Apparatus and method for applying light in ocular and periocular areas

1. A method of protecting ocular tissue during application of light energy, the method comprising:

providing a handpiece having a light energy device, the handpiece having a tip having a shielding extension configured to be inserted posterior to an eyelid;

inserting the shielding extension behind the eyelid to the fornix prior to applying light energy to an anterior surface of the eyelid;

applying light energy from the light energy device to an anterior surface of the eyelid;

wherein the light energy device is configured to produce intense pulsed light energy; and

wherein the shielding extension is comprised of a thermally insulative material such that energy not absorbed by a target tissue is prevented from reaching ocular tissue located posterior to the eyelid.

2. The method of claim 1 , wherein the shielding extension is configured to be inserted posterior to an eyelid between the ocular conjunctiva and palpebral conjunctiva.

3. The method of claim 1 , wherein the tip is a removable tip.

4. The method of claim 3 , wherein the removable tip comprises:

a hollow conduit configured to surround a light guide in the handpiece;

a support extension having a length longer than a length of the hollow conduit; and

a shielding extension coupled to the support extension to an angle less than 180 degrees and located distal to the hollow conduit; and

the shielding extension configured to be inserted behind an eyelid and extend to the fornix, the shielding extension comprised of a thermally insulative material.

5. The method of claim 4 , wherein the length of the hollow conduit is configured as a distance guide for maintaining a predetermined distance between the surface tissue to be treated and a crystal light guide in the handpiece.

6. The method of claim 1 , wherein the shielding extension is configured to create a mechanical separation of the target tissue from adjacent posterior structures.

7. The method of claim 1 , wherein the shielding extension is configured to be flexible such that it can be deformed to define irregular surfaces when inserted.

8. The method of claim 1 , wherein the tip comprises a material that is biocompatible with ocular tissue.

9. The method of claim 1 , wherein the handpiece further comprises a cooling source thermally coupled to the shielding extension via the support extension.

10. The method of claim 1 , wherein the shielding extension is at an angle less than 180 degrees to the tip.

11. The method of claim 1 , wherein the shielding extension is at an angle of 90 degrees to the tip.

12. A method of protecting ocular tissue during application of light energy, the method comprising:

providing a handpiece having a light energy device, the handpiece having a tip having a shielding extension configured to be inserted posterior to an eyelid;

inserting the shielding extension behind the eyelid to the fornix prior to applying light energy to an anterior surface of the eyelid;

applying light energy from the light energy device to an anterior surface of the eyelid;

wherein the light energy device is configured to produce intense pulsed light energy; and

wherein the shielding extension comprises at least two layers;

wherein a first layer is a proximal layer to the handpiece and the second layer is a distal layer of the shielding extension; and

wherein the distal layer is configured to be in direct contact with posterior organs to be protected and the proximal layer is configured to be in contact with the eyelid;

wherein the distal layer has high thermal insulative properties and the proximal layer has high thermal conductivity properties and low thermal capacity.

13. A method of protecting ocular tissue during application of light energy, the method comprising:

providing a handpiece having a light energy device, the handpiece having a tip having a shielding extension configured to be inserted posterior to an eyelid;

inserting the shielding extension behind the eyelid to the fornix prior to applying light energy to an anterior surface of the eyelid;

applying light energy from the light energy device to an anterior surface of the eyelid;

wherein the light energy device is configured to produce intense pulsed light energy; and

wherein the handpiece further comprises a heat sink thermally coupled to the shielding extension via the support extension.