Intraocular lens alignment using corneal center

• US 8,529,060 B2
• Filed: 02/15/2010
• Issued: 09/10/2013
• Est. Priority Date: 02/19/2009
• Status: Active Grant

• Current Assignee: Alcon Research, LLC (Alcon Incorporated)
• Original Assignee: Alcon Research Limited (Nestle SA)
• Inventors: Levis, Ilias, Talamo, Jonathan H.
• Primary Examiner(s): DANG, HUNG XUAN
• Application Number:
  US12/705,847
• Publication Number:
  US 20100208200A1
• Time in Patent Office: 1,303 Days
• Field of Search: 351/204, 351/205, 351/208, 351/209, 351/246
• US Class Current: 351/204
• CPC Class Codes: A61B 3/0025 characterised by electronic signal processing, e.g. eye models
• CPC Class Codes: A61B 3/0041 characterised by display arrangements
• CPC Class Codes: A61B 3/0058 for multiple images
• CPC Class Codes: A61F 2/16 Intraocular lenses
• CPC Class Codes: A61F 2/1645 Toric lenses
• CPC Class Codes: A61F 2/1662 Instruments for inserting intraocular lenses into the eye
• CPC Class Codes: A61F 9/0008 Introducing ophthalmic products into the ocular cavity or retaining products therein putting in contact lenses A61F9/0061; introducing or retaining media in cavities of the body in general A61M31/00
• CPC Class Codes: A61F 9/0017 implantable in, or in contact with, the eye, e.g. ocular inserts
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery

Abstract

A method for generating a radial alignment guide for an eye includes collecting preoperative corneal topography data. The data includes a corneal vertex location and a pupil center location for an eye that is not dilated. The method then includes locating a dilated pupil center for the eye after the eye is dilated. The method further includes determining an adjusted offset between the corneal vertex and the dilated pupil center and displaying alignment data on an image of the eye based on the adjusted offset.

Claims

1. A method for generating an alignment alignment guide for surgeon to assist in intraocular lens placement in an eye, comprising:

collecting preoperative corneal topography data comprising a corneal vertex location and a pupil center location for an eye that is not dilated;

determining an offset between the corneal vertex location and the pupil center location;

determining alignment data for an intraocular lens based on the offset;

locating a dilated pupil center for an image of the eye taken by a camera after the eye is dilated using image analysis software;

determining an adjusted offset between the corneal vertex and the dilated pupil center; and

displaying adjusted alignment data on the image of the eye based on the adjusted offset.

2. The method of claim 1, wherein displaying the alignment data comprises displaying a radial grid.

3. The method of claim 1, wherein displaying the alignment data comprises displaying at least one meridian relative to the eye.

4. The method of claim 3, further comprising aligning a protractor relative to the meridian.

5. The method of claim 1, wherein displaying the alignment data further comprises displaying a radial grid.

6. The method of claim 1, wherein locating the pupil center comprises manually moving a pointing device to locate a center of an eye.

7. The method of claim 1, wherein locating the pupil center comprises automatically locating the pupil center using image analysis software.

8. The method of claim 1, wherein displaying the alignment data comprises displaying a cylindrical axis for a toric intraocular lens.

9. A system for generating an alignment guide for a surgeon to assist in intraocular lens placement in an eye, comprising:

a memory operable to store preoperative corneal topography data comprising a corneal vertex location and a pupil center location for an eye that is not dilated, an offset between the corneal vertex location and the pupil center location, and preoperative alignment data for an intraocular lens based on the offset;

a processor operable to locate a dilated pupil center for an image of the eye taken by a camera after the eye is dilated and determine an adjusted offset between the corneal vertex and the dilated pupil center; and

a display operable to display adjusted alignment data on the image of the eye based on the adjusted offset.

10. The system of claim 9, wherein the display of the alignment data comprises a radial grid.

11. The system of claim 9, wherein the display of the alignment data includes a display of at least one meridian relative to the eye.

12. The system of claim 9, further comprising a protractor configured to be aligned relative to the meridian.

13. The system of claim 9, wherein the display of the alignment data comprises a radial grid.

14. The system of claim 9, further comprising a pointing device that is manually movable to indicate a center of the pupil to the processor.

15. The system of claim 9, wherein the processor is operable to locate the pupil center using image analysis software.

16. The system of claim 9, wherein the display of the alignment data comprises a cylindrical axis for a toric intraocular lens.

17. Software embodied in a computer-readable medium executable by a processor to perform the steps of:

collecting preoperative corneal topography data comprising a corneal vertex location and a pupil center location for an eye that is not dilated, an offset between the corneal vertex location and the pupil center location, and preoperative alignment data for an intraocular lens based on the offset;

locating a dilated pupil center for an image of the eye taken by a camera after the eye is dilated;

determining an adjusted offset between the corneal vertex and the dilated pupil center; and

displaying adjusted alignment data on the image of the eye based on the adjusted offset.

18. The software of claim 17, wherein displaying the alignment data comprises displaying a radial grid.

19. The software of claim 17, wherein displaying the alignment data comprises displaying at least one meridian relative to the eye.

20. The software of claim 17, wherein displaying the alignment data further comprises displaying a radial grid.

21. The software of claim 17, wherein locating the pupil center comprises receiving an indication of the center of the pupil from a pointing device.

22. The software of claim 17, wherein locating the pupil center comprises automatically locating the pupil center using image analysis software.

23. The software of claim 17, wherein displaying the alignment data comprises displaying a cylindrical axis for a toric intraocular lens.