Ophthalmic laser apparatus, system, and method with high resolution imaging

• US 9,844,463 B2
• Filed: 04/01/2009
• Issued: 12/19/2017
• Est. Priority Date: 04/01/2008
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: AMO Development LLC (Johnson & Johnson)
• Inventors: Watanabe, Keith, Buck, Jesse, Holland, Guy V., Brownell, Michael, Doushkina, Valentina
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US12/416,355
• Publication Number:
  US 20090247997A1
• Time in Patent Office: 3,184 Days
• Field of Search: 606 4, 606 5, 606 1, 351206, 372 23, 2191216
• CPC Class Codes: A61F 2009/00844 Feedback systems
• CPC Class Codes: A61F 2009/00846 Eyetracking
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 2009/0088 based on wavefront
• CPC Class Codes: A61F 2009/00882 based on topography
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00827 Refractive correction, e.g. lenticle
• CPC Class Codes: A61F 9/00829 Correction of higher orders
• CPC Class Codes: A61F 9/00831 Transplantation
• CPC Class Codes: A61F 9/00834 Inlays; Onlays; Intraocular lenses [IOL]
• CPC Class Codes: A61F 9/00836 Flap cutting

Abstract

System and method of photoaltering a region of an eye using a high resolution digital image of the eye. The system includes a laser assembly for outputting a pulsed laser beam, an imaging system for capturing a real-time high resolution digital image of the eye and displaying the digital image of the eye, a user interface receiving at least one laser parameter input, and a controller coupled to the laser assembly, imaging system, and user interface. The controller directs the laser assembly to output the pulsed laser beam to the region of the eye based on the laser parameter input.

Claims

1. A system for photoaltering a region of an eye, the system comprising:

a laser assembly that outputs a non-ultraviolet, ultrashort pulsed laser beam;

a controller coupled to the laser assembly programmed to perform operations of directing the laser assembly to output the pulsed laser beam to the region of the eye;

an imaging system to which the controller is coupled, comprising;

an image sensor capturing a high resolution first real-time digital image of the eye having a first resolution and a frame rate of at least about 20 frames per second; and

an imaging system monitor displaying a second real-time digital image of the eye based on the high resolution first real-time digital image of the eye, the second real-time digital image having a second resolution that is less than the first resolution, wherein the controller produces the second real-time digital image of the eye via a compression of the first real-time digital image of the eye and outputs the second real-time digital image of the eye to the imaging system monitor to be continuously displayed; and

a user interface to which the controller is coupled, the user interface having a touch-sensitive monitor for displaying digital video received from the controller, and a plurality of laser operating parameters and controls, wherein the touch-sensitive monitor of the user interface and the imaging system monitor are separate monitors for displaying respective images,

wherein the controller is further programmed to produce a third real-time digital image of the eye selected from either the first real-time digital image of the eye or the second real-time digital image of the eye and output the third real-time digital image of the eye to and display it on the touch-sensitive monitor of the user interface, and respond to operator input of the laser operating controls after display of the third real-time digital image of the eye.

2. The system of claim 1, wherein the laser assembly produces the pulsed laser beam with a pulse repetition rate of about 150 kHz.

3. The system of claim 1, wherein the first resolution is about 2 megapixels or greater.

4. The system of claim 3, wherein the first resolution is 1624×

1224.

5. The system of claim 3, wherein the second resolution is 1024×

768.

6. The system of claim 1, wherein the second resolution is 1024×

768.

7. The system of claim 1, wherein the controller is further programmed to alters an intensity or a brightness of the first real-time digital image of the eye to enhance contrast between lower intensity or lower brightness levels in response to at least one imaging parameter input.

8. The system of claim 1, wherein the imaging system monitor is a moveable monitor.

9. The system of claim 1, wherein the imaging system comprises:

a digital camera for capturing the high resolution first real-time digital image of the eye;

the imaging system monitor is a touch-sensitive monitor for displaying the second real-time digital image of the eye; and

a processor coupled to the digital camera and the imaging system monitor for displaying a graphical user interface on the imaging system monitor.

10. The system of claim 9, wherein the graphical user interface comprises at least one button corresponding to a pre-determined focal setting, and wherein the processor further controls a focal depth of the digital camera based on a selection of the at least one button.

11. The system of claim 10, wherein the pre-determined focal setting is selected from a group consisting of a bubble layer focal setting, a corneal surface focal setting, an iris focal setting, and a pre-determined demagnification setting.

12. The system of claim 9, wherein the graphical user interface comprises a button, wherein the processor stores a data file based on the high resolution first real-time digital image of the eye upon selection of the button.

13. The system of claim 12, wherein the data file represents a video based on the high resolution first real-time first digital image of the eye.