Carl Zeiss Meditec Ag

Carl Zeiss Ag

Carl Zeiss Meditec Gmbh

Tobias Bühren

Ferid Bajramovic

Martin Hacker

Matthias Reich

Michael Trost

Ralf Ebersbach

Peter Klopfleisch

Gerard Antkowiak

Wei-Jun Chen

Manfred Dick

Wilfried Bissmann

Martin Volkwardt

Daniel Bublitz

Martin Kühner

Rudolf Murai Von Bünau

Burkhard Wagner

Jörg Meissner

Michael Kempe

Roland Bergner

Rico Fuchs

Johannes Kindt

Günter Rudolph

Christopher Weth

Wibke Hellmich

Thomas K Fitzmorris

Michael Zimmermann

Akhil Ramesh Kumar

Steffen Wagner

Joao Emanuel Goncalves Bras

The proposed combination device combines any tonometric metrology with a drug application to administer glaucoma medication on an eye. Several technical concepts are proposed and exemplary embodiments for rebound tonometry and air-puff tonometry are shown. However other methods such as optical coherence elastography (OCE) could also be used. The Solutions provide home care tonometry offerings which host the capability to administer glaucoma medication.

Combination device for tonometrical measuring and drug application on an eye

A device for determining biometric variables of the eye, as are incorporated in the calculation of intraocular lenses including a multi-point keratometer and an OCT arrangement. The keratometer measurement points are illuminated telecentrically and detected telecentrically and the OCT arrangement is designed as a laterally scanning swept-source system with a detection region detecting the whole eye over the whole axial length thereof. Illumination points are arranged in three rings concentrically around an instrument axis; and the three rings include a first ring, a second ring and a third ring and the illumination points on the first ring and the third ring are rotated in relation to the illumination points on the second ring such that each of the illumination points on the first ring is on a common radial with one of the illumination points on the third ring and each of the illumination points on the second ring is not on the common radial.

Device for reliably determining biometric measurement variables of the whole eye

A method for capturing biometric measurement data of a patient's eye, in which the fixation is monitored during the entire biometric measurement. Information in respect of the fixation is extracted, depending on the different recording modes, from already available or additionally captured recordings and/or data. Central retinal OCT scans with absolute fixation information and frontal images with relative fixation information with or without at least partial diffuse lighting are used. On the basis of this extracted fixation information, the subsequent evaluation only uses the captured biometric measurement data captured just before, at the same time as or just after frontal images with the correct fixation. The method can also be applied to different measurement tasks, in which use is made of different measurement modes and in which the alignment of the measurement object is important for the measurement results.

Method for the continuous control of the fixation of a patient's eye during the detection of biometric measurement data of the patient's eye

A device for determining biometric variables of the eye, as are incorporated in the calculation of intraocular lenses including a multi-point keratometer and an OCT arrangement. The keratometer measurement points are illuminated telecentrically and detected telecentrically and the OCT arrangement is designed as a laterally scanning swept-source system with a detection region detecting the whole eye over the whole axial length thereof. The multi-point keratometer ensures that a sufficient number of keratometer points are available for measuring the corneal surface. By contrast, telecentricity ensures that the positioning inadequacies of the measuring instrument in relation to the eye to be measured do not lead to a local mismatch of the reflection points. The swept-source OCT scan detects the whole eye over the length thereof so that both anterior chamber structures and retina structures can be detected and a consistent whole eye image can be realized.

An ophthalmic lens has a changeable corrective effect, which automatically changes over a predetermined period of time. Further, the ophthalmic lens provides a gradually increasing undercorrection of the far point of the eye over the course of a day, which brings about a deceleration in the axial length growth of the eyeball. In addition, a method for automatically adapting a corrective effect, a pair of spectacles, and a use of an ophthalmic lens are disclosed.

Method for adapting a corrective effect of an ophthalmic lens, ophthalmic lens and use of an ophthalmic lens

A method for classifying a cataract of an eye to determine parameters for pre-setting phaco-treatment instruments. OCT-based measurements are realized. The OCT-based scans are analysed using imaging technology and the local distribution of the cataract is determined. The cataract is classified on the basis of comparison values and the local distribution and classification of the cataract are used to identify parameters for pre-setting phaco-treatment instruments. Even though the proposed method for classifying the cataract of an eye is provided for determining parameters for pre-setting phaco-treatment instruments, it should equally also be used for determining parameters for pre-setting treatment instruments based on fs-lasers.

Method for classifying the cataract of an eye

A method for determining the topography of the cornea of an eye on the basis of an optical, contactless data capture. In the method for determining the topography of the cornea of an eye, which is based on a deflectometric method, the deflectometric measurements are carried out with the aid of a keratometric method by virtue of additional OCT-based scans being made at the keratometric measurement points, wherein the two measurement systems are registered to one another and both the keratometric and the OCT-based measurement values are recorded and used for mutual calibration to determine and output the topographic data. The proposed method serves to determine the topography of the cornea of an eye. It is helpful to ascertain the topography in order to be able to draw conclusions about possible pathological changes. Moreover, the exact measurement of the corneal topography is of great importance for correcting refractive errors.

Method for determining the topography of the cornea of an eye

Postoperative lens position is predicted on the basis of known measured values, such as the corneal thickness, the depth of the anterior chamber, the eye length, and the distances of the capsular bag equator and/or of the lens haptic from the anterior surface of the lens. In addition, the calculation also takes into account the attitude of the intraocular lens, for which purpose additional parameters of the pseudophakic eye are used that have not previously been taken into consideration. The proposed method is suitable for a more exact prediction of the strength and nature of an intraocular lens to be implanted in a pseudophakic eye in the context of cataract surgery or of a refractive intervention. The method is based on the use of suitable calculation methods, e.g. geometric optical formulae, or of ray tracing.

Method for the optimized prediction of the postoperative anatomical position of an intraocular lens implanted in a pseudophakic eye

A method for selecting an intraocular lens (IOL) to be implanted into an eye, in which the selection is based on a non-paraxial approach. In a ray tracing method for selecting an intraocular lens to be implanted into an eye with a simplified, centered optical system, in addition to the preoperatively measured biometric values, the effective lens position of the corresponding eye and the optical transfer function of the IOLs are used, which are calculated for a standardized distance behind the equatorial plane of the IOL. The method may be used to select an intraocular lens to be implanted into an eye and is equally suitable for spherical, aspherical, toric and multifocal IOLs.

Method for selecting an intraocular lens to be implanted into an eye

A method for selecting an intraocular lens (IOL), to optimize the results of refractive procedures on the eye. According to the invention, the method for selecting the IOL includes: a) determining the required biometrical parameters of the eye; b) using the parameters for a corresponding eye model; c) evaluating, using ray tracing, the data of an IOL to be implanted; d) selecting, on the basis of said data, an IOL to be implanted; and e) repeating the method steps c) and d) for further suitable IOLs. To optimize the method, different measuring methods are used to determine the biometrical parameters, a corresponding patient-specific eye model is identified, and, when selecting the IOL, additional retinal image metrics are taken into consideration alongside the determined data. The method according to the invention permits the optimized selection of a spherical, aspheric, toric or multifocal IOL for implantation.

Method for optimizing the selection of the IOL to be implanted in an eye

A method for determining the axial length of an eye by optical coherence tomography (OCT), in which the alignment of the measuring instrument to the eye is monitored to enable reliable determination of the axial length of the eye. B-scans are carried out following alignment from which scans of the retinal tissue structures are detected to determine the axial lengths, which are then used in the detection of the fovea in order to monitor alignment. The axial lengths determined from the B-scans are then confirmed or corrected and output depending, on the determined position of the fovea or the lateral distance thereof from the optical axis of the measuring instrument. The method is particularly suitable for OCT methods in which the axial length is determined on the basis of an A-scan along the axial dimension of the eye.

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Magdala, Germany

Tobias Bühren