Device for correcting the shape of an object by laser treatment

• US 5,284,477 A
• Filed: 04/27/1992
• Issued: 02/08/1994
• Est. Priority Date: 06/25/1987
• Status: Expired due to Term

• Current Assignee: International Business Machines Corporation
• Original Assignee: International Business Machines Corporation
• Inventors: Asfar, Louis, Chastang, Jean-Claude, Hanna, Khalil
• Primary Examiner(s): Shay, David M.
• Application Number:
  US07/874,204
• Time in Patent Office: 652 Days
• Field of Search: 128/395, 128/397, 128/398, 606/2-6, 606/10-13, 219/121.6, 219/121.61, 219/121.67, 219/121.68, 219/121.73, 219/121.74, 219/121.75, 219/121.78, 219/121.80
• US Class Current: 606/5
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00804 Refractive treatments
• CPC Class Codes: A61F 9/00817 Beam shaping with masks

Abstract

The invention concerns a device for correcting the shape of an object by laser treatment.

The device comprises means (1) for emitting a laser beam (FL) and means (2) for generating a treatment laser beam (FLT) comprising at least one lobe of elongate cross-section. Means (3) enable focussing of the image of the lobe or lobes of the treatment laser beam on the area of the object (OE) to be corrected and means (4) enable displacement of the image of the lobe of the treatment laser beam in translation or in rotation over the area of the object to be corrected. The total correction or ablation is effected by the summation of a plurality of elementary discrete ablations.

Application to refractive surgery in the case of keratomileusis for myopia, hypermetropia or astigmatism, and to shaping contact lenses and intra-ocular implants.

Claims

1. Device for shaping the shape of an object by laser ablation of a surface of said object according to an ablation function A (X,Y), where said object has dimensions in X and Y directions, said X and Y directions are orthogonal directions, values of X and Y are less than the dimension of said object in said X and Y directions, that is to say the thickness to be removed at point of X, Y coordinates on reference axes OX, OY of said surface, O being the center of said object, said ablation function being written as:

space="preserve" listing-type="equation">A (X,Y)=A.sub.X (X)+A.sub.Y (Y)

where A_X (X) and A_Y (Y) represent the respective ablation functions on said reference axes OX and OY, said device comprising;

means for generating a pulses laser beam having pulses and a stable energy density;

means for assuring homogeneity of said energy density;

first slit means for limiting laser radiation passing therethrough, said slit means having at least one slit oriented in the X direction and intercepting said laser beam, said slit having a profile function E (X) given by;

##EQU39## where Δ

X_Y is a non-zero translation displacement increment in the Y direction and a (e) represents the average thickness removed by irradiation of each laser pulse;

second slit means for limiting laser radiation passing therethrough, said slit means having at least one slit oriented in the Y direction and intercepting said laser beam, said slit having a profile function E (Y) given by;

##EQU40## where Δ

Y_X is a non-zero translation displacement increment in the X direction;

means for forming an image of said slits onto an area of said surface of said object;

means for displacing said image of said first slit means slit over said area in the Y direction by steps of increment Δ

X_Y, corresponding to elementary discrete ablations of said surface of said object;

means for displacing said image of said second slit means slit over said area in the X direction by steps of increment Δ

Y_X, corresponding to elementary discrete ablations of said surface of said object; and

means for synchronizing said increments, said pulses and said energy density, so that the total ablation resulting from the summation of said elementary discrete ablations meets said ablation function A (X,Y).

2. Device according to claim 1, for refractive eye surgery, wherein said surface of said object is an external surface of the cornea of an eye and in order to compensate for astigmatism of the eye by re-establishing the symmetry of revolution of said cornea, said X and Y directions are respectively oriented along major and minor axes of astigmatism.

3. Device according to claim 1, wherein said means for displacing said image of said slits comprises:

a diaphragm comprising said slits;

a first lens, said slits located at an object focal plane of said first lens; and

a second focusing lens mobile in translation in one of said X and Y directions.

4. Device according to claim 3, further comprising a rotating prism, located between said first and second lens, for enabling rotation of said direction about an axis of said surface of said object.

5. Device according to claim 1, for refractive eye surgery, wherein said surface of said object is the external surface of the cornea of an eye and, for treatment of myopia, said ablation function A_u (u) satisfies the equation:

##EQU41## where u is one of X and Y, A_u °

is the maximum value of said ablation function, and R represents the radius of said cornea.

6. Device according to claim 5, for refractive eye surgery, wherein said surface of said object is the external surface of the cornea of an eye and for treatment of myopic astigmatism, said reference axes OX, OY are taken parallel to principal astigmatism directions and said maximum values A_X °

and A_Y °

, respectively, depend on the radius of curvature of the cornea along the OX and OY axes.

7. Device according to claim 1, for refractive eye surgery, wherein said surface of said object is the external surface of the cornea of an eye and wherein, for treatment of hypermetropia, said ablation function A_u (u) satisfies the equation:

##EQU42## where u is one of X and Y, A_u °

is the maximum value of said ablation function, and R represents the radius of said cornea.

8. Device according to claim 7, for refractive eye surgery, wherein said surface of said object is the external surface of the cornea of an eye and for treatment of hypermetropic astigmatism, said reference axes O_X, O_Y are taken parallel to principal astigmatism directions and maximum values A_X °

and A_Y °

, respectively, depend on the radius of curvature of the cornea along the OX and OY axes.

9. Device according to claim 1, further comprising means for calculating the translation displacement increment Δ

u_v which satisfies the equation;

##EQU43## where (u, v) represent one of (X,Y) and (Y,X), E_max represents the maximum width of said profile function of said slit oriented in the u direction, and A_u °

is the maximum value of said ablation function A_u (u).

10. Device according to claim 9, further comprising means for calculating the number NI₂^v of laser pulses and the number of translation displacement Δ

u_v in the v direction, the number NI₂^v of pulses satisfying the equation;

##EQU44## where ND₂^v represents the number of totally separate image of said slit in the v direction.

11. Device according to claim 10, further comprising means for calculating the minimum total irradiation time T_2min^v in the v direction which satisfies the equation:

##EQU45## where τ

^v (e) represents the minimum time interval between two successive irradiations of a same point of said area in the v direction.

12. Device according to claim 1, wherein said slit of each slit means is formed on a diaphragm forming a semicylindrical surface of radius R with a longitudinal axis O"'"'"'x, said slit having a profile function E(φ

) in the direction O"'"'"'x symmetrical with respect to a plane orthogonal to the longitudinal axis O"'"'"'x, said plane containing directions O"'"'"'y and O"'"'"'y and O"'"'"'z orthogonal to the direction of said longitudinal axis O"'"'"'x, said profile function E(φ

) satisfying the equation;

##EQU46## where φ

represents the angle of a radius vector of a point on a curved geometrical locus of symmetry of said slit and of said direction O"'"'"'Y, and E(π

/2) represents a maximal profile function of said slit for φ

=π

/2.

13. Device according to claim 12 for refractive eye surgery wherein said surface of said object is the external surface of the cornea of an eye and, in order to compensate for astigmatism of the eye by re-establishing symmetry of revolution of said cornea, said diaphragm has a concave side facing towards said cornea and said slit is adapted to be illuminated by said laser beam, said longitudinal axis O"'"'"'x and said transverse axis O"'"'"'y of said diaphragm being oriented in the principal directions of astigmatism of said cornea, said device further comprises drive means for rotating said diaphragm about said axis O"'"'"'y.

14. Device according to claim 13, further comprising drive means for rotating said diaphragm about said axis O"'"'"'y, consisting of a stepper motor enabling said diaphragm to be rotated in rotation displacement increments Δ

α

satisfying the equation;

##EQU47## where α

represents the inclination of said diaphragm and of said axis O"'"'"'z relative to said reference direction OX, Δ

O represents the minimum angular rotation increment for α

=π

/2, and R and R_x are the radii of cornea respectively for α

=0 and α

=π

/2.

15. Device according to claim 14, said drive means further comprising means:

for calculating the rotation translation displacement increment Δ

α

which satisfies the equation;

##EQU48## where α

represent the inclination of said diaphragm and of said axis O"'"'"'z relative to said reference direction OX, Δ

O represents the minimum angular rotation increment for α

=π

/2, and R and R_x are the radii of cornea respectively for α

=0 and α

=π

/2; and

for applying Δ

α

to said stepper motor.