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US4391275A Expired / Lapsed US ⏱️ 0.0 years remaining

Method for the surgical treatment of the eye

Assignee: Lasag AG
•
Filing: 1980-11-28
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Granted: 1983-07-05
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Expires: 2000-11-28
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Abstract

Abstract The invention relates to a method for the surgical treatment of the eye by perforation, by laser radiation, of a tissue or inner wall of the eyeball having a resistance to the free circulation of the aqueous humour. A laser radiation burst comprising at least one pulse of duration d comprised between 10 and 60 ns and of radiated energy comprised between 30 and 300 millijoules is produced and focussed at a determined distance p inside the wall. The radiation is focussed according to a solid angle Ω determining a density of radiated energy causing ionization of the propagation medium. A shock wave is also produced due to this ionization close to the mean direction of propagation of the radiated, thereby allowing the tissue or inner wall to be perforated.

Inventors

  • 👤 Franz Fankhauser
  • 👤 Eugen van der Zypen
  • 👤 Philippe Roussel

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 01:30
CPC Classifications
B; B23; B23K; B23K26/00; B23K26/02; B23K26/04; B23K26/046; A; A61; A61B; A61B3/00; A61B3/10; A61B3/12; A61B3/1225; A61F; A61F9/00; A61F9/007; A61F9/008; A61F9/00821; A61F9/00823; B23K26/03; B23K26/032; A61F2009/00861; A61F2009/00863; A61F2009/00876; A61F2009/00885; A61F2009/00891; A61F9/009

Claims Analysis

Total Claims: 14
Claim 1
Independent Claim 257 words
For a method of non-invasive surgical treatment of the eye which comprises the steps of forming a convergent treatment laser beam, directing the focus of the convergent treatment laser beam onto the structure to be treated, shifting the focus with respect to the structure to be a certain distance in front of or behind the structure, delivering the treatment laser beam into said focus where the radiation intensity performs the surgery, an improvement to prevent damage to the structure of the eye not being treated, the improvement comprising the steps of: generating visible ancillary lower power laser observation beams to sense the outside envelope of the treatment laser beam, rotating said laser observation beams around the optical axis of said laser treatment beam, said laser observation beams intersecting in the focus position of the laser treatment beam, shifting the focus position of the treatment bean along the optical axis with respect to the intersection point of said laser observation beams, directing the laser observation beams onto treatment point of the structure to be irradiated so that they intersect said structure and provide dots of light thereon for observation purposes, inspecting the path of the observation laser beams to determine if the treatment beam on its pass into the focus will touch eye structure not being treated, adjusting the treatment laser beam in accordance with the results of the inspection step to ensure that the treatment beam does not touch structures not to be treated, and delivering the treatment laser beam into the focus to cause the surgery.
Claim 2
Dependent Claim 257 words
For a method of non-invasive surgical treatment of the eye which comprises the steps of forming a convergent treatment laser beam, directing the focus of the convergent treatment laser beam onto the structure to be treated, shifting the focus with respect to the structure to be a certain distance in front of or behind the structure, delivering the treatment laser beam into said focus where the radiation intensity performs the surgery, an improvement to prevent damage to the structure of the eye not being treated, the improvement comprising the steps of: generating visible ancillary lower power laser observation beams to sense the outside envelope of the treatment laser beam, rotating said laser observation beams around the optical axis of said laser treatment beam, said laser observation beams intersecting in the focus position of the laser treatment beam, shifting the focus position of the treatment bean along the optical axis with respect to the intersection point of said laser observation beams, directing the laser observation beams onto treatment point of the structure to be irradiated so that they intersect said structure and provide dots of light thereon for observation purposes, inspecting the path of the observation laser beams to determine if the treatment beam on its pass into the focus will touch eye structure not being treated, adjusting the treatment laser beam in accordance with the results of the inspection step to ensure that the treatment beam does not touch structures not to be treated, and delivering the treatment laser beam into the focus to cause the surgery.
Claim 3
Dependent Claim 58 words
A method for surgical treatment of the eye as claimed in claim 1, wherein the treatment laser beam has a power of between 30 mJ and 300 mJ and a duration of between 10 and 60 ns thereby allowing through ionization in the vicinity of the focus sufficient power to be generated for the perforation of said tissue.
Claim 4
Dependent Claim 26 words
A method for surgical treatment of the eye as claimed in claim 2, wherein the treatment laser beam wavelength is between 0.5 μm and 1.1 μm.
Claim 5
Dependent Claim 26 words
A method for surgical treatment of the eye as claimed in claim 1, wherein said distance is proportional to the energy of said treatment laser beam.
Claim 6
Dependent Claim 21 words
A method for surgical treatment of the eye as claimed in claim 4, wherein the distance is less than 4 mm.
Claim 7
Dependent Claim 38 words
A method for surgical treatment of the eye as claimed in claim 4, wherein for the treatment of glaucoma with closed angle, the tissue to be perforated is the iris and said distance is less than 2 mm.
Claim 8
Dependent Claim 35 words
A method for surgical treatment of the eye as claimed in claim 1, wherein said treatment laser beam comprises a burst of elementary pulses, each burst repeated at a frequency of less than 100 Hz.
Claim 9
Dependent Claim 46 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of chronic glaucoma simplex, the tissue to be perforated is the irido-corneal angle of the anterior chamber of the eye, the treatment laser beam being focussed inside said tissue.
Claim 10
Dependent Claim 56 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of mixed glaucoma the steps are: perforating first the iridio-corneal angle of the anterior chamber of the eyeball, performing the corresponding operative steps on said iridio-corneal angle, perforating the iris, and performing the corresponding operative steps on said iris.
Claim 11
Dependent Claim 57 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of mixed glaucoma in the steps are: perforating the iris, performing the corresponding operative steps on said iris tissue, perforating the iridio-corneal angle of the anterior chamber of the eyeball, and performing the corresponding operative steps on said iridio-corneal angle.
Claim 12
Dependent Claim 42 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of the infantile glaucoma the tissue to be treated is the embryonary substance deposited on the iridio-corneal angle of the anterior chamber of the eyeball.
Claim 13
Dependent Claim 67 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of secondary forms of glaucoma related to an inflammation of the supraciliary space and of the iris leading to the sticking of the iris root with the walls of the angle of the anterior chamber of the eye, said treatment laser beam is focussed on the vicinity of said sticking.
Claim 14
Dependent Claim 33 words
A method for surgical treatment of the eye as claimed in claim 1, wherein for the treatment of glaucoma by obstruction of the pupillary block, the tissue to be perforated is the iris.

References Cited (Backward Citations)

US4270845A Cited
US4164222A Cited
US4185633A Cited
US4215694A Cited
US4309998A Cited
US4266549A Cited
US4273535A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1986-07-04 1987-01-03 1987-07-05 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1990-07-04 1991-01-03 1991-07-05 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1994-07-04 1995-01-03 1995-07-05 $7700.00 Window Closed / Lapsed

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