SYSTEM AND METHOD FOR RESECTING CORNEAL TISSUE
A system and method for resecting and transplanting corneal tissue is disclosed. In a recipient cornea, a resection depth from the anterior surface of the recipient cornea is determined based upon a biomechanical model of the recipient cornea. A resection incision for resecting a posterior portion of the recipient cornea is made at the resection depth. Preferably, the incision is made using a surgical laser. Optionally, a contact lens may be placed against the anterior surface of the recipient cornea, wherein the shape of the anterior surface is conformed to the shape of the contact lens.
1 . A method of resecting corneal tissue, the method comprising:
determining a resection depth from an anterior surface of a cornea using a corneal biomechanical model; and
making a resection incision for resecting a posterior portion from the cornea, wherein the resection incision is made at the resection depth.
2 . The method of claim 1 , wherein making the resection incision includes making the resection incision using a surgical laser.
3 . The method of claim 1 further comprising:
placing a contact lens against the anterior surface, the contact lens being adapted to conform the anterior surface to a shape of the contact lens; and
making the resection incision using a surgical laser.
4 . The method of claim 3 , wherein the contact lens applanates the anterior surface.
5 . The method of claim 4 , wherein the resection depth is selected to minimize surface irregularities at the resection incision.
6 . The method of claim 1 , wherein the resection depth is selected to minimize post-operative weakening of the cornea.
7 . The method of claim 1 , wherein the resection incision is at a uniform distance from one of a posterior surface of the cornea or the anterior surface.
8 . A method of resecting corneal tissue, the method comprising:
determining a resection depth from an anterior surface of a cornea using a biomechanical model of the cornea; and
placing a contact lens against the anterior surface, the contact lens being adapted to conform the anterior surface to a shape of the contact lens; and
making a resection incision for resecting a posterior portion from the cornea, wherein the resection incision is made at the resection depth using a surgical laser, and the resection incision is at a uniform distance from one of a posterior surface of the cornea or the anterior surface.
9 . The method of claim 8 , wherein the contact lens applanates the anterior surface.
10 . The method of claim 8 , wherein the resection depth is selected to minimize surface irregularities at the resection incision.
11 . The method of claim 8 , wherein the resection depth is selected to minimize post-operative weakening of the cornea.
12 . A method of transplanting corneal tissue from a donor cornea to a recipient cornea, the method comprising:
determining a recipient resection depth from a recipient anterior surface of the recipient cornea using a biomechanical model of the recipient cornea;
making a recipient resection incision for resecting a recipient posterior portion from the recipient cornea, wherein the recipient resection incision is made at the recipient resection depth;
making a donor resection incision for resecting a donor posterior portion from the donor cornea; and
grafting the donor posterior portion into the recipient cornea.
13 . The method of claim 12 , wherein at least one of the recipient resection incision or the donor resection incision is made using a surgical laser.
14 . The method of claim 12 further comprising:
placing a contact lens against the recipient anterior surface, the contact lens being adapted to conform the recipient anterior surface to a shape of the contact lens; and
making the recipient resection incision using a surgical laser.
15 . The method of claim 14 , wherein the contact lens applanates the recipient anterior surface.
16 . The method of claim 15 , wherein the recipient resection depth is determined to minimize surface irregularities at the recipient resection incision.
17 . The method of claim 12 , wherein the recipient resection depth is determined to minimize post-operative weakening of the recipient cornea.
18 . The method of claim 12 , wherein the recipient resection incision is at a uniform distance from one of a recipient posterior surface of the recipient cornea or a recipient anterior surface.
19 . The method of claim 12 further comprising:
determining a ratio of the recipient resection depth to a recipient thickness of the recipient cornea; and
making the donor resection incision at a donor resection depth from a donor anterior surface of the donor cornea, wherein the donor resection depth, as compared to a donor thickness of the donor cornea, is determined by the ratio.
20 . The method of claim 19 , wherein the donor resection incision is at a uniform distance from one of the donor posterior surface or a donor anterior surface of the recipient cornea.
21 . A system for resecting corneal tissue, the system comprising:
an interface programmed with a biomechanical model of corneal tissue, the interface being adapted to provide a depth range using the biomechanical model for selection of a resection depth from an anterior corneal surface;
a surgical laser adapted to emit a pulsed laser beam;
a focusing assembly adapted to focus the pulsed laser beam into a cornea;
a controller adapted to receive the resection depth from the interface, to move a focal point of the pulsed laser beam within a cornea using the focusing assembly, and to direct the focal point of the pulsed laser beam to make a resection incision for resecting a portion of the cornea, wherein the resection incision is made at the resection depth.
22 . The system of claim 21 further comprising:
a contact lens adapted to be placed against the anterior surface and conform the anterior surface to a shape of the contact lens, wherein the biomechanical model accounts for deformation of the cornea.
23 . The system of claim 22 , wherein the contact lens applanates the anterior surface.
24 . The system of claim 21 , wherein the depth range is provided to minimize surface irregularities at the resection incision.
25 . The system of claim 21 , wherein the depth range is provided to minimize post-operative weakening of the cornea.
26 . The system of claim 21 , wherein the resection incision is at a uniform distance from one of a posterior surface of the cornea or the anterior surface.
27 . The system of claim 21 , wherein the controller is adapted to make the resection incision for resecting a posterior portion of the cornea