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US5507741A Expired / Lapsed US ⏱️ 0.0 years remaining

Ophthalmic method for laser surgery of the cornea

Assignee: AMO Manufacturing USA LLC
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Filing: 1988-01-20
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Granted: 1996-04-16
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Expires: 2008-01-20
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Abstract

Abstract The invention contemplates an inventory of disposable elements adapted for selective placement in the path of laser-beam delivery to the cornea. Each of the disposable elements carries a membrane which is opaque to the laser beam and which is designedly subject to ablation when exposed to the laser beam, the thickness of the membrane being a precharacterized function of local area such that a given laser-beam course of exposure will require greater or lesser time to locally ablate the membrane and thus permit laser-beam exposure past the membrane and into correspondingly localized ablating impingement with the cornea. Stated in other words, varying-spot size at the cornea is achieved by a time-release function of the membrane, on a predetermined area-controlled basis that is designed to achieve the diopter change specifically identified with each particular selectable element.

Inventors

  • 👤 Francis A. L'Esperance, Jr.

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-06 13:14
CPC Classifications
B; B23; B23K; B23K26/00; B23K26/08; A; A61; A61F; A61F9/00; A61F9/007; A61F9/008; A61F9/00802; A61F9/00804; A61F9/009; B23K26/082; A61B; A61B17/00; A61B17/30; A61B2017/306; A61B18/00; A61B18/18; A61B18/20; A61B2018/2035; A61B2018/20351; A61B2018/20355; A61F2009/00861; A61F2009/00872; A61F9/00817; A61F9/00819

Claims Analysis

Total Claims: 9
Claim 1
Independent Claim 285 words
The method of making a precharacterized accessory for use in the path of delivery of an ultraviolet laser beam to perform a curvature-changing sculpture of the anterior surface of a cornea, wherein the accessory comprises a plane-parallel plate of substrate material that is transparent to ultraviolet radiation, and an ablatable membrane layer carried by said plate for expendable use in providing a predetermined ablative sculpture of the optically used central area of the anterior surface of the cornea, said membrane being opaque to ultraviolet radiation and having a central circular area of varying thickness which is a function of radius between central inner and radially outer limits of the circular area, the thickness ranging from zero at one of said limits to maximum at the other of said limits, said membrane being of such maximum thickness within said circular area as to require, for a given intensity of ultraviolet radiation, a predetermined total exposure to achieve total ablation of said maximum thickness, said predetermined total exposure being that which is predetermined to achieve a given maximum stroma-penetration depth for a given sculpturing recurvature of the anterior surface of a cornea exposed to ultraviolet radiation via transmission through said plate; which method comprises preparing said plate with a uniformly thick membrane layer on one plane surface thereof, the material of said membrane layer being opaque to ultraviolet radiation, and exposing a central area of said layer to selective ultraviolet radiation and attendant ablative photodecomposition in a volumetric removal of membrane material and with full depth penetration at one locality within said central area, and essentially zero depth penetration at another locality within said central area, such that a predetermined thickness profile is established between said localities.
Claim 2
Independent Claim 285 words
The method of making a precharacterized accessory for use in the path of delivery of an ultraviolet laser beam to perform a curvature-changing sculpture of the anterior surface of a cornea, wherein the accessory comprises a plane-parallel plate of substrate material that is transparent to ultraviolet radiation, and an ablatable membrane layer carried by said plate for expendable use in providing a predetermined ablative sculpture of the optically used central area of the anterior surface of the cornea, said membrane being opaque to ultraviolet radiation and having a central circular area of varying thickness which is a function of radius between central inner and radially outer limits of the circular area, the thickness ranging from zero at one of said limits to maximum at the other of said limits, said membrane being of such maximum thickness within said circular area as to require, for a given intensity of ultraviolet radiation, a predetermined total exposure to achieve total ablation of said maximum thickness, said predetermined total exposure being that which is predetermined to achieve a given maximum stroma-penetration depth for a given sculpturing recurvature of the anterior surface of a cornea exposed to ultraviolet radiation via transmission through said plate; which method comprises preparing said plate with a uniformly thick membrane layer on one plane surface thereof, the material of said membrane layer being opaque to ultraviolet radiation, and exposing a central area of said layer to selective ultraviolet radiation and attendant ablative photodecomposition in a volumetric removal of membrane material and with full depth penetration at one locality within said central area, and essentially zero depth penetration at another locality within said central area, such that a predetermined thickness profile is established between said localities.
Claim 3
Dependent Claim 32 words
The method of claim 1, in which the thickness variation ranges from essentially zero thickness at the center of said area, to maximum thickness near the peripheral limit of said central area.
Claim 4
Dependent Claim 32 words
The method of claim 1, in which the thickness variation ranges from maximum thickness at the center of said area, to essentially zero thickness near the peripheral limit of said central area.
Claim 5
Dependent Claim 43 words
The method of claim 1, in which the thickness variation in said central area ranges from maximum thickness along an alignment through the center and across said central area, to essentially zero thickness at equal and opposite maximum lateral offsets from said alignment.
Claim 6
Dependent Claim 43 words
The method of claim 1, in which the thickness variation in said central area ranges from minimum thickness along an alignment through the center and across said central area, to essentially said maximum thickness at equal and opposite lateral offsets from said alignment.
Claim 7
Independent Claim 327 words
The method of making a precharacterized accessory for use in the path of delivery of an ultraviolet laser beam to perform a curvature-changing sculpture of the anterior surface of a cornea, wherein the accessory comprises a substrate having a flat surface which is a reflector of ultraviolet radiation, and an ablatable membrane layer carried by said surface for expendable use in providing a predetermined ablative sculpture of the optically used central area of the anterior surface of the cornea, said membrane being opaque to ultraviolet radiation and having a central elliptical area of varying thickness which is a function of radius between central inner and radially outer limits of the elliptical area, the thickness ranging from zero at one end of said limits to maximum at the other of said limits, said membrane being of such maximum thickness within said elliptical area as to require, for a given intensity of ultraviolet radiation, a predetermined total exposure to achieve total ablation of said maximum thickness, said predetermined total exposure being that which is predetermined to achieve a given maximum stroma-penetration depth for a given sculpturing recurvature of the anterior surface of a cornea exposed to ultraviolet radiation via transmission via reflection from said surface; which method comprises preparing said plate with a uniformly thick membrane layer on said flat surface, the material of said membrane layer being opaque to ultraviolet radiation, and at an acute angle of incidence directionally exposing a central area of said layer to selective ultraviolet radiation and attendant ablative photodecomposition in a volumetric removal of membrane material and with full depth penetration at one locality within said central area, and essentially zero depth penetration at another locality within said central area, such that a predetermined thickness profile is established between said localities, and said angle of incidence being such in relation to the major:minor axis relation of said elliptical area as to determine a circular beam section in the reflection from said elliptical area.
Claim 8
Independent Claim 327 words
The method of making a precharacterized accessory for use in the path of delivery of an ultraviolet laser beam to perform a curvature-changing sculpture of the anterior surface of a cornea, wherein the accessory comprises a substrate having a flat surface which is a reflector of ultraviolet radiation, and an ablatable membrane layer carried by said surface for expendable use in providing a predetermined ablative sculpture of the optically used central area of the anterior surface of the cornea, said membrane being opaque to ultraviolet radiation and having a central elliptical area of varying thickness which is a function of radius between central inner and radially outer limits of the elliptical area, the thickness ranging from zero at one end of said limits to maximum at the other of said limits, said membrane being of such maximum thickness within said elliptical area as to require, for a given intensity of ultraviolet radiation, a predetermined total exposure to achieve total ablation of said maximum thickness, said predetermined total exposure being that which is predetermined to achieve a given maximum stroma-penetration depth for a given sculpturing recurvature of the anterior surface of a cornea exposed to ultraviolet radiation via transmission via reflection from said surface; which method comprises preparing said plate with a uniformly thick membrane layer on said flat surface, the material of said membrane layer being opaque to ultraviolet radiation, and at an acute angle of incidence directionally exposing a central area of said layer to selective ultraviolet radiation and attendant ablative photodecomposition in a volumetric removal of membrane material and with full depth penetration at one locality within said central area, and essentially zero depth penetration at another locality within said central area, such that a predetermined thickness profile is established between said localities, and said angle of incidence being such in relation to the major:minor axis relation of said elliptical area as to determine a circular beam section in the reflection from said elliptical area.
Claim 9
Dependent Claim 31 words
The method of claim 1 or claim 6, in which the ultraviolet radiation is characterized by a beam having circular symmetry about a central axis of incidence with said membrane layer.

References Cited (Backward Citations)

US4156124A Cited
WO1987001930A1 Cited
US4676790A Cited
US4772283A Cited
US4856513A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1999-04-16 1999-10-16 2000-04-16 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2003-04-16 2003-10-16 2004-04-16 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2007-04-16 2007-10-16 2008-04-16 $7700.00 Window Closed / Lapsed

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