IP Library › Granted Patent US 12,262,946
Granted Patent B2
US 12,262,946 · App. 17/299,714 · Granted Apr 1, 2025

Apparatus and method for intraocular lens selection using post-operative measurements

Inventor: John Gregory Ladas (Germantown, MD)
Assignee: Advanced Euclidean Solutions, LLC
A61B3/103A61B3/0025A61F2/16G16H50/20A61B3/125
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Quick Facts
Patent No.
US 12,262,946
App. No.
17/299,714
Granted
Apr 1, 2025
Kind
B2
Abstract

The disclosure provides for an apparatus for intraocular lens selection. The apparatus may include a biometer and an autorefractor. The biometer may be configured to obtain at least two ocular measurement parameters for an eye. The autorefractor may be configured to obtain a post-operative refraction of the eye. The apparatus may also include a user interface configured to obtain a lens selection parameter for the eye, a memory, and a processor communicatively coupled to the biometer, the user interface, the autorefractor, and the memory. The processor may be configured to determine an intraocular lens power based on a formula using the at least two ocular measurement parameters. The processor may be configured to correlate the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set.

Claims (72)

1. An apparatus for intraocular lens selection, comprising:

a biometer configured to obtain at least two ocular measurement parameters for an eye;

a user interface configured to obtain a lens selection parameter for the eye;

an autorefractor configured to obtain a post-operative refraction of the eye;

a memory; and

a processor communicatively coupled to the biometer, the user interface, the autorefractor, and the memory, and configured to:

determine an intraocular lens power based on a formula using the at least two ocular measurement parameters; and

correlate the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

train a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

2. The apparatus of claim 1 , wherein the processor is configured to

determine an estimated error of the formula using a deep learning machine trained on verified post-operative results including post-operative refractions corresponding to intraocular lens powers;

adjust the lens selection parameter based on the estimated error; and

redetermine a final intraocular lens power based on the formula and the adjusted lens selection parameter.

3. The apparatus of claim 2 , wherein the processor is configured to include the final intraocular lens power in the training set.

4. The apparatus of claim 1 , wherein the lens selection parameter is one of a target refraction or A-constant.

5. The apparatus of claim 1 , wherein the at least two ocular measurement parameters are selected from the group consisting of: axial length, corneal power, corneal power index, and anterior chamber depth.

6. The apparatus of claim 1 , wherein the lens selection formula includes one or more of: a Hoffer Q formula, a Holladay I formula, a Haigis formula, and a SRK/T formula, a Barrett Universal II formula, or adjustments thereto.

7. The apparatus of claim 1 , wherein the ocular measurement parameters include intraoperative aberrometry measurements.

8. The apparatus of claim 1 , further comprising:

a display device, wherein the processor is configured to render the intraocular lens power on a relevant portion of a super surface including ideal or near ideal portions of a plurality of intraocular lens selection formulas based on a range of the at least two ocular measurement parameters most suitable to each individual intraocular lens selection formula.

9. A method of intraocular lens selection, comprising:

obtaining at least two ocular measurement parameters for an eye by a biometer;

obtaining a lens selection parameter for the eye;

determining an intraocular lens power based on a formula using the at least two ocular measurement parameters;

obtaining a post-operative refraction of the eye from an autorefractor communicatively coupled with the biometer; and

correlating the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

training a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

10. The method of claim 9 , further comprising:

determining an estimated error of the formula using a deep learning machine trained on verified post-operative results including post-operative refractions corresponding to intraocular lens powers;

adjusting the lens selection parameter based on the estimated error; and

redetermining a final intraocular lens power based on the formula and the adjusted lens selection parameter.

11. The method of claim 10 , wherein correlating the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set comprises including the final intraocular lens power in the training set.

12. The method of claim 9 , wherein the lens selection parameter is one of a target refraction or A-constant.

13. The method of claim 9 , wherein the at least two ocular measurement parameters are selected from the group consisting of: axial length, corneal power, corneal power index, and anterior chamber depth.

14. The method of claim 9 , wherein the lens selection formula includes one or more of: a Hoffer Q formula, a Holladay I formula, a Haigis formula, and a SRK/T formula, a Barrett Universal II formula, or adjustments thereto.

15. The method of claim 9 , wherein the ocular measurement parameters include intraoperative aberrometry measurements.

16. A non-transitory computer-readable medium storing computer executable instructions, comprising instructions to cause a computer to:

obtain at least two ocular measurement parameters for an eye by a biometer;

obtain a lens selection parameter for the eye;

determine an intraocular lens power based on a formula using the at least two ocular measurement parameters;

obtain a post-operative refraction of the eye from an autorefractor communicatively coupled with the biometer;

correlate the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

train a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

17. The non-transitory computer-readable medium of claim 16 , further comprising instructions to cause the computer to:

determine an estimated error of the formula using a deep learning machine trained on verified post-operative results including post-operative refractions corresponding to intraocular lens powers;

adjust the lens selection parameter based on the estimated error; and

redetermine a final intraocular lens power based on the formula and the adjusted lens selection parameter.

18. An apparatus for intraocular lens selection, comprising:

a biometer configured to obtain at least two ocular measurement parameters for an eye;

a user interface configured to obtain a lens selection parameter for the eye;

an autorefractor configured to obtain a post-operative refraction of the eye;

a memory; and

a processor communicatively coupled to the biometer, the user interface, the autorefractor, and the memory, and configured to:

determine an intraocular lens power based on a formula using the at least two ocular measurement parameters;

correlate the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

transmit the training set to a network service configured to train a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

19. The apparatus of claim 18 , wherein the deep learning machine is trained with verified results exclusively from a particular lens manufacturer.

20. The apparatus of claim 18 , wherein the deep learning machine is a neural network configured to receive multiple numeric inputs to predict the estimated error of the formula as a single numeric output.

21. A method of intraocular lens selection, comprising:

obtaining at least two ocular measurement parameters for an eye by a biometer;

obtaining a lens selection parameter for the eye;

determining an intraocular lens power based on a formula using the at least two ocular measurement parameters;

obtaining a post-operative refraction of the eye from an autorefractor communicatively coupled with the biometer;

correlating the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

transmitting the training set to a network service configured to train a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

22. A non-transitory computer-readable medium storing computer executable instructions, comprising instructions to cause a computer to:

obtain at least two ocular measurement parameters for an eye by a biometer;

obtain a lens selection parameter for the eye;

determine an intraocular lens power based on a formula using the at least two ocular measurement parameters;

obtain a post-operative refraction of the eye from an autorefractor communicatively coupled with the biometer;

correlate the at least two ocular measurement parameters, the intraocular lens power, and the post-operative refraction as a training set; and

transmit the training set to a network service configured to train a deep learning machine using the at least two ocular measurement parameters, the post-operative refraction of the eye, and the intraocular lens power of a plurality of training sets to determine an estimated error of the formula applied to at least two ocular measurement parameters of an eye of a new patient.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 2, 2021
From: LADAS, JOHN GREGORY
To: ADVANCED EUCLIDEAN SOLUTIONS, LLC
Reel/Frame 057374/0785 →
Continuity (2)
Provisional Application 62776320 · Dec 6, 2018
Related Publication 20220079433A1 · Mar 17, 2022
References Cited (10)
US 20110270596A1 · Weeber · 2011 [cited by applicant]
US 20150103313A1 · Sarver et al. · 2015 [cited by applicant]
US 20160302660A1 · Bühren et al. · 2016 [cited by applicant]
US 20170304045A1 · Cady · 2017 [cited by applicant]
US 20180089493A1 · Nirenberg · 2018 [cited by applicant]
JP 2010207279A · 2010 [cited by applicant]
JP 2016533781A · 2016 [cited by applicant]
JP 2018051223A · 2018 [cited by applicant]
International Search Report issued by the International Search Authority in related International Application No. PCT/US2019/64911, dated Feb. 25, 2020. [cited by applicant]
Fukuda Tomoya et al., “Formula Selection For Intraocular Power Calculation Using Support Vector Machines and Self-Organizing Maps”, 2011 IEEE Inter national Conference on Systems,Man, and Cybernetics, Oct. 12, 2011, pp.… [cited by applicant]