Apparatus for creating incisions to improve intraocular lens placement

• US 8,518,026 B2
• Filed: 03/13/2008
• Issued: 08/27/2013
• Est. Priority Date: 03/13/2007
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: OptiMedica Corporation (Johnson & Johnson)
• Inventors: Culbertson, William, Blumenkranz, Mark, Angeley, David, Marcellino, George, Wiltberger, Michael, Andersen, Dan
• Primary Examiner(s): ROANE, AARON F
• Application Number:
  US12/048,182
• Publication Number:
  US 20080281413A1
• Time in Patent Office: 1,993 Days
• Field of Search: 606 2- 19
• US Class Current: 606/2
• CPC Class Codes: A61F 2/16 Intraocular lenses
• CPC Class Codes: A61F 2/1613 having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
• CPC Class Codes: A61F 2/1637 Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
• CPC Class Codes: A61F 2/1648 Multipart lenses
• CPC Class Codes: A61F 2/1662 Instruments for inserting intraocular lenses into the eye
• CPC Class Codes: A61F 2002/1683 having filiform haptics
• CPC Class Codes: A61F 2002/16901 Supporting structure conforms to shape of capsular bag
• CPC Class Codes: A61F 2009/00859 considering nomograms
• CPC Class Codes: A61F 2009/0087 Lens
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 2009/0088 based on wavefront
• CPC Class Codes: A61F 2009/00887 Cataract
• CPC Class Codes: A61F 2009/00897 Scanning mechanisms or algorithms
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 9/00 Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand caps with means for protecting the eyes A42B1/018; visors for helmets A42B3/22; retractors A61B17/02; manipulators specially adapted for use in surgery A61B34/70; appliances to aid invalids to move about A61H3/00; exercisers for the eyes A61H5/00; eye baths A61H35/02; sunglasses or goggles having the same features as spectacles G02C
• CPC Class Codes: A61F 9/00754 for cutting or perforating the anterior lens capsule, e.g. capsulotomes
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00812 Inlays; Onlays; Intraocular lenses [IOL]
• 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 and method for inserting an intraocular lens in a patient'"'"'s eye includes a light source for generating a light beam, a scanner for deflecting the light beam to form an enclosed treatment pattern that includes a registration feature, and a delivery system for delivering the enclosed treatment pattern to target tissue in the patient'"'"'s eye to form an enclosed incision therein having the registration feature. An intraocular lens is placed within the enclosed incision, wherein the intraocular lens has a registration feature that engages with the registration feature of the enclosed incision. Alternately, the scanner can make a separate registration incision for a post that is connected to the intraocular lens via a strut member.

Claims

1. A system for treating a lesion on target eye tissue, comprising:

a. a light source for producing a laser beam;

b. one or more scanning elements configured to direct a focal point of a laser beam produced by the light source to various portions of a lens capsule of an eye of a patient; and

c. a controller operatively coupled to the light source and to the one or more scanning elements, wherein the controller is programmed to operate the one or more scanning elements to cause a laser beam produced by the light source to create a capsulotomy and at least one intraocular lens registration feature within a lens capsule of a patient'"'"'s eye, wherein the at least one intraocular lens registration feature comprises a feature created within the lens capsule that is discrete from the capsulotomy.

2. The system of claim 1, wherein the capsulotomy and the at least one intraocular lens registration feature are entirely non-contiguous.

3. The system of claim 1, wherein the at least one intraocular lens registration feature comprises a feature created within the lens capsule that is contiguous with at least a portion of the capsulotomy.

4. The system of claim 3, wherein the at least one lens registration feature comprises a notch or protrusion adjacent a portion of the capsulotomy.

5. The system of claim 1, wherein the light source is a pulsed laser.

6. The system of claim 5, wherein the laser beam has a pulse width of between about 100 femtoseconds and about 10,000 femtoseconds.

7. The system of claim 1, wherein the light source produces a laser beam having a wavelength between about 1,010 nanometers and about 1,100 nanometers.

8. The system of claim 1, wherein the various portions of the lens capsule of the patient'"'"'s eye are selected from the group consisting of an anterior capsular portion and a posterior capsular portion.

9. The system of claim 1, further comprising an optical system configured to acquire image information regarding one or more structures of the eye.

10. The system of claim 9, wherein the one or more structures of the eye are selected from the group consisting of:

a cornea, an iris, a lens capsule, and a crystalline lens.

11. The system of claim 9, wherein the image information is selected from the group consisting of:

position information, shape information, and size information of the one or more structures of the eye.

12. The system of claim 9, wherein the optical system comprises a component selected from the group consisting of:

an optical coherence tomography system, a Purkinje imaging system, a Scheimpflug imaging system, and a camera.

13. The system of claim 1, wherein the controller is programmed to create the capsulotomy to have a shape selected from the group consisting of:

a substantially circular shape, a substantially elliptical shape, and a partially circular shape having a noncircular portion.

14. The system of claim 1, wherein the controller is programmed to create the capsulotomy to have a shape configured to interface with a flange of an intraocular lens.

15. The system of claim 1, wherein the discrete feature comprises a substantially circular shape smaller in size than the capsulotomy.

16. The system of claim 1, wherein the discrete feature comprises two or more shapes discrete from the capsulotomy.

17. The system of claim 1, wherein the controller is programmed to create the respective capsulotomy and intraocular lens registration feature by creating one or more incisions with the laser beam.

18. The system of claim 17, wherein the controller is programmed to create at least a portion of the one or more incisions using a continuous pattern.

19. The system of claim 17, wherein the controller is programmed to create at least a portion of the one or more incisions using a discontinuous pattern.

20. The system of claim 17, wherein the controller is programmed to receive user input data and to thereafter automatically operate the one or more scanning elements based at least in part on the received user input data.

21. A system for surgery on a tissue of a patient'"'"'s eye, comprising:

a. an imaging system for generating image data of a patient'"'"'s lens;

b. a light source for producing a laser beam;

c. one or more scanning elements for directing a focal point of a laser beam produced by the light source to various portions of a lens capsule of an eye of a patient; and

d. a controller operatively coupled to the imaging assembly, the light source and the one or more scanning elements, wherein the controller is programmed to operate the imaging system so as to acquire image data of the patient'"'"'s lens; and

operate the one or more scanning elements to guide a laser beam produced by the light source based at least in part on the image data so as to create within an anterior lens capsule of a patient'"'"'s eye (1) a capsulotomy and (2) an intraocular lens registration feature that is discrete from the capsulotomy.

22. A system for surgery on a tissue of a patient'"'"'s eye, comprising:

a. a light source for producing a laser beam;

b. one or more scanning elements for directing a focal point of a laser beam produced by the light source to various portions of a lens capsule of an eye of a patient; and

c. a controller operatively coupled to the light source and to the one or more scanning elements, wherein the controller is programmed to operate the one or more scanning elements to cause a laser beam produced by the light source to create within an anterior lens capsule of a patient'"'"'s eye (1) a capsulotomy incision and (2) an intraocular lens registration incision that is separate and distinct from the capsulotomy incision.