Laser eye surgery system

• US 9,445,946 B2
• Filed: 10/31/2013
• Issued: 09/20/2016
• Est. Priority Date: 11/02/2012
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: OptiMedica Corporation (Johnson & Johnson)
• Inventors: Angeley, David, Wang, Zhao
• Primary Examiner(s): Crandall, Lynsey
• Assistant Examiner(s): Baldwin, Nathan A
• Application Number:
  US14/069,042
• Publication Number:
  US 20140163534A1
• Time in Patent Office: 1,055 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 3/102 for optical coherence tomography [OCT]
• CPC Class Codes: A61F 2009/00846 Eyetracking
• CPC Class Codes: A61F 2009/00851 Optical coherence topography [OCT]
• CPC Class Codes: A61F 2009/0087 Lens
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 2009/00889 Capsulotomy
• CPC Class Codes: A61F 9/00825 for photodisruption

Abstract

A laser eye surgery system includes a laser source, a ranging subsystem, an integrated optical subsystem, and a patient interface assembly. The laser source produces a treatment beam that includes a plurality of laser pulses. The ranging subsystem produces a source beam used to locate one or more structures of an eye. The ranging subsystem includes an optical coherence tomography (OCT) pickoff assembly that includes a first optical wedge and a second optical wedge separated from the first optical wedge. The OCT pickoff assembly is configured to divide an OCT source beam into a sample beam and a reference beam. The integrated optical subsystem is used to scan the treatment beam and the sample beam. The patient interface assembly couples the eye with the integrated optical subsystem so as to constrain the eye relative to the integrated optical subsystem.

Claims

1. A laser eye surgery system, comprising:

a laser source configured to produce a treatment beam that includes a plurality of laser pulses;

a ranging subsystem configured to produce a source beam used to locate one or more structures of an eye, the ranging subsystem includes an optical coherence tomography (OCT) pickoff assembly that includes a first optical wedge and a second optical wedge separated from the first optical wedge, the (OCT) pickoff assembly being configured to divide the source beam into a sample beam and a reference beam;

an integrated optical subsystem configured to receive the treatment beam, direct the treatment beam to selected treatment locations within the eye so as to incise tissue at the selected treatment locations, receive the sample beam, direct the sample beam to selected measurement locations within the eye, and transmit return portions of the sample beam from the selected measurement locations back to the ranging subsystem for processing by the ranging subsystem; and

a patient interface assembly configured to couple the eye with the integrated optical subsystem so as to constrain the eye relative to the integrated optical subsystem,

wherein;

each of the first and second optical wedges having non-parallel anterior and posterior surfaces;

the source beam propagates through the first optical wedge and into the second optical wedge;

the second optical wedge posterior surface is partially reflective so as to divide the source beam into a sample beam and a reference beam;

the sample beam propagates out of the second optical wedge through the posterior surface;

the reference beam propagates out of the second optical wedge through the anterior surface and propagates back through the first optical wedge and along a reference optical path;

the first and second optical wedges have a same wedge angle and are arranged such that the wedge angles are opposing; and

the OCT pickoff assembly is configured to have angles of incidence at all surfaces such that the OCT pickoff assembly is substantially polarization insensitive.

2. The system of claim 1, wherein the patient interface assembly includes a patient interface lens having a posterior surface spaced from the eye when the patient interface assembly couples the eye with the integrated optical subsystem.

3. The system of claim 2, wherein:

the patient interface assembly is configured to accommodate a volume of fluid interfaced with both the patient interface lens posterior surface and the eye; and

the patient interface assembly is configured to demountably couple with the integrated optical subsystem to enable replacement of the patient interface assembly between treatments.

4. The system of claim 2, wherein:

the patient interface lens has an anterior surface disposed between the patient interface lens posterior surface and the integrated optical subsystem;

the ranging subsystem is used to locate the patient interface lens anterior surface and the patient interface lens posterior surface relative to the ranging subsystem; and

the integrated optical subsystem is controlled in part based on the locations of the patient interface lens anterior and posterior surfaces so as to direct the treatment beam to selected treatment locations within the eye to incise tissue at the selected treatment locations and/or direct the sample beam to selected measurement locations within the eye.

5. The system of claim 1, wherein:

a returning portion of the sample beam is at least one of retro-reflected or scattered back through the second optical wedge;

the sample beam returning portion propagates back through the first optical wedge;

the reference beam propagates back into the second optical wedge through the anterior surface;

a reflected portion of the reference beam is reflected by the second optical wedge posterior surface; and

the reference beam reflected portion propagates out of the second optical wedge through the anterior surface and propagates through the first optical wedge.

6. The system of claim 1, wherein the wedge angle of the first and second optical wedges is in a range from 3 degrees to 10 degrees.

7. The system of claim 6, wherein the wedge angle of the first and second optical wedges is in a range from 5 degrees to 7 degrees.

8. The system of claim 1, wherein the first and second optical wedges are made from the same material having a refractive index of greater than 1.50 with respect to the source beam.

9. The system of claim 8, wherein the refractive index is greater than 1.70 with respect to the source beam.

10. The system of claim 9, wherein:

the first optical wedge anterior and posterior surfaces have an anti-reflection coating;

the second optical wedge anterior surface has the anti-reflection coating; and

the second optical wedge posterior surface is uncoated.

11. The system of claim 10, wherein the anti-reflection coating is magnesium fluoride (MgF₂).

12. The system of claim 1, wherein the source beam has an angle of incidence on the second optical wedge posterior surface of less than 25 degrees.

13. The system of claim 12, wherein the angle of incidence is less than 15 degrees.

14. The system of claim 1, wherein the second optical wedge anterior surface and the first optical wedge posterior surface deviate from parallel by 0.25 degrees to 3.0 degrees to inhibit etalon effects.

15. A laser eye surgery system, comprising:

a laser source configured to produce a treatment beam that includes a plurality of laser pulses;

a ranging subsystem configured to produce a source beam used to locate one or more structures of an eye, the ranging subsystem includes an optical coherence tomography (OCT) pickoff assembly that includes a first optical wedge and a second optical wedge separated from the first optical wedge, the (OCT) pickoff assembly being configured to divide the source beam into a sample beam and a reference beam;

an integrated optical subsystem configured to receive the treatment beam, direct the treatment beam to selected treatment locations within the eye so as to incise tissue at the selected treatment locations, receive the sample beam, direct the sample beam to selected measurement locations within the eye, and transmit return portions of the sample beam from the selected measurement locations back to the ranging subsystem for processing by the ranging subsystem; and

a patient interface assembly configured to couple the eye with the integrated optical subsystem so as to constrain the eye relative to the integrated optical subsystem,

wherein;

each of the first and second optical wedges having non-parallel anterior and posterior surfaces;

the source beam propagates through the first optical wedge and into the second optical wedge;

the second optical wedge posterior surface is partially reflective so as to divide the source beam into a sample beam and a reference beam;

the sample beam propagates out of the second optical wedge through the posterior surface;

the reference beam propagates out of the second optical wedge through the anterior surface and propagates back through the first optical wedge and along a reference optical path;

the first and second optical wedges have a same wedge angle and are arranged such that the wedge angles are opposing; and

the first and second optical wedges are separated by a distance greater than a detection range of the ranging subsystem to inhibit etalon effects.

16. The system of claim 15, wherein the second optical wedge anterior surface and the first optical wedge posterior surface deviate from parallel by 0.50 degrees to 1.5 degrees to inhibit etalon effects.

17. A laser eye surgery system, comprising:

a laser source configured to produce a treatment beam that includes a plurality of laser pulses;

a ranging subsystem configured to produce a source beam used to locate one or more structures of an eye, the ranging subsystem includes an optical coherence tomography (OCT) pickoff assembly that includes a first optical wedge and a second optical wedge separated from the first optical wedge, the (OCT) pickoff assembly being configured to divide the source beam into a sample beam and a reference beam;

an integrated optical subsystem configured to receive the treatment beam, direct the treatment beam to selected treatment locations within the eye so as to incise tissue at the selected treatment locations, receive the sample beam, direct the sample beam to selected measurement locations within the eye, and transmit return portions of the sample beam from the selected measurement locations back to the ranging subsystem for processing by the ranging subsystem; and

a patient interface assembly configured to couple the eye with the integrated optical subsystem so as to constrain the eye relative to the integrated optical subsystem,

wherein;

each of the first and second optical wedges having non-parallel anterior and posterior surfaces;

the source beam propagates through the first optical wedge and into the second optical wedge;

the second optical wedge posterior surface is partially reflective so as to divide the source beam into a sample beam and a reference beam;

the sample beam propagates out of the second optical wedge through the posterior surface;

the reference beam propagates out of the second optical wedge through the anterior surface and propagates back through the first optical wedge and along a reference optical path;

the first and second optical wedges have a same wedge angle and are arranged such that the wedge angles are opposing; and

the second optical wedge posterior surface is uncoated and the second optical wedge anterior surface and the first optical wedge posterior surface are non-parallel to inhibit etalon effects.