Electronic ophthalmoscope for selective retinal photodisruption of the photoreceptor mosaic

Abstract

An electronic SLO/OCT ophthalmoscope is equipped with a femtosecond (fs) laser for intra- or preretinal therapeutic use in the posterior segment of the eye. In one application the retina photoreceptor mosaic or Bruch's membrane is disrupted in such pattern that minimizes loss of visual functioning but reduces metabolic load of the outer retina. Using a beam splitter, one embodiment combines the SLO/OCT scanning beams with the therapeutic fs beam and an aiming beam. The therapeutic channel uses an independent x/y positioner and micro-deflector. Because the duty cycle is appropriate, a second embodiment can use the SLO/OCT scanners to also simultaneously scan a modulated therapeutic laser beam. A biometric OCT probe can be integrated in both configurations for focusing purpose. A method is disclosed to represent focus relevant tilting of the retina in the posterior pole. A derived apodizing 'Stiles-Crawford' pupil weighting function is also independently useful for calculating light efficiency throughput of the anterior eye optics (cornea and iol/natural lens) in various circumstances.