Method and system for ablating surfaces with partially overlapping craters having consistent curvature

• US 6,497,701 B2
• Filed: 04/30/1999
• Issued: 12/24/2002
• Est. Priority Date: 04/30/1999
• Status: Expired due to Term

• Current Assignee: Amo Manufacturing Usa, Llc (Johnson & Johnson)
• Original Assignee: VISX Incorporated (Johnson & Johnson)
• Inventors: Yee, Kingman, Koons, Stephen J., Shimmick, John Karl, Caudle, George
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): FARAH, AHMED M
• Application Number:
  US09/303,810
• Publication Number:
  US 20020151878A1
• Time in Patent Office: 1,334 Days
• Field of Search: 606/4-6, 606/11-13, 606/16-19, 364/474.08, 351/200-215, 351/220, 351/221, 351/237, 351/246, 128/898
• US Class Current: 606/5
• CPC Class Codes: A61B 2018/20351 Scanning mechanisms
• CPC Class Codes: A61B 2018/20355 Special scanning path or conditions, e.g. spiral, raster or providing spot overlap
• CPC Class Codes: A61B 2018/207 mixing two wavelengths
• CPC Class Codes: A61F 2009/00846 Eyetracking
• 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

A technique for laser sculpting a predetermined shape on an exposed corneal surface by ablating a sequence of consistently curved craters with individual pulses of a laser beam. An initial laser beam energy pattern is shaped by a laser beam shaping element to make a consistently curved laser beam energy pattern. The consistently curved laser beam ablates a consistently curved crater in the surface with a single pulse of the laser beam. A computer controls the position of the laser beam and scans the laser beam over the surface to sculpt the predetermined shape in an ablation zone on the exposed surface. A sequence of partially overlapping craters is distributed over the ablation zone. In some embodiments diffractive optics are used as a beam shaping element. In additional embodiments, the consistently curved crater is a uniformly curved spherical crater.

Claims

1. A method of sculpting a region on a surface of a tissue with a pulsed energy beam to effect a predetermined change in overall shape, the method comprising:

directing a pulsed beam of an ablative energy toward the tissue surface;

ablating a plurality of craters in the pulsed beam, wherein each pulse of the beam ablates a single associated crater having an associated crater surface extending distribution profile adjacent the tissue surface so that the associated crater surface has a consistent curvature and ablating the associated shape from a flat surface would provide a negative optical power over most of the associated crater surface; and

scanning the beam over the region to effect the predetermined change in overall shape in the region by partially overlapping the plurality of consistently curved craters.

2. The method of claim 1 wherein the ablating step is performed so that a dimension across each crater is about 5 to 80% of a dimension across the region.

3. The method of claim 2 wherein the ablating step is performed so that the consistent curvature of the crater is substantially uniform and spherical, and the dimension across the craters is substantially uniform.

4. The method of claim 1 wherein the beam is a laser beam, the method further comprising shaping the energy distribution profile of the laser beam with a beam shaping element.

5. The method of claim 4 wherein the shaping step further comprises diffracting the laser beam with a diffracting element.

6. The method of claim 5 wherein the diffracting step further comprises changing an amplitude of the beam with the diffracting element.

7. The method of claim 6 wherein the diffracting step further comprises changing a phase of the beam with the diffracting element.

8. The method of claim 7 wherein the diffracting step further comprises transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element.

9. The method of claim 7 wherein the diffracting step further comprises reflecting the beam off a surface of the diffracting element to form the shaped beam with a portion of the beam reflected off the element.

10. The method of claim 4 wherein the shaping step further comprises reflecting the beam with an angle varying reflecting element.

11. The method of claim 4 wherein the shaping step further comprises refracting the beam with an angle varying refracting element.

12. The method of claim 4 wherein the shaping step further comprises transmitting the beam through a material that variably transmits the laser beam.

13. The method of claim 4 wherein the shaping step further comprises reflecting the beam off a surface that variably reflects the laser beam.

14. The method of claim 4 further comprising deflecting the beam with an optical element selected from the group consisting of lenses, prisms and mirrors.

15. The method of claim 4 further comprising restricting a cross sectional area of the beam by transmitting the beam through an aperture formed of a non-transmitting material that blocks a portion of the beam.

16. The method of claim 15 further comprising forming an image of the restricted beam near the region.

17. The method of claim 4 further comprising rotating the laser beam shaping element between pulses of the laser beam.

18. The method of claim 1 wherein together the craters increase the overall optical power of the region.

19. A laser system for sculpting an ablated region on a surface of a tissue, the tissue having a threshold of ablation, the system comprising:

a laser for making a pulsed beam of a ablative laser energy;

a beam energy shaping element disposed in a path of the pulsed beam, the shaping element changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a consistently curved laser beam energy distribution pattern above the threshold of ablation, the energy pattern creating a consistently curved crater depth profile on the surface of the tissue with each pulse, a majority of the crater depth profile having a concave surface; and

,

a scanning element for moving the shaped beam over the region to sculpt the region with a plurality of partially overlapping pulses of the ablative energy.

20. The laser system of claim 19 wherein the consistently curved beam pattern is a substantially spherical pattern.

21. The laser system of claim 19 wherein the consistently curved beam pattern is an aspheric pattern.

22. The laser system of claim 19 wherein a central portion of the consistently curved beam pattern has a higher intensity than a spherical pattern.

23. The laser system of claim 19 wherein the scanning element comprises an optical element selected from the group consisting of lenses, prisms and mirrors.

24. The laser system of claim 19 wherein the beam shaping element comprises an element selected from the group consisting of phase modulating transmitting diffractive optics, amplitude modulating transmitting diffractive optics, phase modulating reflecting diffractive optics, amplitude modulating reflecting diffractive optics, lenses, prisms, aspheric optics, mirrors, intensity grading transmitting optics and intensity grading reflecting optics.

25. The laser system of claim 19 wherein the beam shaping element comprises a partially absorbing material.

26. The laser system of claim 19 wherein the shaped beam further comprises a boundary enclosing the consistently curved pattern, an intensity of the beam adjacent the boundary is in a range from about 100 to about 150% of the threshold of ablation.

27. The laser system of claim 26 wherein the intensity of the beam adjacent the boundary is less than about 125% of the threshold of ablation.

28. The laser system of claim 27 wherein the intensity of the beam adjacent the boundary is less than about 110% of the threshold of ablation.

29. The laser system of claim 19 further comprising a computer coupled to the scanning element so as to control a position of the beam over the region according to a coordinate reference stored in the computer.

30. The laser system of claim 29 wherein the coordinate reference partially overlaps the consistently curved pattern among the pulses of the plurality.

31. The laser system of claim 19 further comprising an aperture formed in a non-transmitting material for restricting a cross sectional area of the beam by passing the beam through the aperture.

32. The laser system of claim 31 further comprising an imaging lens for forming an image of the beam passing through the aperture, the image being formed near the ablated region.

36. The method of claim 19 wherein together the craters increase the overall optical power of the region.

38. The method of claim 20 wherein together the craters increase the overall optical power of the region.

33. A method of sculpting a region on a tissue surface with a pulsed laser beam to shape the region to a predetermined shape, the method comprising:

making a pulsed beam of an ablative energy;

shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;

restricting a cross sectional area of the beam;

forming an image of the restricted beam near the region;

ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam wherein the substantially uniform curvature comprises a crater shape having a negative optical power with a substantially constant magnitude, a dimension across the crater being about 5 to 80% of a dimension across the region;

deflecting the beam;

rotating the laser beam shaping element between pulses of the laser beam; and

,

scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the sequence of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.

34. The method of claim 33 wherein together the craters increase the overall optical power of the region.

35. A method of sculpting an ablated region on an exposed corneal surface with a pulsed energy beam to shape the region to a predetermined shape, the method comprising:

making a pulsed beam of an ablative energy, each pulse of the beam having an energy distribution profile at the corneal surface;

ablating a crater in the corneal surface with a single pulse of the beam, wherein the crater has a crater surface extending along the corneal surface which reflects the energy distribution profile, and wherein the crater has a consistent curvature comprising a concave shape over the majority of the crater surface when ablated in a flat surface; and

,

scanning the beam over the region to form the predetermined shape in the region by partially overlapping a plurality of the consistently curved craters, the plurality of craters being distributed over the region to cover a dimension across the region.

37. A method of sculpting an ablated region on an exposed corneal surface with a pulsed laser beam to shape the region to a predetermined curved shape, the method comprising:

making a pulsed beam of an ablative energy, the beam having an energy distribution profile;

shaping the laser beam with a beam shaping element by diffracting the laser beam with a diffracting element and changing a phase of the beam with the diffracting element by transmitting the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element;

restricting a cross sectional area of the beam by transmitting the beam through an aperture formed in a non-transmitting material that blocks a portion of the beam;

forming an image of the restricted beam near the region;

ablating a crater having a substantially uniform curvature in the tissue with a single pulse of the beam, wherein the substantially uniform curvature comprises a negative optical power with a substantially constant magnitude, a dimension across the crater being about 5 to 80% of a dimension across the region;

deflecting the beam with an optical element selected from the group consisting of lenses, prisms and mirrors;

rotating the laser beam shaping element between pulses of the laser beam to average the shaped beam; and

,

scanning the beam over the region to form the shape in the region by partially overlapping a sequence of uniformly curved craters, the plurality of craters being distributed over the region to cover a dimension across the region and the dimension across the craters being substantially uniform among the craters of the sequence.

39. A laser system for sculpting an ablated region on an exposed surface of a cornea to a predetermined curved shape, the cornea having a threshold of ablation, the system comprising:

a pulsed laser for making a pulsed beam of an ablative laser energy;

a laser beam shaping element for changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a substantially spherical laser beam energy distribution pattern with a region of the substantially spherical pattern above the threshold of ablation so as to create a consistently curved crater having a crater shape with a consistent radius of curvature providing negative optical power over substantially the ablated crater surface;

a boundary enclosing the above threshold region and an intensity of the beam around the boundary being a proportion of the threshold of ablation, the proportion being in a range of 100 to 110%;

an aperture formed in a non-transmitting material for restricting a cross sectional area of the beam by passing the beam through the aperture;

an imaging lens for forming an image of the beam passing through the aperture, the image being formed near the ablated region;

a scanning element for moving the shaped beam over the region to sculpt the region to the shape with a sequence of partially overlapping pulses of the ablative energy wherein the scanning element comprises an optical element selected from the group consisting of lenses prisms and mirrors; and

,

a computer for controlling a position of the beam over the region according to a coordinate reference stored in the computer, the coordinate reference partially overlapping the consistently curved pattern among the pulses of the sequence.

40. A method of sculpting a region an a surface of a tissue with a pulsed energy beam to effect a predetermined change in overall shape, the method comprising:

directing a pulsed laser beam toward the tissue surface;

shaping the pulsed laser beam with a diffracting element to create an energy distribution profile, wherein each pulse of the beam ablates a single associated crater having an associated crater surface extending along the tissue surface and an associated crater shape, each pulse having the energy distribution profile adjacent the tissue surface so that the associated crater surface has a consistent curvature and ablating the associated shape from a flat surface would provide a negative optical power over most of the associated crater surface,

ablating a plurality of consisting curved craters in the tissue with the energy distribution profile of pulsed beam; and

scanning the beam over the region to effect the predetermined change in overall shape in the region by partially overlapping the plurality of consistently curved craters.

41. The method of claim 40, wherein the shaping step further comprises changing an amplitude of the beam with the diffracting element.

42. The method of claim 41, wherein the shaping step further comprises changing a phase of the beam with the diffracting element.

43. A laser system for sculpting an ablated region on a surface of a tissue, the tissue having a threshold of ablation, the system comprising:

a laser for making a pulsed beam of an ablative laser energy;

a diffractive optical element disposed in a path of the pulsed beam, the element changing a laser beam energy pattern of the pulsed beam to a shaped beam, the shaped beam comprising a consistently curved laser beam energy distribution pattern above the threshold of ablation, the energy pattern creating a consistently curved crater depth profile on the surface of the tissue with each pulse, a majority of the crater depth profile having a concave surface; and

,

a scanning element for moving the shaped beam over the region to sculpt the region with a plurality of partially overlapping pulses of the ablative energy.

44. The system of claim 43, wherein the diffracting optical element changes a phase of the beam.

45. The system of claim 43, wherein the diffracting optical element changes an amplitude of the beam.

46. The system of claim 45 or 44, wherein the diffracting optical element is configured to transmit the beam through the diffracting element to form the shaped beam with a portion of the beam passing through the element.

47. The system of claim 45 or 44, wherein the diffracting optical element is configured to reflect the beam off a surface of the diffracting element