Laser eye surgery system calibration

• US 9,918,873 B2
• Filed: 10/08/2014
• Issued: 03/20/2018
• Est. Priority Date: 10/08/2013
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: OptiMedica Corporation (Johnson & Johnson)
• Inventors: Woodley, Bruce, Gonzalez, Javier
• Primary Examiner(s): Downey, John R
• Application Number:
  US14/509,850
• Publication Number:
  US 20150141972A1
• Time in Patent Office: 1,259 Days
• Field of Search: 606 4- 6
• CPC Class Codes: A61B 3/102 for optical coherence tomography [OCT]
• CPC Class Codes: A61F 2009/00851 Optical coherence topography [OCT]
• CPC Class Codes: A61F 2009/00855 Calibration of the laser system
• CPC Class Codes: A61F 2009/00882 based on topography
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00804 Refractive treatments
• CPC Class Codes: A61F 9/00827 Refractive correction, e.g. lenticle
• CPC Class Codes: A61F 9/0084 Laser features or special beam parameters therefor
• CPC Class Codes: G01B 9/02091 Tomographic interferometers, e.g. based on optical coherence

Abstract

A laser system is calibrated with a tomography system capable of measuring locations of structure within an optically transmissive material such as a tissue of an eye. Alternatively or in combination, the tomography system can be used to track the location of the eye and adjust the treatment in response to one or more of the location or an orientation of the eye. In many embodiments, in situ calibration and tracking of an optically transmissive tissue structure such as an eye can be provided. The optically transmissive material may comprise one or more optically transmissive structures of the eye, or a non-ocular optically transmissive material such as a calibration gel in a container or an optically transmissive material of a machined part.

Claims

1. A laser system to treat an eye with a laser beam, comprising:

a laser to generate the laser beam;

a tomography system to generate a measurement beam and measure at least one surface of the structure of the eye;

an optical delivery system coupled to the laser and the tomography system to deliver the laser beam and the measurement beam to the eye;

a memory storing therein a look-up table, the look-table including first data which maps locations within the eye to one or more control parameters for the laser, and further including second data which maps the locations within the eye to one or more control parameters for the tomography system; and

a processor coupled to the laser, the tomography system, and the optical delivery system, the processor comprising a tangible medium embodying instructions to;

in response to the first data in the look-up table, mark the eye at one or more mark locations corresponding to each of one or more target locations, the one or more target locations being disposed at of one or more of a cornea, an aqueous humor, an iris, an anterior lens capsule, an anterior lens capsule, a posterior lens capsule, a cortex, or a nucleus,

in response to the second data in the look-up table, measure with the measurement beam a measured location for each of the one or more marks, and

compare the corresponding target location with the measured location for each of the one or more marks in order to determine one or more of calibration of the laser system or eye position.

2. The laser system of claim 1, wherein the processor comprises instructions to mark the eye at a plurality of mark locations.

3. The laser system of claim 2, wherein the processor comprises instructions to mark the eye at the plurality of mark locations prior to incising the eye with a plurality of laser beam pulses to one or more of incise or treat the eye with the laser beam pulses.

4. The laser system of claim 2, wherein the plurality of marks define a volume and wherein laser beam pulses to incise the tissue are delivered at a plurality of locations within the volume.

5. The laser system of claim 4, wherein the processor comprises instructions to identify a corresponding target location for each of the plurality of marks measured with the tomography system and wherein the processor comprises instructions to compare the corresponding target location with the measured location for each of the plurality of marks in order to determine one or more of calibration or eye position.

6. The laser system of claim 4, wherein the volume comprises at least a portion of a tissue structure of the eye comprising one or more of a tear film, a cornea, an aqueous humor, an iris, an anterior lens capsule, the posterior lens capsule, a lens cortex, a lens nucleus, a vitreous humor, a Berger'"'"'s space, or an anterior hyaloid membrane of the vitreous humor.

7. The laser system of claim 6, wherein the tissue structure of the eye comprises a plurality of tissue structures, each of the plurality of tissue structures having a different index of refraction for the laser beam than another of the plurality of tissue structures, and wherein each tissue structure comprises a first index of refraction for the laser beam and a second index of refraction for a measurement beam of the tomography system, the first index of refraction different from the second index of refraction, and wherein the laser beam and measurement beam comprise one or more wavelengths of light different from each other.

12. The laser system of any one of the preceding claims, wherein the processor comprises instructions to track the object in response to the measured location of the mark.

13. The laser system of claim 12, wherein the processor comprises instructions to adjust positions of the laser beam pulses in response to a comparison of the corresponding target location with measured location for said each of the plurality of marks in order to track and correct for eye movement with the laser system.

14. The laser system of claim 13, wherein the location of each of the plurality of marks is compared with a prior location of said each of the plurality of marks in order to determine movement of the eye.

15. The laser system of claim 14, wherein the plurality of marks comprises three or more marks and wherein the movement of the eye comprises rotation of the eye around one or more dimensions of a coordinate reference system of the eye, and wherein the treatment is adjusted in response to translation along the one or more dimensions, and wherein the movement of the eye comprises translation of the eye along one or more dimensions of the coordinate reference system of the eye and wherein the treatment is adjusted in response to translation along the one or more dimensions.

16. The laser system of claim 15, wherein the one or more dimensions comprises three dimensions, and wherein the treatment is adjusted in response to rotation around the three dimensions and translation along the three dimensions and wherein the optically transmissive material comprises a plurality of optically transmissive structures having a plurality of indices of refraction and wherein positions of laser beam pulses to treat one or more of the optically transmissive structures are adjusted in response to locations of the optically transmissive structures having the plurality of indices of refraction.

17. The laser system of claim 16, wherein the processor comprises instructions to mark the material in each of the optically transmissive structures to define a volume comprising the plurality of optically transmissive structures having the plurality of indices of refraction.

18. The laser system of claim 16, wherein the processor comprises instructions to mark the material in a first of the optically transmissive structures and to adjust positions of the laser beam pulses for treatment in a second of the optically transmissive structures without placing marks for tracking in the second of the optically transmissive structures, the second of the plurality of optically transmissive structures comprising an index of refraction different than the index of refraction of the first of the optically transmissive structures.

19. The laser system of claim 1, wherein the processor comprises instructions to mark the material with one or more bubbles, and wherein the processor comprises instructions to correct for optical aberrations in response to locations of the one or more bubbles.

20. The laser system of claim 1, wherein the tomography system comprises one or more of an optical coherence tomography system, a spectral domain optical coherence tomography system, a time domain optical coherence tomography system, a Scheimpflug tomography system, a confocal tomography system, or a low coherence reflectometry system.

21. The laser system of claim 1, further comprising an acoustic transducer to detect optical breakdown in response to an amount of energy of the laser beam.

22. The laser system of claim 1, further comprising a video system configured to display an image of the eye, wherein the look-up table further comprises third data the locations within the eye to pixel locations of the image.

8. A laser system, comprising:

a laser to generate a laser beam;

a tomography system to generate a measurement beam and measure an optically transmissive material of an object selected from the group consisting of an eye, a fluid of a patient interface above the eye and a calibration apparatus comprising one or more structures similar to a structures of the eye;

an optical delivery system coupled to the laser and the tomography system to deliver the laser beam and the measurement beam to the object;

a memory storing therein a look-up table, the look-table including first data which maps locations within the object to one or more control parameters for the laser, and further including second data which maps the locations within the object to one or more control parameters for the tomography system; and

a processor coupled to the laser, the tomography system, and the optical delivery system, the processor comprising a tangible medium embodying instructions to;

in response to the first data in the look-up table, place a mark on the object with the laser beam in response to a target location and,

in response to the second data in the look-up table, measure a location of the mark with the measurement beam, and

compare the location of the mark with the target location and calibrate the laser in response to the location of the mark and the targeted location of the mark.

9. The laser system of claim 8, wherein the processor comprises instructions to perform in situ calibration to correct for drift of an optical delivery system to deliver the laser beam to the object.

10. The laser system of claim 8, wherein the processor comprises instructions to perform a daily calibration to correct for drift of an optical delivery system to deliver the laser beam to the object.

11. The laser system of claim 8, wherein the processor comprises instructions to adjust one or more machine parameters related to one or more of the laser, the optical delivery system, or the tomography system in response to a comparison of the corresponding target location with measured location for said each of the plurality of marks in order to calibrate the laser system.

23. The laser system of claim 8, further comprising a video system configured to display an image of the object, wherein the look-up table further comprises third data the locations within the object to pixel locations of the image.

24. A method of treating an eye with a laser beam with a laser system which includes a laser and a tomography system, the method comprising:

storing in a memory a look-up table, the look-table including first data which maps locations within the eye to one or more control parameters for the laser and further including second data which maps the locations within the eye to one or more control parameters for the tomography system;

generating the laser beam with the laser;

using the tomography system to generate a measurement beam and to measure at least one surface of a structure of the eye;

delivering the laser beam and the measurement beam to the eye via an optical delivery system coupled to the laser and the tomography system;

in response to the first data in the look-up table, marking the eye at one or more mark locations corresponding to each of one or more target locations, the one or more target locations being disposed at of one or more of a cornea, an aqueous humor, an iris, an anterior lens capsule, an anterior lens capsule, a posterior lens capsule, a cortex, or a nucleus;

in response to the second data on the look-up table, measuring with the measurement beam a measured location for each of the one or more marks; and

comparing the corresponding target location with the measured location for each of the one or more marks in order to determine one or more of calibration of the laser system or eye position.