System for laser-based ametropia correction, and method for the alignment thereof
A method for aligning a system for laser-based ametropia correction relative to a patient's eye to be treated is disclosed. Predefined pre-operative measurement data which characterize at least predetermined structures of the patient's eye is provided. The predetermined structures include a part of the patient's eye to be treated. In addition, the method includes measuring at least one part of the predetermined structures of the patient's eye using an OCT system immediately before and/or during treatment for ametropia correction of the patient's eye and providing OCT measurement data, and comparing the OCT measurement data and the predefined pre-operative measurement data and preparing comparative data. The method also includes ascertaining a position and/or orientation of the part of the patient's eye to be treated relative to the system and aligning the system relative to the patient's eye using the ascertained position and/or orientation of the part of the patient's eye.
1 . A method for aligning a system for laser-based vision correction relative to a patient's eye to be treated, the method comprising:
providing specified preoperative measurement data which at least characterize predetermined structures of the patient's eye, the predetermined structures including a portion of the patient's eye to be treated, wherein the provided specified preoperative measurement data are based on a measurement carried out independently of the system for laser-based vision correction;
measuring at least a portion of the predetermined structures of the patient's eye with an Optical Coherence Tomography (OCT) system immediately before and/or during a treatment for vision correction for the patient's eye and providing OCT measurement data;
comparing the OCT measurement data with the specified preoperative measurement data and providing comparison data; and
determining a positioning and/or orientation of the portion of the patient's eye to be treated relative to the system using the comparison data, and aligning the system relative to the patient's eye using the determined position and/or orientation of the portion of the patient's eye to be treated.
2 . The method as claimed in claim 1 , wherein the alignment of the system comprises a centration of the system on a vertex of the patient's eye.
3 . The method as claimed in claim 1 , wherein the alignment of the system comprises a centration of the system on an offset position that deviates from a vertex of the patient's eye and, optionally, a determination of offset coordinates of the offset position.
4 . The method as claimed in claim 3 , wherein the centration of the system on the offset position comprises a calculation of a centration-corrected fluence loss function.
5 . The method as claimed in claim 1 , wherein the system is aligned in manual, partially automated or fully automated fashion.
6 . The method as claimed in claim 1 , wherein the predetermined structures of the patient's eye, which are characterized by the specified preoperative measurement data, and the at least one portion of the predetermined structures of the patient's eye, which is measured by means of the OCT system immediately before and/or during a treatment for vision correction, comprise at least a portion of an anterior chamber of the patient's eye.
7 . The method as claimed in claim 1 , wherein the portion of the patient's eye to be treated comprises at least a portion of a cornea of the patient's eye.
8 . The method as claimed in claim 1 , further comprising:
coupling the patient's eye to a contact interface of the system for laser-based vision correction,
wherein the at least one portion of the predetermined structures of the patient's eye is measured by means of the OCT system at least once before the patient's eye is coupled to the contact interface and at least once after the patient's eye has been coupled to the contact interface.
9 . The method as claimed in claim 1 , further comprising:
verifying the positioning and/or orientation of the portion of the patient's eye to be treated relative to the system with an eye tracker, the verification optionally being implemented continually during at least a part of the treatment for vision correction for the patient's eye.
10 . The method as claimed in claim 9 , further comprising:
referencing an eye position determined with the eye tracker using the OCT measurement data, the determined eye position optionally including, or corresponding to, a pupil position and/or a limbus position.
11 . The method as claimed in claim 1 , wherein the specified preoperative measurement data comprise preoperative OCT measurement data.
12 . The method as claimed in claim 11 , wherein the comparison data comprise a lateral displacement (Δ OCT ) and/or a rotation (Δβ OCT ) and/or a tilt (Δα OCT ) of the OCT measurement data relative to the preoperative OCT measurement data.
13 . The method as claimed in claim 1 , wherein the preoperative measurement data are provided in the form of electronic data.
14 . The method as claimed in claim 1 , wherein the specified preoperative measurement data are retrieved or received via an interface of the system for laser-based vision correction.
15 . The method according to claim 1 , wherein the specified preoperative measurement data are retrieved or received from a database connected to the system for laser-based vision correction.
16 . A system for laser-based vision correction for a patient's eye, the system comprising
an Optical Coherence Tomography (OCT) system for measuring predetermined structures of the patient's eye immediately before and/or during a treatment for vision correction for the patient's eye and for providing OCT measurement data which characterize the measured predetermined structures of the patient's eye; and
a control unit configured to compare the OCT measurement data provided by the OCT system with specified preoperative measurement data and to determine a positioning and/or orientation of a portion of the patient's eye to be treated relative to the system using comparison data from the comparison between the OCT measurement data provided by the OCT system and the specified preoperative measurement data, and to align the system relative to the patient's eye using the determined position and/or orientation of the portion of the patient's eye to be treated;
wherein the provided specified preoperative measurement data are based on a measurement carried out independently of the system for laser-based vision correction.
17 . The system as claimed in claim 16 , further comprising a laser source for providing laser radiation for the treatment, the laser source optionally being configured to emit pulsed laser radiation and the laser source including an excimer laser and/or a picosecond laser and/or a femtosecond laser or being in the form of an excimer laser, picosecond laser and/or femtosecond laser.
18 . The system as claimed in claim 17 , further comprising:
an imaging optical unit for focusing the laser radiation on the cornea of the patient's eye, the imaging optical unit being configured such that the imaging optical unit allows a detection of a back reflection of radiation radiated on the patient's eye by the imaging optical unit and at least partially reflected by the patient's eye, within an acceptance angle χ Max of at least 2.5°.
19 . The system as claimed in claim 18 , wherein the system, and in particular the imaging optical unit, are configured such that the acceptance angle χ Max is greater than 5°.
20 . The system as claimed in claim 18 , wherein the imaging optical unit is in the form of, or comprises, a microscope optical unit.
21 . The system as claimed in claim 18 , wherein the imaging optical unit has an optical opening and a given working distance, a diameter of the optical opening being greater than or equal to the given working distance.
22 . The system as claimed in claim 18 , wherein the imaging optical unit has an optical opening with a diameter of at least 50 mm, and wherein the imaging optical unit has a working distance of less than 50 mm.
23 . The system as claimed in claim 18 , wherein the detection of the back reflection of radiation comprises a detection of a back reflection of an OCT beam radiated into the patient's eye by the imaging optical unit.
24 . The system as claimed in claim 16 , further comprising a contact interface for coupling the patient's eye to the system.
25 . The system as claimed in claim 16 , further comprising an eye tracker for verifying the position and/or orientation of the patient's eye relative to the system, optionally relative to the imaging optical unit.