Intrastromal photo-refractive keratectomy

A - Human Necessities – 61 – F

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A61F 9/007 (2006.01) A61F 9/01 (2006.01)

Patent

CA 2226949

A method for performing intrastromal photorefractive keratectomy in the cornea of an eye, using a pulsed laser beam, 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 stromal tissue which is substantially equal to the volume of the focal spot. Subsequently, the beam is focused in a patterned sequence to focal spots at other discrete points in the stroma. At each point the stromal tissue is photodisrupted. With this progressive pattern of photodisruption, each spot is placed substantially 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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