Laser capsulovitreotomy
Methods and systems for performing laser-assisted surgery on an eye form a layer of bubbles in the Berger's space of the eye to increase separation between the posterior portion of the lens capsule of the eye and the anterior hyaloid surface of the eye. A laser is used to form the layer of bubbles in the Berger's space. The increased separation between the posterior portion of the lens capsule and the anterior hyaloid surface can be used to facilitate subsequent incision of the posterior portion of the lens capsule with decreased risk of compromising the anterior hyaloid surface. For example, the layer of bubbles can be formed prior to performing a capsulotomy on the posterior portion of the lens capsule.
1. A method for performing laser-assisted surgery on an eye having a lens capsule, an anterior hyaloid surface, and a Berger's space between a posterior portion of the lens capsule and the anterior hyaloid surface, the method comprising:
forming, by a laser, a plurality of bubbles in a layer pattern which is located within the Berger's space, the layer pattern occupying a central area of the Berger's space including an optical axis of the eye and extending laterally in directions transverse to the optical axis without extending across the anterior hyaloid surface, to increase separation between the posterior portion of the lens capsule and the anterior hyaloid surface; and
after forming the plurality of bubbles, incising the posterior portion of the lens capsule.
2. The method of claim 1 , wherein the step of incising the posterior portion of the lens capsule is performed by the laser.
3. The method of claim 2 , wherein the step of incising the posterior portion of the lens capsule includes incising a capsulotomy on the posterior portion of the lens capsule.
4. The method of claim 1 , wherein the laser is configured to emit a pulsed laser beam into a focal point aligned with the Berger's space.
5. The method of claim 4 , wherein the pulses of the pulsed laser beam each have a pulse duration between 10 femtoseconds and 30 nanoseconds.
6. The method of claim 4 , wherein the pulsed laser beam has a pulse repetition rate between 10 Hz and 1 MHz.
7. The method of claim 4 , wherein the energy of each laser pulse of the pulsed laser beam is between 1 micro joule and 20 micro joules.
8. The method of claim 4 , wherein the pulsed laser beam has a wavelength between 500 nanometers and 1,100 nanometers.
9. The method of claim 1 , wherein the step of forming a plurality of bubbles comprises irradiating the laser into a focal point aligned with the Berger's space by an operating numerical aperture of between 0.005 and 0.5.
10. The method of claim 1 , wherein the step of forming a plurality of bubbles comprises irradiating the laser into a focal point which is aligned with the Berger's space and has a focal spot size diameter between 1 micron and 20 microns.
11. The method of claim 1 , wherein the step of forming a plurality of bubbles comprises irradiating the laser into a focal point which is aligned with the Berger's space and has a fluence between 2 joules per square centimeter and 200 joules per square centimeter.
12. A method for performing laser-assisted surgery on an eye having a lens capsule, an anterior hyaloid surface, and a Berger's space between a posterior portion of the lens capsule and the anterior hyaloid surface, the method comprising:
delivering, by a laser system, a focal spot of a pulsed laser beam to the eye to form a plurality of bubbles in a layer pattern which is located within the Berger's space, the layer pattern occupying a central area of the Berger's space including an optical axis of the eye and extending laterally in directions transverse to the optical axis without extending across the anterior hyaloid surface, to increase separation between the posterior portion of the lens capsule and the anterior hyaloid surface,
wherein the pulsed beam had a plurality of laser pulses having a wavelength of 500 to 1100 nm, a pulse duration of 10 fs to 30 ns, a repetition rate of 10 Hz to 1 MHz, and an energy of 1 to 20 μJ, and wherein the focal spot has a diameter of 1 to 20 microns; and
after forming the plurality of bubbles, incising the posterior portion of the lens capsule.
13. The method of claim 12 , wherein the step of incising the posterior portion of the lens capsule is performed by the laser.
14. The method of claim 12 , wherein the step of incising the posterior portion of the lens capsule includes incising a capsulotomy on the posterior portion of the lens capsule.
15. The method of claim 12 , wherein the step of forming a plurality of bubbles comprises irradiating the laser into a focal point aligned with the Berger's space by an operating numerical aperture of between 0.005 and 0.5.
16. The method of claim 12 , wherein the step of forming a plurality of bubbles comprises irradiating the laser into a focal point which is aligned with the Berger's space and has a fluence between 2 joules per square centimeter and 200 joules per square centimeter.