Abstract: A method for determining optical properties of a corneal region. The method includes the steps of obtaining a combined tear film aqueous layer plus lipid layer thickness; obtaining a tear film lipid layer thickness; subtracting the tear film lipid layer thickness from the combined tear film aqueous layer plus lipid layer thickness to obtain a tear film aqueous layer thickness; and determining a corneal layer refractive index based on the tear film lipid layer thickness and the tear film aqueous layer thickness.

Abstract: A support is coupled to the lens capsule to increase accommodation. The support may be adjustable, such that patient refraction and accommodation can be adjusted following surgery. The support may comprise rigidity sufficient to decrease radial movement of the intermediate portion of the lens capsule. The support can be placed on the intermediate portion to decrease radial movement of the intermediate portion of the lens capsule and increase radial stretching of an outer portion of the lens capsule extending between the zonules and the intermediate portion coupled to the support, such that the amount of accommodation of the eye is increased. The support may comprise a biocompatible material capable of stable coupling to the lens capsule following implantation, such that the far vision refraction and accommodation of the eye can be stable following surgery.

Abstract: A container for disinfecting and storing a contact lens comprising a container having a nonporous but oxygen-permeable, water-impermeable liner that forms a continuous barrier layer to allow oxygen to escape but prevent water from escaping when the container becomes pressurized, such as when an oxidative disinfectant is neutralized catalytically to generate free oxygen (O2). A rigid shell against which the liner is disposed is porous to oxygen and includes a main body and a cap removably attachable to an upper rim of the main body. The container also may have a lens holder for supporting a contact lens. The liner may be on the inside of the shell, or vice versa. The liner may be on the inside of the cap which has openings through which the liner expands when the container becomes pressurized as an indicator that the disinfecting process is underway.

Abstract: A phacoemulsification system and method, and a foot pedal device, system and method. The devices, systems and methods may include a console comprising a plurality of modes for at least one physically associated surgical instrument, and a foot pedal communicatively associated with said console and suitable for varying ones of the plurality of modes. The foot pedal may include a foot pedal base, and at least two electronically actuated sensors physically associated with the foot pedal base, communicatively connected to the console, and suitable for receiving physical indications of variations in ones of the plurality of modes.

Abstract: A design for dynamically adjusting parameters applied to a surgical instrument, such as an ocular surgical instrument, is presented. The method includes detecting surgical events from image data collected by a surgical microscope focused on an ocular surgical procedure, establishing a desired response for each detected surgical event, delivering the desired response to the ocular surgical instrument as a set of software instructions, and altering the surgical procedure based on the desired response received as the set of software instructions.

Abstract: The present invention relates generally to providing pressurized infusion of liquids and, more particularly, is directed to providing a stable and pressurized flow of irrigation fluid to the eye during surgery.

Abstract: A shape memory polymer (SMP) intraocular lens may have a refractive index above 1.45, a Tg between 10° C. and 60° C., inclusive, de minimis or an absence of glistening, and substantially 100% transmissivity of light in the visible spectrum. The intraocular lens is then rolled at a temperature above Tg of the SMP material. The intraocular device is radially compressed within a die to a diameter of less than or equal to 1.8 mm while maintaining the temperature above Tg. The compressed intraocular lens device may be inserted through an incision less than 2 mm wide in a cornea or sclera or other anatomical structure. The lens can be inserted into the capsular bag, the ciliary sulcus, or other cavity through the incision. The SMP can substantially achieve refractive index values of greater than or equal to 1.45.

Abstract: An intraocular lens insertion apparatus includes a hollow tube having an interior wall defining a hollow space through which an intraocular lens may be passed from the open space into an eye. A lubricity enhancing component is covalently bonded to the hollow tube at the interior wall in an amount effective to facilitate the passage of the intraocular lens through the hollow space. The lubricity enhancing component includes a substituent component effective to reduce hydrolysis of said lubricity enhancing component relative to an identical lubricity enhancing component without the substituent component.

Abstract: The present inserter, system and method suitable for inserting the IOL may include a lumen having an outer wall and an inner wall, the inner wall including at least one hollowed portion; a plunger for advancing along the lumen, the plunger having a plunger shaft extending into the open proximal end and terminating at a distal plunger end; a reservoir within the lumen between the distal plunger end and the distal insertion tip, the reservoir having an opening that is misaligned with the at least one hollowed portion prior to advancing of the plunger, and that is aligned with the at least one hollowed portion during advancing of the plunger; and a viscous fluid within the lumen, wherein the viscous fluid flows along a bypass formed of the at least one hollowed portion and the opening and into said reservoir, thereby decreasing an inserting displacement force effected at the distal insertion tip from a plunger displacement force applied to said plunger.

Abstract: Systems and methods for controlling vacuum within phacoemulsification systems are described. The phacoemulsification system may include a handpiece having a needle coupled to a power source configured to cause the needle to be ultrasonically vibrated, and an aspiration source. The system further includes a footpedal that defines a first position and a second position and a computer program product, operatively coupled to the handpiece and the footpedal, having a non-transitory computer-usable medium having a sequence of instructions which, when executed by a processor, causes the processor to execute a process that controls power from the power source and vacuum from the aspiration source applied to the handpiece.

Abstract: A method and apparatus for testing code is provided. The method includes inserting at least one token in program code, wherein each token comprises a code element able to provide a value during runtime, establishing a baseline code version and an executing code version from the program code, and subjecting the executing code version to various testing conditions using a processing device. Subjecting the executing code version to various testing conditions comprises periodically evaluating at least one executing code token having one associated executing error detection value against the at least one baseline code token having one associated baseline error detection value and reporting an error when at least one executing code token and associated executing error detection pair fails to match at least one baseline code token and associated baseline error detection pair.

Abstract: A system and method of receiving a cassette to a console of a phacoemulsification system. The system and method may include receiving the cassette in close proximity to a cassette receptacle comprising a receiving surface, sensing variations in at least two variable resistances mounted respectively diagonally about the receiving surface, and comparing the variations as between the at least two variable resistances to assess an attitude of the cassette. The system and method may optionally include clamping the cassette responsively to the comparing step.

Abstract: A polymeric material with a molecular response time that makes it suitable for use near fragile body tissues. The polymeric material is useful for both low modulus and high modulus applications thereby simplifying the multi-part polymeric article manufacturing process and creating better integrated multi-part polymeric articles. Cross-linked polymers with different moduli may be obtained utilizing the same or similar starting materials but modifying the amount of catalyst, the amount of cross-linking agent, and/or the amount of methyl vinyl cyclics.

Abstract: An apparatus, system and method for coating an implantable lens. The apparatus, system and method may include at least one coating layer applied to at least one surface of the optic of the implantable lens, wherein the coating layer at least partially protects the optic at least during the implantation, and wherein the coating layer is removable following implantation. The coating layer may include a lubricant and/or medication and may be in the form of a biodegradable polymer and/or a film.

Abstract: A multifocal diffractive lens comprises a multifocal diffractive structure coupled to a refractive component. The refractive component comprises at least one curved surface. The multifocal diffractive structure comprises a first plurality of substantially monofocal echellettes having a first optical power for near vision correction and a second plurality of substantially monofocal echellettes for far vision correction. The first plurality of substantially monofocal echellettes combined with the second plurality of substantially monofocal echellettes can provide a multifocal diffractive profile having decreased light scatter, chromatic aberration, and diffraction to non-viewing orders such that dysphotopsia is substantially inhibited. A third plurality of substantially monofocal echellettes having an intermediate optical power can be combined with the first plurality of substantially monofocal echellettes and the second plurality of substantially monofocal echellettes.

Abstract: Improved systems and methods for determining ocular scattering are provided. These systems and methods can be used to quantify ocular scattering before and/or after a wide variety of different ophthalmic diagnostic procedures, and various surgical and non-surgical treatments. One embodiment provides a system and method for determining ocular scattering that uses two light detectors, with one detector configured to detect light over a relatively narrow angular range, and the other detector configured to detect light over a relatively large angular range. The data from the narrow angular range and the large angular range can then be analyzed to determine a measurement of ocular scattering.

Abstract: The present invention is generally directed to improved methods, devices, and systems for controlling surgical fluid flows, particularly during treatment of an eye. In many embodiments, the invention provides a console that interchangeably accepts multiple types of eye treatment cassettes. The cassettes enable one or both of displacement-based or vacuum-based aspiration. The console and the cassette may communicate to establish the functionality of the installed cassette. The multiple types of cassettes may be produced using a common cassette frame and may include a visual indication of functionality.

Abstract: A rear-loaded injector cartridge for an intraocular lens (IOL) having a proximal opening that provides a haptic slot. The haptic slot receives a leading haptic of an IOL loaded therein, and temporarily retains the leading haptic while the optic of the IOL is inserted into a holding area of the cartridge. As the optic passes by, the leading haptic folds over the top of the optic, on its anterior side. The length of the haptic retention slot is sufficient to maintain the leading haptic in its anteriorly folded position while the IOL remains in holding area, typically while the cartridge is mated with a handpiece of the injector. The cartridge also has a rear or proximal cut out which advantageously keys with a similarly-sized rail on the handpiece so that the cartridge cannot be inserted in the wrong way.

Abstract: Methods and apparatus treat the lens capsule so as to increase accommodation of the eye. The treatment of the lens capsule may comprise treating a portion of the lens capsule so as to stiffen the treated portion and improve accommodation of the eye. The intermediate portion of the lens capsule may located between an optically used central portion of the lens capsule and a peripheral portion of the lens capsule connected to zonules of the eye. The stiffened intermediate portion of the lens capsule can improve coupling of the peripheral portion of the lens capsule to the central portion of the lens capsule, such that an amount of accommodation of the optically used central portion of the lens is increased. As the force of the lens capsule to a lens disposed within the lens capsule is increased, the lens may comprise the natural lens of the eye or an artificial lens such as an accommodative IOL.