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    • 9. 发明公开
    • KERATOME
    • 角膜刀
    • EP1420733A1
    • 2004-05-26
    • EP01963966.5
    • 2001-08-14
    • FEINGOLD, Vladimir
    • FEINGOLD, Vladimir
    • A61F9/013A61F2/14
    • A61F9/013
    • A method and apparatus for correcting vision, including a corneal-pocket keratome device tocreate a corneal pocket and a lens to be inserted and retained in the corneal pocket to effect correction. The corneal-pocket keratome includes a drive unit having cutting head elements which contact the subject eye during corneal pocket formation. The cutting head elements may be removable and may be disposable. The cutting head elements include a corneal restraint device, which may be a positioning ring to position an eyeball with the cornea protruding through the ring; a keratome blade assembly with a corneal-pocket blade; and may also include an applanation shoe surface to restrain the cornea, in addition or instead of the positioning ring. The applanation shoe may be pivotable away from the surgical area. The corneal-pocket blade may include a guide which travels with the blade. The blade assembly oscillates laterally while extending forward into the cornea to form the pocket, and the amplitude of the lateral oscillation is preferably increased as the blade goes beyond an opening incision into the cornea. Lenses for this invention preferably include a feature to impede accidental lens movement after the lens is disposed within the corneal pocket, which may be a swelling after insertion or a circumferential irregularity. Lenses may be of Fresnel or non-Fresnel type, and may employ annular changes in the index of refraction of the lens material, as well as changes in refractive shape which may be annular or not, to effect variations in focallength for relieving presbyopia, astigmatism, and combinations of those as well as myopia and hyperopia. Drive control and vacuum for the positioning ring are provided under user command by a control unit having user inputs.
    • 一种用于矫正视力的方法和设备,包括角膜袋角膜刀装置,以产生角膜袋和将被插入并保持在角膜袋中以进行矫正的晶状体。 角膜袋角膜刀包括驱动单元,其具有在角膜袋形成期间接触目标眼的切割头元件。 切割头元件可以是可移除的并且可以是一次性的。 切割头元件包括角膜约束装置,该角膜约束装置可以是定位环,以定位眼球并使角膜突出穿过环; 具有角膜袋刀片的角膜刀片组件; 并且还可以包括压平鞋面以约束角膜,此外或代替定位环。 压平鞋可以远离手术区域枢转。 角膜袋刀片可以包括与刀片一起行进的引导件。 刀片组件在向前延伸到角膜中以形成袋状部时横向摆动,并且当刀片越过开口切口进入角膜时横向摆动的幅度优选地增加。 用于本发明的镜片优选地包括阻止镜片布置在角膜袋内之后意外的镜片移动的特征,其可以是插入之后的隆起或周向不规则。 透镜可以是菲涅耳或非菲涅耳型,并且可以采用透镜材料的折射率的环形变化以及可以是环形或不形成的折射形状的变化,以实现焦距的变化以减轻老花眼,散光 ,以及那些以及近视和远视的组合。 定位环的驱动控制和真空由具有用户输入的控制单元在用户命令下提供。