IP Library › Granted Patent US 11,246,664
Granted Patent B2
US 11,246,664 · App. 16/419,064 · Granted Feb 15, 2022

Astigmatism correction

Inventors: Delbert Peter Andrews (Oberkochen, DE); Kyle Hunter Smith (Temple, TX); Jeremiah Robert Elliott (Temple, TX)
Assignee: CARL ZEISS MEDITEC AG
A61B34/10A61B3/102A61B3/1005A61B3/1015A61B3/1035A61B3/117A61B3/145A61B8/10A61B90/20A61F2/1662A61F9/008A61B2034/104A61B2090/373A61B2505/05A61F2009/0088
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Quick Facts
Patent No.
US 11,246,664
App. No.
16/419,064
Granted
Feb 15, 2022
Kind
B2
Abstract

A therapeutic method can include receiving an initial astigmatism condition of an eye; receiving a target final astigmatism condition of the eye; generating, based on the initial and target final astigmatism conditions, an eye incision pattern by iterating through a plurality of potential corrective combinations; and cutting the eye based on the eye incision pattern. Each of the potential corrective combinations can be defined by one or more of: an intraocular lens selected from a plurality of intraocular lens options, an access incision selected from a plurality of access incision options, and an arcuate incision selected from a plurality of arcuate incision options.

Claims (68)

1. A therapy system comprising:

a processing system comprising one or more processors configured to:

receive an initial astigmatism condition of the eye;

receive a target final astigmatism condition of the eye;

generate, based on the initial and target final astigmatism conditions, an eye incision pattern, wherein the one or more processors are configured to generate the eye incision pattern by iterating through a plurality of potential corrective combinations, each of the potential corrective combinations being defined by: an intraocular lens selected from a plurality of intraocular lens options, an access incision selected from a plurality of access incision options, and an arcuate incision selected from a plurality of arcuate incision options;

wherein at least one of (i) and (ii) are present:

(i) the therapy system comprises a cutting device and the one or more processors are configured to control the cutting device based on the generated eye incision pattern;

(ii) the therapy system comprises a display and a microscope and the one or more processors are configured to:

present on the display, a live video feed of the eye captured by the microscope;

overlay, onto the live video feed, at least a portion of the generated eye incision pattern.

2. The therapy system of claim 1 , wherein the one or more processors are further configured to:

project, for each iterated potential corrective combination, a final astigmatism condition of the eye based on: the initial astigmatism condition, the selected intraocular lens, the selected access incision, and the selected arcuate incision;

compare, for each iterated potential corrective combination, the projected final astigmatism condition of the eye with the target final astigmatism condition of the eye;

select at least one of the potential corrective combinations based on the comparisons; and

set the generated eye incision pattern based on the selected at least one potential corrective combination.

3. The therapy system of claim 1 , wherein each of the potential corrective combinations is further defined by an orientation of the selected intraocular lens, the orientation being selected from a plurality of intraocular lens orientation options.

4. The therapy system of claim 1 , wherein the one or more processors are configured to control the cutting device based on the generated eye incision pattern by:

selecting one of the potential corrective combinations based on the target final astigmatism condition;

causing the cutting device to cut, into the eye tissue, an access incision based on the access incision of the selected corrective combination; and

causing the cutting device to cut, into the eye tissue, an arcuate incision based on the arcuate incision of the selected correct combination.

5. The therapy system of claim 1 , wherein the one or more processors are further configured to:

select one of the potential corrective combinations;

project a surgery-induced temporary deformation of the eye;

modify, based on the projected eye deformation, the access incision of the selected corrective combination and the arcuate incision of the selected corrective combination; and

cause the cutting device to cut, into the eye tissue, an incision based on the modified access incision and an incision based on the modified arcuate incision.

6. The therapy system of claim 1 , wherein the one or more processors are further configured to receive the initial astigmatism condition of the eye by:

receiving one or more measured dimensions of the eye, and

determining the initial astigmatism condition based on the received measurements.

7. The therapy system of claim 1 , comprising a measuring device, the one or more processors being configured to control the measuring device, the measuring device comprising a device selected from the group consisting of: a/an autorefractor, refractometer, keratometer, placido disc reflection, wavefront measuring device, optical coherence tomography (OCT) device, preferably for both the anterior and posterior corneal surface, Scheimpflug camera, options for measuring the axial length of the eye, for measuring the depth of the anterior chamber, for measuring the corneal diameter, ultrasonic imaging system, and microscope.

8. A therapeutic method comprising:

receiving an initial astigmatism condition of an eye;

receiving a target final astigmatism condition of the eye;

generating, based on the initial and target final astigmatism conditions, an eye incision pattern by iterating through a plurality of potential corrective combinations, each of the potential corrective combinations being defined by:

an intraocular lens selected from a plurality of intraocular lens options,

an access incision selected from a plurality of access incision options, and

an arcuate incision selected from a plurality of arcuate incision options; and

cutting the eye based on the eye incision pattern.

9. The method of claim 8 , further comprising:

projecting, for each iterated potential corrective combination, a final astigmatism condition of the eye based on: the initial astigmatism condition, the selected intraocular lens, the selected access incision, and the selected arcuate incision;

comparing, for each iterated potential corrective combination, the projected final astigmatism condition of the eye with the target final astigmatism condition of the eye;

selecting at least one of the potential corrective combinations based on the comparisons; and

setting the generated eye incision pattern based on the selected at least one potential corrective combination.

10. The method of claim 8 , wherein each of the potential corrective combinations is further defined by an orientation of the selected intraocular lens, the orientation being selected from a plurality of intraocular lens orientation options.

11. The method of claim 8 , further comprising cutting based on the generated eye incision pattern by:

selecting one of the potential corrective combinations based on the target final astigmatism condition;

cutting, into the eye tissue, an access incision based on the access incision of the selected corrective combination; and

cutting, into the eye tissue, an arcuate incision based on the arcuate incision of the selected correct combination.

12. The method of claim 8 , further comprising:

selecting one of the potential corrective combinations;

projecting a surgery-induced temporary deformation of the eye;

modifying, based on the projected eye deformation, the access incision of the selected corrective combination and the arcuate incision of the selected corrective combination; and

cutting, into the eye tissue, an incision based on the modified access incision and an incision based on the modified arcuate incision.

13. The method of claim 8 , further comprising receiving the initial astigmatism condition of the eye by determining the initial astigmatism condition of the eye based on measurements received from a device selected from the group consisting of: a/an autorefractor, refractometer, keratometer, placido disc reflection, wavefront measuring device, optical coherence tomography (OCT) device, preferably for both the anterior and posterior corneal surface, Scheimpflug camera, options for measuring the axial length of the eye, for measuring the depth of the anterior chamber, for measuring the corneal diameter, ultrasonic imaging system, and microscope.

14. The method of claim 8 , further comprising:

capturing an image of the eye; and

presenting, on an electronic display, at least a portion of the generated eye incision pattern overlaid onto the captured image.

15. The method of claim 8 , further comprising:

capturing a live video feed of the eye; and

presenting, on an electronic display, at least a portion of the generated eye incision pattern overlaid onto the live video feed.

16. The method of claim 15 , further comprising continuously and automatically realigning the generated eye incision pattern with the live video feed.

17. A non-transitory computer readable medium storing program code configured to cause a processing system comprising one or more processors to perform the method of claim 8 .

18. A therapeutic method, comprising:

selecting a corrective combination by iterating through a plurality of potential corrective combinations, each combination being defined by an intraocular lens selected from a plurality of intraocular lens options, a natural access incision selected from a plurality of access incision options, and a natural arcuate incision selected from a plurality of arcuate incision options;

projecting a surgically-induced temporary deformation of an eye;

modifying both of the natural access incision and the natural arcuate incision of selected corrective combination based on the projected temporary deformation; and

cutting the eye based on the modified access and arcuate incisions.

19. The method of claim 18 , wherein after the temporary eye deformation dissipates and the eye returns to a natural condition, the modified access and arcuate incisions previously cut into the temporarily deformed eye respectively transform into the natural access and arcuate incisions.

20. The method of claim 18 , wherein each of the corrective combinations is defined by an orientation of the selected intraocular lens, the orientation being selected from a plurality of intraocular lens orientation options; and the cutting is performed with a laser system configured to cut eye tissue with a focused laser beam.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 29, 2019
From: ANDREWS, DELBERT PETER; SMITH, KYLE HUNTER; ELLIOTT, JEREMIAH ROBERT
To: CARL ZEISS MEDITEC AG; CARL ZEISS MEDITEC INC.
Reel/Frame 049298/0273 →
Priority Claims (1)
DE 102018208014.3 · May 22, 2018 · national
Continuity (2)
Provisional Application 62750270 · Oct 25, 2018
Related Publication 20190357980A1 · Nov 28, 2019
Cited By (5)
US 12,633,121 US 12,661,189 US 12,678,239 US 12,682,637 US 12,714,602