System and method for femto-fragmentation of a crystalline lens
View Patent ↗A system and method for performing a femto-fragmentation procedure on tissue in the crystalline lens of an eye requires that a laser beam be directed and focused to a focal point in the crystalline lens of the eye. The focal point is then guided, relative to an axis defined by the eye, to create a segment cluster by causing Laser Induced Optical Breakdown (LIOB) of tissue in the crystalline lens. The resultant segment cluster includes a plurality of contiguous, elongated segments in the crystalline lens that are individually tapered from an anterior end-area to a posterior end-area. Specifically, this is done to facilitate the removal of individual segments from the segment cluster in the crystalline lens.
1. A method for performing a femto-fragmentation lensectomy procedure on tissue in the crystalline lens of an eye which comprises the steps of:
orienting a laser unit to direct a laser beam along a beam path to a focal point in the crystalline lens of the eye, wherein the lens defines an axis and the beam path and the focal point are established relative to the axis defined by the lens;
guiding the focal point of the laser beam with reference to the axis to cause a Laser induced Optical Breakdown (LIOB) of tissue in the crystalline lens at the focal point;
creating a plurality of contiguous, elongated, segments in the crystalline lens during the guiding step, wherein each segment is aligned axially in the lens and individually extends between a respective anterior end-area characterized by a dimension “s a ”, and a respective posterior end-area characterized by a corresponding dimension “s p ”, and wherein each segment is tapered from the anterior end-area toward the posterior end-area (“s a ”>“s p ”); and
aspirating segments from the creating step, to remove the created segments of the crystalline lens from the eye.
2. A method as recited in claim 1 further comprising the steps of:
generating a template pattern, wherein the template pattern is oriented relative to the reference datum; and
moving the beam path of the laser beam in accordance with the template pattern during the guiding step.
3. A method as recited in claim 1 wherein the anterior end-area is shaped as a rectangle and the characteristic dimension “s a ” of the anterior end-area is a side distance of the rectangle.
4. A method as recited in claim 3 wherein the anterior end-area is a square.
5. A method as recited in claim 4 wherein the characteristic dimension “s a ” is less than three hundred and fifty microns (s a <350 μm).
6. A method as recited in claim 1 wherein the anterior end-area is shaped as a triangle.
7. A method as recited in claim 1 wherein the characteristic dimension “s p ” of the posterior end-area is less than ninety percent of the characteristic dimension “s a ” of the anterior end-area (s p <0.9s a ).
8. A method as recited in claim 1 wherein the crystalline lens has an exterior surface, and the creating step is accomplished within a predetermined volume of tissue in the crystalline lens, wherein the predetermined volume of tissue is more than a selected distance from the exterior surface of the crystalline lens to establish a safety margin therebetween.
9. A method as recited in claim 8 wherein the safety margin is greater than approximately 50 microns.
10. A method for performing a femto-fragmentation lensectomy procedure on a transparent material in an eye which comprises the steps of:
orienting a laser unit to direct a laser beam along a beam path to a focal point in the transparent material, wherein the beam path and the focal point are established relative to an axis defined defined by the transparent material;
guiding the focal point of the laser beam with reference to the axis to photoablate transparent material at the focal point;
creating a plurality of contiguous, elongated, segments in the transparent material during the guiding step, wherein each segment is aligned axially in the lens and individually extends between a respective anterior end-area characterized by a dimension “s a ”, and a respective posterior end-area characterized by a corresponding dimension “s p ”, and wherein each segment is tapered from the anterior end-area toward the posterior end-area (“s a ”>“s p ”); and
aspirating segments resulting from the creating step, to remove the created segments of the transparent material from the eye.
11. A method as recited in claim 10 further comprising the steps of:
generating a template pattern;
orienting the template pattern relative to the reference datum; and
moving the beam path of the laser beam in accordance with the template pattern during the guiding step.
12. A method as recited in claim 10 wherein the anterior end-area is shaped as a rectangle and the characteristic dimension “s a ” of the anterior end-area is a side distance of the rectangle, and wherein the characteristic dimension “s a ” is less than three hundred and fifty microns (s a <350 μm).
13. A method as recited in claim 10 wherein the characteristic dimension “s p ” of the posterior end-area is less than ninety percent of the characteristic dimension “s a ” of the anterior end-area (s p <0.9s a ).