Laser eye surgery system calibration

• US 10,251,784 B2
• Filed: 03/16/2018
• Issued: 04/09/2019
• 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:
  US15/924,121
• Publication Number:
  US 20180207031A1
• Time in Patent Office: 389 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 method for treating an eye with a laser beam, comprising:

providing a laser configured to generating the laser beam;

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

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

storing in a memory a look-up table, the look-up 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;

by a processor coupled to the memory, in response to the first data in the look-up table, controlling the laser and the optical delivery system to deliver the laser beam to the eye to 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 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;

by the processor, in response to the second data in the look-up table, controlling the tomography system and the optical delivery system to measure with the measurement beam a measured location for each of the one or more marks;

comparing the corresponding target location with the measured location for each of the one or more marks to determine a system specific correction of the look-up table; and

by the processor, in response to the corrected look-up table, controlling the laser and the optical delivery system to deliver the laser beam to the eye to incise or treat the eye.

2. The method of claim 1, wherein the step of controlling the laser and the optical delivery system to deliver the laser beam to the eye to mark the eye comprises marking the eye at a plurality of mark locations.

3. The method of claim 1, wherein the plurality of marks define a volume and wherein laser beam pulses to incise or treat the eye are delivered at a plurality of locations within the volume.

4. The method of claim 3, further comprising, prior to the comparing step, identifying a corresponding target location for each of the plurality of marks measured with the tomography system.

5. The method of claim 3, 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.

6. The method of claim 5, 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.

7. The method 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.

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

9. A method for calibrating a laser system, comprising:

providing a laser configured to generate a laser beam;

providing a tomography system configured to generate a measurement beam and measure an optically transmissive material of an object;

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

storing in a memory a look-up table, the look-up 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;

by a processor coupled to the memory, in response to the first data in the look-up table, controlling the laser and the optical delivery system to place one or more marks on the object with the laser beam at one or more mark locations corresponding to one or more target locations;

by a processor coupled to the memory, in response to the second data in the look-up table, controlling the tomography system and the optical delivery system to measure one or more locations of the mark with the measurement beam; and

comparing the measured locations of the one or more marks with the target locations to calibrate the laser system.

10. The method of claim 9, wherein the object is a calibration apparatus for in situ calibration, and wherein the calibration corrects for drift of the optical delivery system.

11. The method of claim 9, wherein the object is the eye and the one or more marks comprise a plurality of marks, the method further comprising adjusting positions of the laser beam pulses in response to the comparison of the corresponding target locations with the measured locations for each of the plurality of marks to track and correct for eye movement with the laser system.

12. The method of claim 11, further comprising:

controlling the tomography system and the optical delivery system to re-measure a plurality of locations of the mark with the measurement beam; and

comparing the re-measure location of each of the plurality of marks with prior measured location of said each of the plurality of marks to determine movement of the eye.

13. The method of claim 12, 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 translation of the eye along one or more dimensions of the coordinate reference system of the eye,

the method further comprising adjusting a treatment pattern of the laser beam pulses in response to the rotation and translation of the eye.

14. The method of claim 13, 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.

15. The method of claim 14, wherein the plurality of marks mark a 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.

16. The method of claim 14, wherein the plurality of marks mark a material in a first of the optically transmissive structures, the method further comprising adjusting 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.

17. The method of claim 9, wherein the object is a calibration apparatus, the method further comprising using an acoustic transducer to detect optical breakdown in response to an amount of energy of the laser beam.

18. The method of claim 9, further comprising providing a video system configured to display an image of the eye, wherein the look-up table further comprises third data mapping the locations within the eye to pixel locations of the image.