina.

10. A photocoagulator as claimed in claim 9 wherein said beams of visible light converge to a spot or well defined pattern on the retina of the patient'"'"'s eye when the infrared light is focused on the retina.

11. A photocoagulator as claimed in claim 9 wherein said beams of visible light are mutually non-parallel at the points of incidence on the patient'"'"'s eye, whereby the configuration of a pattern produced on the retina of the patient'"'"'s eye by the visible light is indicative of whether or not the infrared laser light is focused on the retina.

12. A photocoagulator as claimed in claim 11 wherein each of said beams of visible light has a non-circular cross-section when incident on the retina of the patient'"'"'s eye, the relative alignment of the shapes produced on the retina being indicative of whether or not the infrared laser light is focused on the retina.

13. A photocoagulator as claimed in claim 11 wherein said non-parallel beams are provided by illuminating a target with a plurality of collimated beams of light.

14. A photocoagulator as claimed in claim 13 wherein said target is apertured and said non-parallel beams are generated by illuminating said target with said visible light to produce plural collimated beams and directing at least one of said collimated beams through a split field screen.

15. A photocoagulator as claimed in claim 14 wherein said non-parallel beams of visible light produce a cross-shaped pattern when the infrared light is focused on the retina and wherein said alignment system comprises a pair of split field screens disposed along the optical axis of the alignment system, the second of the screens being rotated by 90°

with respect to the first.

16. A photocoagulator as claimed in claim 13 wherein said beams of visible light produce a cross-shaped pattern when the infrared laser light is focused on the retina.

17. A photocoagulator as claimed in claim 16 wherein said target comprises a circular disc formed with four slits disposed on orthogonal radii and extending inwardly towards, but without reaching, the center of said disc.

18. A photocoagulator as claimed in claim 17 wherein said alignment system further includes a pair of split field screens disposed along the optical axis of the alignment system, the second of the screens being rotated by 90°

with respect to the first, said screens being incorporated in said target disc.

19. A photocoagulator as claimed in claim 1 wherein said viewing system may be aligned with a slit lamp and said photocoagulator further comprises a diverging lens positioned to be disposed between the slit lamp and the patient'"'"'s eye whereby the focal point of the slit lamp will be moved further from the slit lamp.

20. A laser photocoagulator including a laser system and a viewing system, wherein the laser system includes a solid state laser diode which operates in the infrared range, and said viewing system and said laser system have in common a dichroic beam splitter which, in use, separates infrared light from visible light, said viewing system and said laser system sharing a substantially common light path between said dichroic beam splitter and the eye of a patient, whereby the clinician may view a patient'"'"'s eye through the beam splitter substantially without risk of exposure to the infrared laser light used for treatment, the photocoagulator further comprising an alignment system, said alignment system including a visible light source and means for generating a plurality of non-parallel beams of visible light which are incident on the retina of the patient'"'"'s eye, said means for generating said plural beams of visible light comprising an apertured target positioned to be illuminated by the visible light from said source and at least one split field screen, said beams of visible light being caused to pass through different portions of the pupil of the patient'"'"'s eye such that if said photocoagulator is misaligned with the iris of the patient'"'"'s eye at least one of the beams of visible light will be at least partly blocked by the iris, and the pattern of visible light produced on the retina by the incident visible light will provide an indication of whether or not the infrared laser light from the laser diode is focused on the retina.

21. A photocoagulator as claimed in claim 20, wherein said beams of visible light converge to a spot or well defined pattern on the retina when the infrared laser light is focused on the retina.

22. A photocoagulator as claimed in claim 20, wherein said non-parallel beams produce a cross-shaped pattern when the infrared laser light is focused on the retina.

23. A photocoagulator as claimed in claim 22, wherein said target comprises a circular disc formed with four slits disposed on orthogonal radii and extending inwards towards, but without reaching, the center of said disc.

24. A photocoagulator as claimed in claim 23 wherein said means for generating a plurality of non-parallel beams of visible light comprises a pair of split field screens disposed along the optical axis of the alignment system, the second of said screens being rotated by 90°

with respect to the first of said screens, said screens being incorporated in the target disc.

25. A photocoagulator as claimed in claim 20, wherein said non-parallel beams of visible light produce a cross-shaped pattern when the infrared light is focused on the retina and said means for generating a plurality of non-parallel beams of visible light comprises a pair of split field screens disposed along the optical axis of the alignment system, the second of said screens being rotated by 90°

with respect to the first of said screens.

26. A photocoagulator as claimed in claim 20 wherein said viewing system may be aligned with a slit lamp and said photocoagulator further comprises a diverging lens positioned to be disposed between the slit lamp and the patient'"'"'s eye whereby the focal point of the slit lamp will be moved further from the slit lamp.