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 system for performing a femto-fragmentation lensectomy procedure on tissue in the crystalline lens of an eye which comprises:
a laser unit for generating a laser beam;
a computer connected with the laser unit for directing the laser beam along a beam path to a focal point in the crystalline lens of the eye wherein the lens has a thickness and defines an axis, and the beam path and the focal point are established relative to the axis defined by the lens;
a computer generated template pattern, wherein the template pattern is oriented relative to the axis;
a controller connected with the computer for moving the focal point relative to the axis defined by the lens, to cause a Laser Induced Optical Breakdown (LIOB) of tissue in the crystalline lens at the focal point to create a plurality of contiguous, elongated, individual segments in the crystalline lens, wherein each individual segment is aligned axially in the lens and individually extends through a length of approximately 80% of the thickness of the lens 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 an aspirator for sequentially removing the-created individual segments of the crystalline lens from the eye.
2. The system 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.
3. The system recited in claim 2 wherein the characteristic dimension “s a ” is less than three hundred and fifty microns (s a <350 μm).
4. The system recited in claim 1 wherein the anterior end-area is a square.
5. The system 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 ).
6. The system recited in claim 1 wherein the crystalline lens has an exterior surface, and a predetermined volume of tissue, and wherein the tissue for LIOB within the crystalline lens is more than a selected distance from the exterior surface of the crystalline lens to establish a safety margin therebetween.
7. The system recited in claim 6 wherein the safety margin is greater than approximately 50 microns.
8. A system for performing a femto-fragmentation fensectomy procedure on tissue in the crystalline lens of an eye which comprises:
a laser unit for directing a laser beam along a beam path to a focal point in the crystalline lens of the eye, wherein the lens has a thickness and defines an axis and the beam path and the focal point are established relative to the axis defined by the lens;
a template having a template pattern for defining a plurality of contiguous, elongated, individual segments in the crystalline lens wherein each individual segment is aligned axially in the lens and individually extends through a length of approximately 80% of the thickness of the lens 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 ”);
a computer connected to the laser unit for guiding the focal point of the laser beam with reference to the axis and to a computer-generated template pattern to cause a Laser Induced Optical Breakdown (LIOB) of tissue in the crystalline lens at the focal point; and
an aspirator for sequentially removing the plurality of individual segments of the crystalline lens from the eye.
9. The system recited in claim 8 wherein the template pattern is oriented relative to the axis and the focal point of the laser beam is moved in accordance with the template pattern.
10. The system recited in claim 8 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.
11. The system recited in claim 10 wherein the anterior end-area is a square.
12. The system recited in claim 11 wherein the characteristic dimension “s a ” is less than three hundred and fifty microns (s a <350 μm).
13. The system recited in claim 8 wherein the anterior end-area is shaped as a triangle.
14. The system recited in claim 8 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 ).
15. The system recited in claim 8 wherein the crystalline lens has an exterior surface and a predetermined volume of tissue within 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.
16. The system recited in claim 15 wherein the safety margin is greater than approximately 50 microns.