Sub-nanosecond laser surgery system utilizing multiple pulsed laser beams
A system for laser ophthalmic surgery includes: a single laser source, under the operative control of a controller, configured to alternatively deliver a first treatment laser beam and a second treatment laser beam. The first treatment laser beam has a pulse energy of 10 to 500 μJ. The second pulsed laser beam has a second pulse energy of about 0.1 to 10 μJ, lower than the first treatment laser beam. An optical system focuses the first treatment laser beam to a first focal spot and directs the first focal spot in a first treatment pattern into a first intraocular target. The optical system also focuses the second treatment laser beam to a second focal spot and direct the second focal spot in a second treatment pattern into a second intraocular target. The first intraocular target and second intraocular target are different.
1. A laser surgical system for making incisions in a lens of a patient's eye during a cataract surgical procedure, the system comprising:
a laser system comprising a scanning assembly and a laser operable to generate a laser beam configured to incise the lens of the eye; and
a control system operably coupled to the laser system and configured to:
determine a lens fragmentation scanning pattern for scanning a focal zone of the laser beam in a cutting region in a posterior portion of the lens of the eye, the cutting region being at least partially defined by an anterior cutting boundary, a posterior cutting boundary and a lateral cutting boundary of the lens, the cutting region including the optical axis of the eye and a peripheral portion of the lens spaced laterally from the optical axis;
operate the laser and the scanning assembly to scan the focal zone of the laser beam at a first focal point located at a first depth in the lens of the eye and to scan the beam on the eye while focused at the first depth so as to create a first incision pattern in the lens corresponding to a first portion of the lens fragmentation pattern, and
operate the laser and scanning assembly to scan the focal zone of the laser beam at a second focal point located at a second depth in the lens of the eye anterior to the first depth, and to scan the beam on the eye while focused at the second depth so as to create a second incision pattern in the lens corresponding to a second portion of the lens fragmentation pattern within the cutting region at the second depth, wherein an energy of the laser pulses scanning the second incision pattern is higher when the second focal point is scanned in the peripheral portion than when the second focal point is scanned in a central portion near the optical axis.
2. The system of claim 1 , further comprising:
an imaging device configured to acquire point by point image data from locations distributed throughout a volume of the lens of the patient and construct one or more images of the patient's eye tissues from the image data, wherein the one or more images comprise an image of at least a portion of the lens; and
wherein the control system is further configured to:
operate the imaging device to generate image data for patient's lens;
process the image data to identify a location for each of one or more targets in the lens, the one or more targets within the cutting region.
3. The system of claim 1 , wherein the lens fragmentation pattern comprises either two crossing cut incisions, three crossing cut incisions or four crossing cut incisions.
4. The system of claim 3 , wherein the lens fragmentation pattern comprises two and only two crossing cut incisions, thereby producing four quadrants.
5. The system of claim 4 , wherein the lens fragmentation pattern further comprises softening cuts in each quadrant.
6. A laser surgical system for making incisions in a lens of a patient's eye during a cataract surgical procedure, the system comprising:
a laser system comprising a scanning assembly and a laser operable to generate a laser beam configured to incise the lens of the eye; and
a control system operably coupled to the laser system and configured to:
determine a lens fragmentation scanning pattern for scanning a focal zone of the laser beam in a cutting region in a posterior portion of the lens of the eye, the cutting region being at least partially defined by an anterior cutting boundary, a posterior cutting boundary and a lateral cutting boundary of the lens, the cutting region including the optical axis of the eye and a peripheral portion of the lens spaced laterally from the optical axis;
operate the laser and the scanning assembly to scan the focal zone of the laser beam at a first focal point located at a first depth in the lens of the eye and to scan the beam on the eye while focused at the first depth in a lateral direction from a peripheral portion of the lens toward the optical axis of the eye so as to create a first incision pattern in the lens corresponding to first portion of the lens fragmentation pattern; and
operate the laser and scanning assembly to scan the focal zone of the laser beam at a second focal point located at a second depth in the lens of the eye anterior to the first depth, and to scan the beam on the eye while focused at the second depth so as to create a second incision pattern in the lens corresponding to a second portion of the lens fragmentation pattern within the cutting region at the second depth.
7. The system of claim 6 , further comprising:
an imaging device configured to acquire point by point image data from locations distributed throughout a volume of a lens of the patient and construct one or more images of the patient's eye tissues from the image data, wherein the one or more images comprise an image of at least a portion of the lens; and
wherein the control system is further configured to:
operate the imaging device to generate image data for patient's lens;
process the image data to identify a location for each of one or more targets in the lens, the one or more targets within the cutting region.
8. The system of claim 7 , wherein the lens fragmentation pattern comprises either two crossing cut incisions, three crossing cut incisions or four crossing cut incisions.
9. The system of claim 8 , wherein the lens fragmentation pattern comprises two and only two crossing cut incisions, thereby producing 4 quadrants.
10. The system of claim 9 , wherein the lens fragmentation patter further comprises softening cuts in each quadrant.
11. A method implemented in a laser surgical system for making incisions in a lens of a patient's eye during a cataract surgical procedure, the method comprising:
by a laser source of the laser surgical system, generating a laser beam;
by a scanning assembly of the laser surgical system, directing a focal zone of the laser beam to locations within the lens of the eye;
by a control system, determine a lens fragmentation scanning pattern for scanning a focal zone of the laser beam in a cutting region in a posterior portion of the lens of the eye, the cutting region being at least partially defined by an anterior cutting boundary, a posterior cutting boundary and a lateral cutting boundary of the lens, the cutting region including the optical axis of the eye and a peripheral portion of the lens spaced laterally from the optical axis;
by the control system, operating the laser and the scanning assembly to scan the focal zone of the laser beam at a first focal point located at a first depth in the lens of the eye and to scan the beam on the eye while focused at the first depth so as to create a first incision pattern in the lens corresponding to a first portion of the lens fragmentation pattern, and
by the control system, operating the laser and scanning assembly to scan the focal zone of the laser beam at a second focal point located at a second depth in the lens of the eye anterior to the first depth, and to scan the beam on the eye while focused at the second depth so as to create a second incision pattern in the lens corresponding to a second portion of the lens fragmentation pattern within the cutting region at the second depth, wherein an energy of the laser pulses scanning the second incision pattern is higher when the second focal point is scanned in the peripheral portion than when the second focal point is scanned in a central portion near the optical axis.
12. The method of claim 11 , further comprising:
by an imaging device, acquiring point by point image data from locations distributed throughout a volume of the lens of the patient and constructing one or more images of the patient's eye tissues from the image data, wherein the one or more images comprise an image of at least a portion of the lens; and
by the control system, operate the imaging device to generate image data for patient's lens;
by the control system, process the image data to identify a location for each of one or more targets in the lens, the one or more targets within the cutting region.
13. The method of claim 11 , wherein the lens fragmentation pattern comprises either two crossing cut incisions, three crossing cut incisions or four crossing cut incisions.
14. The method of claim 13 , wherein the lens fragmentation pattern comprises two and only two crossing cut incisions, thereby producing four quadrants.
15. The method of claim 14 , wherein the lens fragmentation pattern further comprises softening cuts in each quadrant.