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    • 54. 发明申请
    • SCLERAL TRANSLOCATION ELASTO-MODULATION METHODS AND APPARATUS
    • WO2014150601A2
    • 2014-09-25
    • PCT/US2014/023763
    • 2014-03-11
    • BRIDGE LABS, LLC
    • HEREKAR, SatishHEREKAR, Rajeev
    • A61N5/067
    • A61F9/00821A61F9/008A61F2009/00865A61F2009/00868A61F2009/00895
    • A laser delivery system is configured to delivery light energy to soften and realign the tissue of the eye in order to increase accommodation and treat glaucoma. The laser system can be configured to increase a circumlental space of the eye and increase movement of a posterior vitreous zonule in order to increase accommodation. The light energy may comprise wavelengths strongly absorbed by collagen of the sclera. In many embodiments a heat sink is provided to couple to the conjunctiva and the heat sink comprises a material transmissive to the light energy absorbed by collagen, for example Zinc Selenide. The heat sink can be chilled to inhibit damage to the conjunctiva of the eye. In many embodiments, one or more layers of the epithelium of the eye remain substantially intact above the zone where the eye has been treated when the heat sink has been removed.
    • 激光输送系统被配置为递送光能以软化和重新对准眼睛的组织,以便增加住院和治疗青光眼。 激光系统可以被配置为增加眼睛的周围空间并增加后玻璃体区的运动,以增加适应度。 光能可以包括由巩膜的胶原强烈吸收的波长。 在许多实施例中,提供散热器以耦合到结膜,并且散热器包括透射由胶原吸收的光能的材料,例如硒化锌。 可以冷却散热器以抑制对眼结膜的损伤。 在许多实施方案中,眼睛的上皮的一层或多层在已经去除了散热器的地方已经被处理的区域上保持基本完整。
    • 55. 发明申请
    • DEVICE AND METHOD FOR TREATMENT OF RETINAL DETACHMENT AND OTHER MALADIES OF THE EYE
    • 用于治疗眼睛剥离和眼睛的其他疾病的装置和方法
    • WO2013126498A1
    • 2013-08-29
    • PCT/US2013/027016
    • 2013-02-21
    • SCHACHAR, Ira, H.SCHACHAR, Ronald, A.
    • SCHACHAR, Ira, H.SCHACHAR, Ronald, A.
    • A61F9/007A61F9/00A61L31/02
    • A61F9/00727A61F2/14A61F2/147A61F2/91A61F9/007A61F9/00781A61F2009/00863A61F2009/00865A61F2210/0004A61F2240/001A61F2250/0067
    • [0066] The present invention relates generally to a device and method for the treatment of retinal detachment, ocular hypertension and glaucoma, and increasing the amplitude of accommodation. In an illustrative embodiment, the device includes a tapered, mesh tube. Once the device is within the sclera, the mesh expands to deform the sclera. When the device is placed within the posterior sclera for the treatment of a retinal tear, the device expands deforming the sclera so that the retinal pigment epithelium comes in contact with the retinal tear to seal the tear. For the treatment of ocular hypertension, glaucoma and to increase the amplitude of accommodation, the device is placed within the anterior sclera over the posterior plicata of the ciliary body, which upon expansion causes the underlying ciliary body to deform, resulting in traction on the trabecular meshwork and deformation of the ciliary body, which causes lowering of intraocular pressure, and increases the amplitude of accommodation in patients with ocular hypertension or decreased accommodation.
    • 本发明一般涉及用于治疗视网膜脱离,眼高压和青光眼以及增加调节幅度的装置和方法。 在说明性实施例中,该装置包括锥形网眼管。 一旦装置在巩膜内,则网孔膨胀以使巩膜变形。 当装置放置在后巩膜内用于治疗视网膜撕裂时,该装置扩张巩膜变形,使得视网膜色素上皮与视网膜撕裂接触以密封泪液。 为了治疗高眼压症,青光眼和增加调节幅度,装置放置在睫状体后面的前巩膜内,在扩张后使下睫状体发生变形,导致小梁上的牵引 睫状体的网状和变形,导致眼内压降低,并增加患有高眼压症或适应性降低的患者的适应范围。
    • 58. 发明申请
    • SYSTEM AND METHOD FOR TREATING CONNECTIVE TISSUE
    • 用于治疗连接组织的系统和方法
    • WO2006099594A2
    • 2006-09-21
    • PCT/US2006/009867
    • 2006-03-15
    • ACE VISION USA, INC.HIPSLEY, AnnMarie
    • HIPSLEY, AnnMarie
    • A61B18/18
    • A61F9/008A61F9/00802A61F9/00808A61F9/00821A61F9/00825A61F9/00838A61F2009/00865
    • A method and system of treating connective tissue to increase flexibility of the connective tissue or decrease tension in the connective tissue includes forming perforations in the connective tissue to at least 90% of the depth or thickness of the connective tissue and maintaining the perforations in the connective tissue. The method alters the tissue to enhance the . fundamental mechanisms involved the immunology, biochemistry, and molecular genetics of the metabolism of the connective tissue. The connective tissue may be any desired connective tissue, such as scleral tissue of the eye. The connective tissue of the eye may be removed to form a first desired pattern of perforations in the connective tissue of the eye at a first distance from the corneal center of the eye. The first desired pattern of perforations may have a plurality of perforations. Connective tissue is removed from the eye to form a second desired pattern of perforations in the tissue of the eye at a second distance from the corneal center of the eye. The second desired pattern of perforations may have a plurality of perforations.
    • 治疗结缔组织以增加结缔组织的柔性或降低结缔组织中的张力的方法和系统包括将结缔组织中的穿孔形成结缔组织的深度或厚度的至少90%并保持结缔组织中的穿孔 组织。 该方法改变组织以增强。 基本机制涉及结缔组织代谢的免疫学,生物化学和分子遗传学。 结缔组织可以是任何期望的结缔组织,例如眼睛的巩膜组织。 可以去除眼睛的结缔组织,以在距离眼睛的角膜中心的第一距离处在眼睛的结缔组织中形成第一期望的穿孔图案。 第一期望的穿孔图案可以具有多个穿孔。 从眼睛去除结缔组织,以在距离眼睛的角膜中心的第二距离处在眼组织中形成第二期望的穿孔图案。 穿孔的第二期望图案可以具有多个穿孔。
    • 59. 发明申请
    • METHODS AND APPARATUS FOR TREATMENT OF OCULAR MELANOSIS
    • 用于治疗眼部黑色素瘤的方法和设备
    • WO2005096766A2
    • 2005-10-20
    • PCT/US2005/011438
    • 2005-04-04
    • THE GENERAL HOSPITAL CORPORATION D/B/A MASSACHUSETTS GENERAL HOSPITALANDERSON, Richard, RoxAKITA, Hirotaka
    • ANDERSON, Richard, RoxAKITA, Hirotaka
    • A61B18/20A61F9/009A61N5/067
    • A61F9/009A61B18/203A61B2018/00452A61F9/008A61F2009/00865
    • The invention entails a novel system and method for modifying scleral pigmentation. More particularly, the invention entails a novel system and method for treating Ocular Melanosis (OM). The invention contemplates a system and method for treating OM that uses lasers with modified pulse widths and low power to whiten the sclera without causing damage to the retina. Ultimately, a system has been developed that uses of low laser pulse fluences considerably less than those used for treating nevus of Ota on the skin. The system limits the risk of retinal injury by use of (a) a small exposure spot size and (b) a high numerical aperture (NA) optical beam with fluences of between about 0.5 J/cm 2 and 5.0 J/Am 2 , significantly lower than many currently available laser treatments. In a preferred embodiment, the system of the invention uses a laser with a wavelength in the visible and near-infrared spectrum and a pulse width from about 1 ns - 100 microseconds.
    • 本发明需要一种用于修饰巩膜色素沉着的新系统和方法。 更具体地说,本发明涉及用于治疗眼部黑色素病(OM)的新颖系统和方法。 本发明设想了一种用于治疗OM的系统和方法,该系统和方法使用具有改变的脉宽和低功率的激光来增白巩膜而不会损伤视网膜。 最终,已经开发了一种系统,该系统使用低于用于治疗皮肤上太田痣的激光脉冲通量的低激光脉冲通量。 该系统通过使用(a)小曝光点尺寸和(b)高数值孔径(NA)光束以及约0.5J / cm 2和 5.0 J / Am <2>,明显低于许多现有的激光治疗。 在一个优选实施例中,本发明的系统使用具有可见光和近红外光谱波长以及约1ns-100微秒的脉冲宽度的激光器。