Eye stabilizing mechanism for use in ophthalmic laser surgery

• US 5,336,215 A
• Filed: 01/22/1993
• Issued: 08/09/1994
• Est. Priority Date: 01/22/1993
• Status: Expired due to Term

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: Intelligent Surgical Lasers
• Inventors: Hsueh, Chi-Fu, Morris, Gregory J., Goelz, Stefan
• Primary Examiner(s): ASCHENBRENNER, PETER
• Application Number:
  US08/008,010
• Time in Patent Office: 564 Days
• Field of Search: 606/4, 606/5, 606/6, 606/107, 606/17, 606/10
• US Class Current: 606/4
• CPC Class Codes: A61B 2017/00694 with means correcting for movement of or for synchronisation with the body
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61F 2009/00846 Eyetracking
• CPC Class Codes: A61F 9/008 using laser
• 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

An eye stabilizing mechanism for use with a computer controlled ophthalmic laser system includes a base on which the ophthalmic laser system is mounted. A frame is slidingly mounted on the base, and the frame is connected to the base by a linear spring. A contact lens is fixedly attached to the frame and an object lens is slidingly mounted on the frame. An object lens activating device is also fixedly attached to the frame, and this device is connected to the object lens to move the object lens in accordance with preprogrammed instructions from the computer. Thus, while contact is maintained between the surface of the eye and the contact lens, the object lens can be moved by computer control to move the focal point of the laser system through selected eye tissue. Also, any movement of the frame, due to movement of the eye, is opposed only by the substantially constant force which is established by the linear spring between the base and the frame.

Claims

1. A mechanism for stabilizing an eye with a contact lens and compensating for eye movement relative to the focal point of a laser beam during ophthalmic laser surgery which comprises:

a base;

means for supporting a contact lens, said supporting means being slidably mounted on said base;

means, attached to said base and connected to said supporting means, for generating a force against said supporting means to hold said contact lens against the eye; and

means mounted on said supporting means for moving said focal point along a preselected path relative to said contact lens to perform said surgery.

2. A mechanism as recited in claim 1 wherein said supporting means is a frame and said contact lens is slidably mounted on said frame for resting against the eye.

3. A mechanism as recited in claim 2 wherein said force generating means is a weight attached to said contact lens.

4. A mechanism as recited in claim 2 wherein said moving means is an objective lens slidably mounted on said frame for movement of said focal point, and said mechanism further comprises first means for locating said contact lens relative to said frame and second means for locating said objective lens relative to said frame.

5. A mechanism as recited in claim 1 wherein said supporting means is a frame and said contact lens is fixedly mounted on said frame.

6. A mechanism as recited in claim 5 wherein said force generating means connects said frame to said base for maintaining a substantially constant force between said contact lens and the eye.

7. A mechanism as recited in claim 6 wherein said substantially constant force is in the approximate range of between zero and three hundred grams (0-300 gms).

8. A mechanism as recited in claim 6 wherein said frame is formed with an open channel having a first end and a second end, said second end of said channel being positioned against the eye when said contact lens is in contact with the eye, and wherein said mechanism further comprises:

a device selectively operable for creating a partial vacuum; and

a tube connecting said vacuum creating device with said first end of said channel to establish a partial vacuum at said second end of said channel to hold the eye against said contact lens.

9. A mechanism as recited in claim 1 wherein said moving means comprises:

a computer mounted on said base;

an objective lens slidably mounted on said supporting means;

a computer controlled objective lens actuator fixedly mounted on said supporting means and electronically connected to said computer; and

a link connecting said objective lens actuator with said objective lens for movement of said objective lens on said supporting means in accordance with preprogrammed instructions from said computer.

10. A support apparatus for holding a contact lens against the cornea of an eye during ophthalmic surgery involving movement of a focal point of a laser system which comprises:

a base;

a frame for holding a contact lens, said frame being slidably mounted on said base;

a compensating device connecting said frame to said base for maintaining a substantially constant force between said contact lens and the cornea of the eye;

an objective lens slidably mounted on said frame; and

means, mounted on said apparatus, for moving said objective lens relative to said contact lens to selectively move said focal point of said laser system.

11. An apparatus as recited in claim 10 wherein said moving means comprises:

a computer mounted on said base;

a computer controlled objective lens actuator fixedly mounted on said frame and electronically connected to said computer; and

a link connecting said objective lens actuator with said objective lens for movement of said objective lens on said frame in accordance with preprogrammed instructions from said computer.

12. An apparatus as recited in claim 10 wherein said substantially constant force is in the approximate range of between zero and three hundred grams (0-300 gms).

13. An apparatus as recited in claim 10 wherein said compensating device is a spring.

14. An apparatus as recited in claim 10 further comprising suction means for holding said contact lens in engagement with the cornea of the eye.

15. An apparatus as recited in claim 14 wherein said frame is formed with an open channel having a first end and a second end, said second end of said channel being positioned in contact with the cornea of the eye when said contact lens is in contact with the cornea of the eye, and wherein said suction means comprises:

a device selectively operable for creating a partial vacuum; and

a tube connecting said vacuum creating device with said first end of said channel to establish a partial vacuum at said second end of said channel to hold the cornea of the eye against said contact lens.

16. A method for stabilizing the eye of a patient during ophthalmic laser surgery using an apparatus comprising a base, means slidably mounted on said base for supporting a contact lens, means mounted on said base and connected to said supporting means for generating a force against the supporting means to hold the contact lens against the eye, and means mounted on said supporting means for moving the focal point of a laser system along a preselected path relative to said contact lens;

the method comprising the steps of;

positioning the contact lens against the eye;

locating the objective lens of the laser system relative to the contact lens to establish a predetermined starting position for the focal point of the laser system; and

maneuvering the focal point of the laser system along the preselected path to perform the ophthalmic surgery.

17. A method as recited in claim 16 wherein the supporting means is a frame and the frame is formed with an open channel having a first end and a second end, the second end of the channel being positioned against the eye when the contact lens is in contact with the eye, and wherein the apparatus further includes a device selectively operable for creating a partial vacuum;

and the method further comprises the step of connecting a tube between the vacuum creating device and the first end of the channel to establish a partial vacuum at the second end of the channel to hold the eye against the contact lens.

18. A method as recited in claim 17 further comprising the step of generating a substantially constant force between the contact lens and the eye wherein the substantially constant force is in the approximate range of between zero and three hundred grams (0-300 gms).

19. A method as recited in claim 16 wherein the focal point is maneuvered along a preselected path for intrastromal photoablation.

20. A method as recited in claim 16 wherein the focal point is maneuvered along a preselected path for a phacoemulsification procedure.

21. A mechanism for stabilizing eye movement relative to the focal point of a laser beam during ophthalmic laser surgery which comprises:

a base;

a frame slidably mounted on said base and formed with an open channel having a first end and a second end, said second end of said channel being positionable against the eye;

means, mounted on said base and connected to said frame, for generating a force against said frame to hold said second end of said channel against the eye;

a device selectively operable for creating a partial vacuum;

a tube connecting said vacuum creating device with said first end of said channel to establish a partial vacuum at said second end of said channel to hold the eye against said frame; and

means mounted on said frame for moving said focal point along a preselected path relative to said frame to perform said surgery.