Photodisruptive laser fragmentation of tissue

• US 9,427,356 B2
• Filed: 08/05/2014
• Issued: 08/30/2016
• Est. Priority Date: 01/09/2008
• Status: Active Grant

• Current Assignee: Alcon Incorporated
• Original Assignee: Alcon LenSx, Inc. (Alcon Incorporated)
• Inventors: Raksi, Ferenc
• Primary Examiner(s): Severson, Ryan J
• Assistant Examiner(s): DANG, ANH TIEU
• Application Number:
  US14/451,881
• Publication Number:
  US 20140350531A1
• Time in Patent Office: 756 Days
• Field of Search: 606 4- 6, 606/10, 606/11
• US Class Current: 1/1
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61F 2009/00844 Feedback systems
• CPC Class Codes: A61F 2009/0087 Lens
• CPC Class Codes: A61F 2009/00897 Scanning mechanisms or algorithms
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00825 for photodisruption

Abstract

A method of photodisruptive laser surgery includes selecting a target region of a tissue for fragmentation, directing a beam of laser pulses to the selected target region of the tissue, and forming cells in the target region of the tissue by directing the laser beam to generate cell boundaries. The cells can be arranged in regular or irregular arrays. The cells can be generated in parallel or successively, with cell sizes and laser parameters which reduce the time of ophthalmic surgery considerably.

Claims

1. A method of fragmenting lens tissue of an eye with a laser surgical system, the method comprising:

generating a pulsed laser beam with a pulsed laser;

directing the laser beam with an optics module towards a target region in the lens tissue; and

controlling the optics module by a system control module to form a regular array of cells in the target region by creating layers of photodisrupted bubbles to generate cell boundaries, wherein

the layers are created by scanning the pulsed laser with the optics module according to a curvature of the focal plane of the optics module to track the natural curvature of the lens.

2. The method of claim 1, the forming the regular array of cells comprising:

forming the cells with a size suitable for extraction by aspiration without additional lens fragmentation.

3. The method of claim 1, the forming the regular array of cells comprising:

forming the cells with a spatial extent less than 340 microns.

4. The method of claim 1, the forming the regular array of cells comprising:

controlling the optics module by the system control module to form the cells with a size such that a ratio of a number of bubbles created to form the regular array of cells in the target region to a number of bubbles created to photodisrupt the same target region with a volumetric method is greater than 1;

1.4.

5. The method of claim 1, wherein:

walls of individual cells include photodisrupted bubbles other than corner bubbles of the cell, wherein the regular array of cells further comprises individual cells having walls that include photodisrupted bubbles to generate the cell boundaries.

6. The method of claim 1, wherein:

the regular array of cells includes a set of cells in a periodically repeating array.

7. A method of fragmenting lens tissue with a laser surgical system, the method comprising:

generating a pulsed laser beam with a pulsed laser;

directing the pulsed laser beam with an optics module towards a target region in the lens tissue; and

controlling the optics module by a system control module to form a regular array of cells in the target region by creating layers of photodisrupted bubbles to generate cell boundaries, wherein

a size of the cells is suitable for extraction by aspiration without additional lens fragmentation; and

walls of individual cells include photodisrupted bubbles other than corner bubbles of the cell, wherein the regular array of cells further comprises individual cells having walls that include photodisrupted bubbles to generate the cell boundaries.

8. The method of claim 7, the forming the regular array of cells comprising:

a spatial extent of the cells is less than 340 microns.

9. The method of claim 7, the forming the regular array of cells comprising:

controlling the optics module by the system control module to form the cells with a size such that a ratio of a number of bubbles created to form the regular array of cells in the target region to a number of bubbles created to photodisrupt the same target region with a volumetric method is greater than 1.4.

10. The method of claim 9, the forming the regular array of cells comprising:

controlling the optics module by the system control module to form the cells with a size such that a ratio of a number of bubbles created to form the regular array of cells in the target region to a number of bubbles created to photodisrupt the same target region with a volumetric method is greater than 4.5.

11. The method of claim 7, the forming the regular array of cells comprising:

controlling the optics module by the system control module to form the cells with a size such that a ratio of the cell size to a bubble size is greater than 4.5.

12. The method of claim 7, the forming the regular array of cells comprising:

controlling the optics module by the system control module to form the photodisrupted bubbles with a spot separation of less than 20 microns.

13. The method of claim 7, the creating layers comprising:

controlling the optics module by the system control module to reduce a linear speed of progression of a bubble placement at turning points to be smaller than a limiting value.

14. The method of claim 7, the creating layers comprising:

controlling the optics module by the system control module to form curved layers.