An ophthalmological device for treatment of a cornea comprises a laser source, a focusing optical module, a scanner system, and an electronic circuit. The electronic circuit is configured to control the scanner system to move the focal spot of the pulsed laser beam to generate a void volume inside the cornea by ablating cornea tissue with partially overlapping focal spots, whereby two or more focal spots partially overlap in direction of each of three dimensions of the void volume, and to move the focal spot inside the cornea to cut in the cornea a venting channel which connects fluidically the void volume to an escape area and enables venting of gas from the void volume through the venting channel to the escape area.

The invention provides personalized laser probes for use in laser systems, wherein each laser probe includes one or more characteristics tailored to a given user to thereby improve performance of and outcome of a laser treatment procedure.

An ophthalmic system for visualization of interactions between ocular matter and a probe tip of a probe within or in contact with an ocular space of an eye includes: a visualization tool having a field of view that includes at least a portion of the ocular space of the eye where the probe tip interfaces with the ocular matter; and a stroboscopic illumination source configured to stroboscopically illuminate at least the portion of the field of view at an illumination frequency. A method of operating a stroboscopic illumination source during an ophthalmic surgical procedure includes: identifying an illumination source type of the stroboscopic illumination source; identifying a probe type; identifying a first procedure trigger; and operating the stroboscopic illumination source based on the probe type, the illumination source type, and the first procedure trigger.

The invention relates to a method for controlling an eye surgical laser (12) of a treatment apparatus (10) for the separation of a volume body (14) with a predefined posterior interface (24) and a predefined anterior interface (26) from a human or animal cornea (16). The method includes controlling the laser (12) by means of a control device (18) of the treatment apparatus (10) such that it emits pulsed laser pulses in a shot sequence in a predefined pattern into the cornea (16), wherein the interfaces of the volume body (14) to be separated are defined by the predefined pattern and the interfaces are generated by means of an interaction of the individual laser pulses with the cornea (16) by the generation of a plurality of cavitation bubbles, wherein an arc length of the anterior interface (26) in radial direction and an arc length of the posterior interface (24) in radial direction are generated of equal length in all radial directions by means of at least one indentation (28) in one of the interfaces.

A first image of the eye is generated when the cornea of the eye is exposed to a gas. The cornea is covered with an optic of a patient interface. A second image of the eye with the patient interface over the cornea is generated. In this second image, the patient interface distorts the second image of the eye. One or more of a position or an orientation of the eye is determined in response to the first image and the second image when the patient interface has been placed over the cornea.

A method of treating a subject having glaucoma comprises performing excimer laser trabeculostomy (ELT) on a subject having glaucoma and having previously undergone a failed treatment or a treatment that has been rendered ineffective by progression of the disease. In some examples, the failed treatment is a non-surgical treatment comprising administering medicated eye drops. In some examples, the failed treatment is a laser treatment or surgical treatment, such as a trabeculoplasty, iridotomy, iridectomy, trabeculectomy, trabeculotomy, goniotomy, surgical insertion of a shunt or implant, deep sclerectomy, viscocanalostomy, or a combination thereof.

The invention relates to a treatment apparatus for an eye treatment, at least comprising: at least one laser beam source configured for emission of laser pulses, at least one beam exit device, which is configured to pass the respective laser pulses with a predetermined laser pulse cross-sectional profile to respective impingement positions in a treatment surface of a preset treatment volume of an eye to be treated, a control device, which is configured to ascertain coordinates of the respective impingement positions in the treatment surface according to at least two predetermined coordinate ascertaining methods for the preset treatment volume and the predetermined laser pulse cross-sectional profile. The control device is configured to ascertain respective expectable treatment roughnesses of the treatment volume depending on coordinate ascertaining method, according to a predetermined roughness ascertaining method for the at least two coordinate ascertaining methods, to determine the predetermined coordinate ascertaining method of a smallest expectable treatment roughness depending on coordinate ascertaining method as the coordinate ascertaining method to be adjusted, and to adjust the coordinates of the respective impingement positions according to the coordinate ascertaining method to be adjusted, in the at least one beam exit device.

An ophthalmological image processing device and method are disclosed in which a reference image of an eye of a person is received and analyzed in a processor by calculating a quality measure, the quality measuring being indicative of a suitability of the reference image for a cyclorotation assessment; and an evaluation is performed to determine whether the reference image is suitable for a cyclorotation assessment.

An imaging probe comprises a camera or endoscope with an external detector array, in which the probe is sized and shaped for surgical placement in an eye to image the eye from an interior of the eye during treatment. The imaging probe and a treatment probe can be coupled together with a fastener or contained within a housing. The imaging probe and the treatment probe can be sized and shaped to enter the eye through an incision in the cornea and image one or more of the ciliary body band or the scleral spur. The treatment probe may comprise a treatment optical fiber or a surgical placement device to deliver an implant. A processor coupled to the detector can be configured with instructions to identify a location of one or more of the ciliary body band, the scleral spur, Schwalbe's line, or Schlemm's canal from the image.

An imaging probe comprises a camera or endoscope with an external detector array, in which the probe is sized and shaped for surgical placement in an eye to image the eye from an interior of the eye during treatment. The imaging probe and a treatment probe can be coupled together with a fastener or contained within a housing. The imaging probe and the treatment probe can be sized and shaped to enter the eye through an incision in the cornea and image one or more of the ciliary body band or the scleral spur. The treatment probe may comprise a treatment optical fiber or a surgical placement device to deliver an implant. A processor coupled to the detector can be configured with instructions to identify a location of one or more of the ciliary body band, the scleral spur, Schwalbe's line, or Schlemm's canal from the image.