Intrastromal photorefractive keratectomy

Details Intrastromal photorefractive keratectomy Intrastromal photorefractive keratectomy

1997-08-21

1999-11-30

Shay, David M.

Surgery

Instruments

Light application

606 3, 606 10, A61N 502

Patent

active

059934387

ABSTRACT:
A method for performing intrastromal photorefractive keratectomy in the cornea of an eye, using a pulsed, laser beam to photodisrupt a portion of the cornea, includes the initial step of focusing the beam to a focal spot at a selected starting point in the stroma. The starting point is located at a predetermined distance behind the epithelium of the cornea. While focused on the starting point, the laser beam is pulsed to disrupt a volume of the stroma which is approximately equal to the volume of the focal point. Subsequently, the beam is focused in a patterned sequence to focal spots at other discrete points in the stroma. At each point the stroma is photodisrupted. With this progressive pattern of photodisruption, each spot is placed substantially contiguous with adjacent a volume of previously disrupted tissue. The resultant photodisrupted tissue creates a layer which is substantially centro-symmetrical around the optical axis. A plurality of layers can be removed to create a cavity in the stroma. When the cavity collapses, the corneal curvature is changed as desired.

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